Recruiting

Observational Study

Sponsor:

University of Arizona

Code:

NCT04124224

Conditions

Chronic Disease

Community Health Workers

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Interventions

Unidos

Study Details

Brief summary:

For 19 years, the Centers for Disease Control and Prevention-funded Arizona Prevention Research Center (AzPRC) has been engaged in academic community collaborative research to reduce chronic disease health disparities among the Latino border communities in Arizona. Our research project, Unidos: Linking Individuals' to Social Determinant and Community Health Services, will result in a model Community-Clinical Linkage intervention to reduce chronic disease risk among Latinos in Arizona. Further, the investigators expect this intervention model to be applicable in other regions and populations. To execute this research, the AzPRC will implement the intervention in partnership with county health departments and Federally Qualified Health Centers. In Unidos the county/community-based CHWs will: 1) support and connect participants to health promotion resources; 2) provide individual and group-based support guided by a novel framework for understanding Latino's health advantages, the sociocultural resiliency model; and, 3) leverage community resources to help individuals address SDH-related needs.

Conditions

Chronic Disease

Community Health Workers

Study ID

NCT04124224

Start date

Sep 16, 2020

Status verified date

Nov, 2020

Completion date

Sep 30, 2024

Anticipated

Primary completion date

Dec 31, 2023

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Accepted

Inclusion Criteria:

  • Adult participants 18 years or older;
  • Adults of Latino origin;
  • Participants who speak either English or Spanish; and
  • Participants who consent to participate in the study.

Exclusion Criteria:

  • Excluded will be participants who do not consent to participate.

Study Design

Enrollment

400 participants

Anticipated

Interventions and Outcome Measures

Arms

Unidos Participants

In the Unidos intervention the county/community-based CHWs will: 1) support and connect participants to health promotion resources; 2) provide individual and group-based support guided by a novel framework for understanding Latino's health advantages, the sociocultural resiliency model; and, 3) leverage community resources to help individuals address SDH-related needs.

Non-Unidos Participants: Comparison Group

Using propensity score matching, the investigators will use the medical records of Unidos participants and the electronic health record comparison group to compare health outcomes.

Interventions

Unidos

The investigators will collaborate with our community partners to implement and evaluate a Community-Clinical Linkage (CCL) model in which Community Health Workers (CHWs) connect individuals to social determinant and community health services and build sociocultural resilience through CHW-facilitated individual and group support. As a public health practice-based study that incorporates evidence-based strategies, the investigators seek to establish Unidos effectiveness in Arizona counties with the highest percentage of Latinos of Mexican origin (Yuma, Pima, Santa Cruz, and Maricopa). Unidos CHWs, based in local health departments, will use evidence-based strategies to address three elements that are important in addressing chronic disease risk: 1) health promotion resources and programs; 2) individual and group-based social support; and 3) leveraging community resources to address social determinants of health.

Primary outcome measure

  • Chronic Disease Risk [ Time Frame: 9 months ]
  • Social Networks [ Time Frame: 6 months ]
  • Unidos Implementation within Local Health Departments [ Time Frame: 2 months ]
  • Social Determinant of Health Factors [ Time Frame: 6 months ]

Central Contacts and Locations

Central contacts

Abby M Lohr, MPH

5206263203abbylohr@email.arizona.edu

Maia Ingram, MPH

(520) 626-2267maiai@email.arizona.edu

Locations

El Rio Community Health Center

Recruiting

Tucson, Arizona, United States, 85714

Contacts

Maria Velasco

520-309-4556MariaV@elrio.org

Andres Yubeta

(520) 670-3716AndresY@elrio.org

Pima County Health Department

Recruiting

Tucson, Arizona, United States, 85714

Contacts

Nic Cogdall, MPH, MPA

520-724-7714nicholas.cogdall@pima.gov

Rebecca O'Brien

Rebecca.O'Brien@pima.gov

Sunset Community Health Center

Recruiting

Yuma, Arizona, United States, 85364

Contacts

Lucy Murrieta

928-627-2051lmurrieta@sunset-chc.org

Alma Valles

928-539-3153AValles@sunset-chc.org

Yuma County Health District

Recruiting

Yuma, Arizona, United States, 85364

Contacts

Cynthia Espinoza, MD

928-317-4572cynthia.espinoza@yumacountyaz.gov

Gloria Coronado, MA

928-317-4572gloria.coronado@yumacountyaz.gov

More Information

Sponsor

University of Arizona

Last update posted

Nov 5, 2020

Last verified

Nov, 2020

Trial information was received from ClinicalTrials.gov and was last updated on 2026-10-09. This information was provided to ClinicalTrials.gov by University of Arizona on 2020-11-05. Recruitment status is synced daily from ClinicalTrials.gov and may not reflect the sponsor's current status. Confirm during your call.