ClinicalTrials.gg
RecruitingNCT07869069Updated Oct 9, 2026

Advancing Health Equity and Preventive Cardiovascular Care in Indigenous and Remote Communities: a Mobile Healthcare Unit

An interventional study of Cardiovascular risk screening and Follow-up of cardiovascular risk factors in Cardiovascular (CV) Risk, Metabolic Health and Primary Prevention, sponsored by Laval University. Recruiting at 1 site in Canada. Open to participants aged 35 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-09.

Sponsored by Laval University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Oct 9, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
500
Allocation
Not applicable
Ages
35 Years to 65 Years
Sex
All
01

Study summary

Indigenous people living in Canada face significant healthcare inequities, particularly in basic, primary, and secondary prevention, leading to higher rates of cardiovascular disease and mortality. This program aims to develop a comprehensive understanding of the contextual and individual determinants influencing Indigenous health, and to address health disparities by using tailored community-led participatory research and care initiatives. The investigator and research team use a Mobile Healthcare Unit travelling to Indigenous communities, providing customized, impactful, and sustainable preventive care that adapts dynamically to the evolving needs of each community. The initiative places a strong emphasis on equity and inclusivity, aiming to generate original data in Indigenous and remote underrepresented/underserved populations. This proposal will improve opportunities of identifying facilitators and barriers to preventive care in Indigenous and remote communities. This focus is vital for reducing health disparities and aligns with the Truth and Reconciliation Calls to Action. To maximize knowledge mobilization and ensure culturally appropriate initiatives align with community needs and priorities, this research program collaborates with the Indigenous University Hub at Laval University, local community members and leaders, and Indigenous peoples with lived experience. Existing national and international collaborations with Indigenous communities further enhance the initiative's potential impact and foster knowledge mobilization on a global scale. The ultimate goal is to empower Indigenous peoples and communities to advocate for systemic changes to fight inequities in healthcare in accordance with appropriated truth and reconciliation efforts.

Read the detailed description

This pilot study will take place in the Mobile Healthcare Unit (motorized vehicle) that will travel to 10 Indigenous and/or remote communities.This study aims at collecting cardiovascular (CV) data and delivering culturally appropriate research and care in underserved/underrepresented populations. Collaborating members of the communities visited will be involve in the mobile care service and will assist as translators. Recruitment and data collection will be carried out by the investigator at the IUCPQ-ULaval in collaboration with the participating communities. This study was co-designed and accepted by health departments and participating communities. Each participant will undergo a comprehensive assessment of CV risk factors and CV conditions at the beginning of the study. This assessment will be standardized and will include the following elements:

  • Clinical examination including anthropometric measurements;
  • Auscultation by a cardiologist with a digital stethoscope;
  • Translated and validated questionnaires on demographics and medical history;
  • Pregnancy and reproductive health questionnaires;
  • Blood pressure, assessed by oscillometry;
  • Peripheral artery disease assessment;
  • Cardiometabolic blood markers (NT-proBNP, HbA1C, hs-CRP, CBC, lipids, etc.)
  • Arrythmia and atrial fibrillation, assessed by electrocardiogram;
  • Anthropometric indices and body fat distribution by elastography;
  • Maximal stress test on a treadmill;
  • Questionnaire on participant satisfaction and areas of improvement in health equity.
02

Conditions studied

  • Cardiovascular (CV) Risk
  • Metabolic Health
  • Primary Prevention

Keywords

  • Cardiovascular Disease
  • Cardiovascular-Kidnay-Metabolic Health
  • Community-Driven AND Culturally Safe Care and Research
  • Diabetes
  • Health Equity and Inclusivity
  • Indigenous Health
  • Mobile Healthcare Unit
  • Preventive Care
  • Social Determinants of Health
  • Women's Health
03

In context

Cardiovascular Diseases

5,025 studies on the registry are indexed under Cardiovascular Diseases; 930 are open to participants now.

This study's planned enrollment of 500 is above the median of 100 across 2,801 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Laval University is the lead sponsor of 380 studies on the registry; 70 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
35 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • BMI > 27 kg/m\^2

Exclusion criteria

Exclusion Criteria:

  • Being pregnant;
  • Known heart condition
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Other
    Preventive care

    Other: Cardiovascular risk screening · Other: Follow-up of cardiovascular risk factors

Interventions

  • OtherCardiovascular risk screening

    Extensive cardiovascular risk screening offered locally in underserved/ underrepresented communities (see Study Description for more details)

  • OtherFollow-up of cardiovascular risk factors

    Measure changes in cardiovascular risk factors among participants who took place in the screening phase.

