Condition: Heart Failure · Cardiac Failure · Heart Decompensation · Sponsor: McGill University Health Centre/Research Institute of the McGill University Health Centre
Background: Heart Failure (HF) is the second most common cause of hospitalizations for women in North America. Non-adherence to guideline-directed medical therapy (GDMT) is associated with 50% of all treatment failures and high rates of hospitalizations and death. A recent Canadian study showed that adherence to three or more GDMT medications occurred in only 20% of Canadian HF patients. Despite clear guidelines on the pharmacologic management of HF and the introduction of new and effective drugs, adherence to GDMT in women with HF is low. Furthermore, the rates of hospitalizations have not improved in Canada over the last decade, and mortality in Canadian women with HF remains high. One explanation may be that social determinants of health (SDOH), which are known to be strong predictors of both adherence and adverse outcomes in HF, have not specifically been targeted to improve either adherence or outcomes in HF. Social prescribing (SP) is an innovative, non-medical intervention that aims to improve health by addressing SDOH. However, whether using SP to LINK clinical and social services for the benefit of socially vulnerable HF women can improve outcome is unknown. By targeting SDOH, which are strong predictors of adherence and outcomes in HF, and which have been shown to disproportionately disfavor women, SP has the potential to significantly improve medication adherence, quality of life and outcomes in women with HF. Objectives: The overall aim of this study is to assess…
This description comes directly from the study's public registry record.
Dr. Louise Pilote, MD MPH PhD FRCPC · +1 514-934-1934 · Louise.pilote@mcgill.ca
Dr. Bulemba Katende, MD, MSc. · +1 514-934-1934 · Bulemba.Katende@rimuhc.ca
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| Research Institute of the McGill University Health Centre | Montreal, Quebec, Canada | Not Yet Recruiting |
| Royal Victoria Hospital | Montreal, Quebec, Canada | Recruiting |
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Source record: clinicaltrials.gov/study/NCT06628973