The Community Engagement Alliance against Disparities - Washington District of Columbia, Maryland, Virginia (CEAL DMV), is a multi-community and multi-university consortium. Through collaboration and shared leadership, the CEAL-DMV the consortium- comprising five institutions: George Washington University, Howard University, Johns Hopkins University, Morgan State University, and the University of Maryland, Baltimore-has established a regional structure for bi-directional community involvement to engender trust and foster communication. Each site builds on thriving community partnerships, which have been instrumental in enhancing trust, community capacity, and readiness to reduce health disparities.
The investigators propose to evaluate the effect of a multi-level, community-digital health promotion intervention, compared to delayed control intervention, at improving health and social service utilization, and the prevention and management of hypertension, diabetes, overweight and obesity. The evidence-based intervention is based on substantial evidence supporting the role of Community Health Workers in health promotion and reduction of risks associated with chronic diseases. Studies have demonstrated community health worker (CHW) intervention success at improving chronic disease risks and management, including for hypertension and diabetes, through support in implementing clinical recommendations, overcoming barriers to lifestyle behavior change, achieving personal goals, and preventing complications. Additionally, there is substantial evidence supporting digital approaches for the prevention and management of cardiometabolic diseases. The proposed intervention and methods also build on almost three years of CEAL DMV collaboration with community partners. At the community level, core activities will focus on capacity building to ensure the trusted community-based organization partners are fully supported in the implementation of community-digital strategies to address hypertension, diabetes, overweight and obesity.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
664
Community level activities: 1. Capacity building for community-based organizations, and 2. Community health workers will facilitate linkage to community resources, including health/social service access referrals and client social support. Individual level activities: 1. Goal setting and self-monitoring, 2. Tailored feedback, 3. Personalized lifestyle coaching, health and social service referral support, and 4. Digital access and digital health literacy skills building Social network: 1. Social network-based activities, and 2. Digital health literacy skills building
George Washington University, Milken Institute of Public Health
Washington D.C., District of Columbia, United States
RECRUITINGJohns Hopkins University School of Nursing
Baltimore, Maryland, United States
RECRUITINGService utilization as assessed by the number of participants who use referral services
Utilization will be calculated by the total number of participants who use services referred to by the community health workers.
Time frame: 6 and 9 months
Satisfaction with health and health-related social services as assessed by a 3-point Likert Scale
Participants who utilize health and/or social services will be asked if satisfied with services received from health workers (i.e health care providers, mental health professionals and community health workers) using a a 3 point likert scale ranging from 1-3. Higher values would imply higher satisfaction).
Time frame: 6 and 9 months
Body mass index (BMI) in kg/m^2
Body mass index (BMI) in kg/m\^2 as assessed by weight-to-height ratio
Time frame: 6 and 9 months
Blood pressure
Systolic and diastolic blood pressure (mmHg)
Time frame: 6 and 9 months
Hemoglobin A1c (HbA1c) levels
Pre-diabetes and diabetes management as assessed by Hemoglobin A1c levels
Time frame: 6 and 9 months
Trust in health research and information sources as assessed by the Trust in Medical Research Survey
Trust in Medical Research Survey, distrust sub-scale ranges from 0 to 20 with lower scores indicating better trust; trust sub-scale ranges from 0 to 24, higher scores mean better trust
Time frame: 6 and 9 months.
Social determinants of health as assessed by the Health Related Social Needs Tool
Health Related Social Needs Tool, scores ranging from 0 to 36; higher scored indicate higher need
Time frame: 6 and 9 months.
Self-reported exercise frequency
Exercise frequency will be assessed by number of days per week a participant engages in moderate to strenuous exercise
Time frame: 6 and 9 months
Self-reported intake of regular soda or pop that contains sugar.
Participants will report the frequency of consumption of regular soda or pop that contains sugar each week. Higher number of times/week represents a worse outcome.
Time frame: 6 and 9 months
Self-reported sweetened fruit drinks intake
Participants will report the number of times they consumed sweetened fruit drinks per week. Higher number of times/week represents a worse outcome.
Time frame: 6 and 9 months
Self-reported fruit intake
Participants will report the frequency of consumption of fruits per week. Higher number of times/week represents a better outcome.
Time frame: 6 and 9 months
Self-reported intake of green leafy or lettuce salad
Participants will report the frequency of consumption of green leafy or lettuce salad each week. Higher number of number of times/week represents a better outcome.
Time frame: 6 and 9 months
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