Heart failure & cardiomyopathies

Design, Characteristics, and Implementation of the Financial Support for Low-Income Patients with Heart Failure Trial

JACC AdvPublished pilot randomized controlled trial

Study context

Population
Adults hospitalized for acute heart failure (HF) with reduced ejection fraction with income <130% federal poverty limit and difficulty paying bills with ≥1 additional socioeconomic needrandomized participants, 140 completed 1-month follow-up
Participants
153 adults
Planned comparison
Early financial support vs control
  • Financial supportn = 76
  • Controln = 77
Methodological details1:1 randomization within 14 days of discharge
  • 1:1 randomization within 14 days of discharge

No results yet. This paper sets out the design of a trial; its results are to come.

Baseline

Baseline characteristics

Mean age
53 y
Male
76%
Black
73%
Mean ejection fraction
26 ± 9%
Median monthly income
$600 (IQR 0-1179)
Cost-related medication non-adherence at baseline
76%
Identified socioeconomic domain needs, on average
5
Housing instability
50%
Food insecurity
85%
Transportation barriers
65%
Unemployed or retired
81%
Baseline characteristics well balanced between groups except for numerically higher median monthly income and lower mineralocorticoid receptor antagonist/sodium-glucose cotransporter-2 inhibitor prescription in the financial support group
  • The primary clinical outcomes are reported in a companion Brief Report.

Follow-up completeness · 1 month

Completed 1-month follow-up
140

Original publication

Design, Characteristics, and Implementation of the Financial Support for Low-Income Patients with Heart Failure Trial. JACC Adv. Published 16 March 2026. doi:10.1016/j.jacadv.2026.102698

Composed by AI from the published abstract and checked against it. How Briefs are made →

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