06

What researchers measure

Primary outcomes

  1. Height in meters

    Measured using a stadiometer

    Time frame: Once, at baseline.

  2. Weight in kilograms

    Measured using an electronic body scale

    Time frame: At baseline and at 1 year

  3. Body mass index in kg/(m^2)

    BMI will be calculated by dividing the weight in kilograms by the square of the height in meters

    Time frame: At baseline and at 1 year

  4. Waist circumference in centimeters

    Waist circumference will be measured using an ergonomic circumference measuring tape

    Time frame: At baseline and at 1 year

  5. Blood pressure

    In mm Hg, using a digital blood pressure device

    Time frame: At baseline and at one-year follow-up

  6. Lipid profile

    Assessment of hypercholesterolemia (LDL-C, HDL-C, triglycerides, non-HDL-C in mmol/L) and apoB levels in g/L.

    Time frame: At baseline and at one-year follow-up

  7. Physical activity measure

    Using the International Physical Activity Questionnaire (IPAQ)

    Time frame: At baseline and at one-year follow-up

  8. Glycated hemoglobin (HbA1c)

    Blood test, expressed as %

    Time frame: At baseline and at one-year follow-up

  9. Dietary habits

    Frequency of intake per month of fruits, vegetables, whole grains, lean proteins, saturated fats and added sugars, using the Canadian Food Intake Screener.

    Time frame: At baseline and at one-year follow-up

  10. Smoking habits

    Self-reported smoking habits as current smoker, former smoker or never smoked, as well as frequency of smoking

    Time frame: At baseline and at one-year follow-up

  11. Framingham risk score

    Estimated 10-year cardiovascular risk, expressed as a percentage (%)

    Time frame: At baseline and at one-year follow-up

Secondary outcomes

  1. Participant feedback on intervention

    Questionnaire on participant satisfaction and areas of improvement in health equity.

