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NCT Number: NCT05933655

Re-thinking the Role of Peers And Training Patients [RePeAT]

This study, Re-thinking the role of Peers And Training Patients [RePeAT], is designed to test the feasibility of training peer-coaches to prepare limited health literacy (LHL) patients to engage in shared-decision making (SDM) for cardiovascular disease (CVD) risk-reduction.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Cardiovascular Diseases

Age range

40 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Rochester

Rochester, New York, 14642, United States

About this study

The investigators will use a 2-arm pilot RCT design to assess the feasibility, and acceptability of the intervention. Up to 60 primary care patients will be randomly assigned to participate in the peer-coaching or control group. Patients will be randomized at a 1:1 ratio, stratified by the clinician. Half of the subjects (n=30) will be assigned to the peer-coaching intervention, and the other half will be assigned to the control group.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • A patient of Highland Family Medicine practice
  • At least 40 years old and no more than 75 years old
  • Be at ≥10% risk for CVD as calculated using the ASCVD Risk Estimator Plus
  • No plans to leave the practice in the next 12 months
  • English speaking
  • Limited Health Literacy (self-report)

Exclusion criteria

  • Have experienced a prior cardiac or vascular event such as myocardial infarction (MI) or cerebrovascular accident (CVA) or have had a CVD procedure such as installation of a stent or angioplasty
  • Gave peripheral vascular disease, intermittent claudication or peripheral arterial disease
  • Lack of capacity to consent

Treatment and study plan

Peer Coach

Behavioral

Peer coaching session to support shared decision making among patient with limited health literacy.

Primary outcomes

  1. ABCS Discussion

    Time frame: patient-clinician office visit, approximately 1 week after the peer coaching session

    The investigators will qualitatively code the office visit to determine if subjects engaged in a discussion with their clinician about their ABCS options/preferences.

Secondary outcomes

  1. Peer Coach Fidelity

    Time frame: post-coaching, approximately 1-2 weeks prior to the patient-clinician office visit

    The investigators will qualitatively code the peer coaching sessions to determine if peer coaches used Teach-back during their session and if the coaching session was done with fidelity.

Sponsors and collaborators

Lead sponsor

University of Rochester

Other

Collaborators

  • National Heart, Lung, and Blood Institute (NHLBI)

Registry information

Acronym: RePeAT

Important dates

Study start
2021
Primary completion
2026
Study completion
2026
First posted
Jul 6, 2023
Registry last updated
Feb 6, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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