    Time frame: At baseline and at one-year follow-up

Other outcomes

  1. Body fat distribution

    Percentage and kilograms, using a electrical bioimpedance device

    Time frame: At baseline

  2. Liver fat content

    Measured with liver elastography

    Time frame: At baseline

  3. Arterial stiffness

    Measured by pulse wave velocity

    Time frame: At baseline

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Lajeunesse-Trempe F, Boit MK, Kaduka LU, De Lucia-Rolfe E, Baass A, Paquette M, Piche ME, Tchernof A, Christensen DL. Validation of the Fatty Liver Index for identifying non-alcoholic fatty liver disease in a Kenyan population. Trop Med Int Health. 2023 Oct;28(10):830-838. doi: 10.1111/tmi.13927. Epub 2023 Aug 31. PubMed 37650501 ↗
  • Leveille N, Provost H, Keutcha Kamani C, Chen M, Deghan Manshadi S, Ades M, Shanahan K, Nauche B, Drudi LM. Exploring Prognostic Implications of Race and Ethnicity in Patients With Peripheral Arterial Disease. J Surg Res. 2024 Oct;302:739-754. doi: 10.1016/j.jss.2024.07.120. Epub 2024 Aug 30. PubMed 39216457 ↗
  • Lajeunesse-Trempe F, Piche ME, Kaduka L, Lopez Y Taylor JR, Sagastume RC. Moving from helicopter research to proximity research and capacity building. Trends Endocrinol Metab. 2025 Mar;36(3):193-195. doi: 10.1016/j.tem.2024.08.011. Epub 2024 Oct 1. PubMed 39358160 ↗
  • Lane-Cordova AD, Khan SS, Grobman WA, Greenland P, Shah SJ. Long-Term Cardiovascular Risks Associated With Adverse Pregnancy Outcomes: JACC Review Topic of the Week. J Am Coll Cardiol. 2019 Apr 30;73(16):2106-2116. doi: 10.1016/j.jacc.2018.12.092. PubMed 31023435 ↗
  • Powell-Wiley TM, Poirier P, Burke LE, Despres JP, Gordon-Larsen P, Lavie CJ, Lear SA, Ndumele CE, Neeland IJ, Sanders P, St-Onge MP; American Heart Association Council on Lifestyle and Cardiometabolic Health; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology; Council on Epidemiology and Prevention; and Stroke Council. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021 May 25;143(21):e984-e1010. doi: 10.1161/CIR.0000000000000973. Epub 2021 Apr 22. PubMed 33882682 ↗
  • Norris CM, Yip CYY, Nerenberg KA, Clavel MA, Pacheco C, Foulds HJA, Hardy M, Gonsalves CA, Jaffer S, Parry M, Colella TJF, Dhukai A, Grewal J, Price JAD, Levinsson ALE, Hart D, Harvey PJ, Van Spall HGC, Sarfi H, Sedlak TL, Ahmed SB, Baer C, Coutinho T, Edwards JD, Green CR, Kirkham AA, Srivaratharajah K, Dumanski S, Keeping-Burke L, Lappa N, Reid RD, Robert H, Smith G, Martin-Rhee M, Mulvagh SL. State of the Science in Women's Cardiovascular Disease: A Canadian Perspective on the Influence of Sex and Gender. J Am Heart Assoc. 2020 Feb 18;9(4):e015634. doi: 10.1161/JAHA.119.015634. Epub 2020 Feb 17. No abstract available. PubMed 32063119 ↗
  • Reading J. Confronting the Growing Crisis of Cardiovascular Disease and Heart Health Among Aboriginal Peoples in Canada. Can J Cardiol. 2015 Sep;31(9):1077-80. doi: 10.1016/j.cjca.2015.06.012. Epub 2015 Jun 21. PubMed 26321431 ↗
  • Piche ME, Tchernof A, Despres JP. Obesity Phenotypes, Diabetes, and Cardiovascular Diseases. Circ Res. 2020 May 22;126(11):1477-1500. doi: 10.1161/CIRCRESAHA.120.316101. Epub 2020 May 21. PubMed 32437302 ↗
  • Aziz H, Marchand M, Pop C, King A, Anand SS, Arbour L, Atzema C, Spaziano M, Merveille N, Filimon S, Poirier P, Huynh T. A Call to Action: Optimizing Indigenous Cardiovascular Health in Canada. Can J Cardiol. 2022 Oct;38(10):1584-1587. doi: 10.1016/j.cjca.2022.06.011. Epub 2022 Jun 16. No abstract available. PubMed 35718241 ↗
  • Lajeunesse-Trempe F, Piche ME, Poirier P, Tchernof A, Ayotte P. Adiposity Phenotypes and Associated Cardiometabolic Risk Profile in the Inuit Population of Nunavik. Nutrients. 2024 Mar 2;16(5):725. doi: 10.3390/nu16050725. PubMed 38474854 ↗
  • Anand SS, Abonyi S, Arbour L, Balasubramanian K, Brook J, Castleden H, Chrisjohn V, Cornelius I, Davis AD, Desai D, de Souza RJ, Friedrich MG, Harris S, Irvine J, L'Hommecourt J, Littlechild R, Mayotte L, McIntosh S, Morrison J, Oster RT, Picard M; Pictou Landing First Nation; Poirier P, Schulze KM, Toth EL; Canadian Alliance for Healthy Hearts and Minds First Nations Research Group. Explaining the variability in cardiovascular risk factors among First Nations communities in Canada: a population-based study. Lancet Planet Health. 2019 Dec;3(12):e511-e520. doi: 10.1016/S2542-5196(19)30237-2. PubMed 31868600 ↗

Individual participant data

Plan to share: Undecided — According to OCAP(TM) principles, each community owns their data, controls its dissemination, and decides when and what research is in the best interests of their specific community.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 9, 2026
Show all 1 update
  1. Oct 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07869069
Lead sponsor
Laval University
Collaborators
Canadian Institutes of Health Research (CIHR)
Responsible party
Marie-Eve Piché (Clinical physician and associate professor, Laval University) — Principal investigator
First posted
Oct 9, 2026
Start date
Feb 11, 2026
Primary completion
Mar 31, 2029 (estimated)
Completion
Mar 31, 2030 (estimated)
Last update
Oct 9, 2026

Study contacts

Coordinator
Contact
santeinclusive@criucpq.ulaval.ca
1-418-656-8711

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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