Homecare community team to reduce social barriers and improve stroke recovery
The SDOH-Homecare Intervention Focus Team (SHIFT) Trial to Mitigate SDOH in Stroke Outcomes and Build Community Capacity
This program offers a home-based team of a community health worker, nurse, and social worker to help adults recovering from stroke who face multiple social needs improve function and blood pressure.
Quick facts
| Grant type | U01 cooperative agreement |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Columbia University Health Sciences NIH-funded |
| Lab location | 1 site (New York, United States) |
| Project ID | NIH-11380500 on NIH RePORTER |
What this research studies
If you join, you would be randomly assigned to receive the SHIFT homecare team or usual care after hospital discharge. The SHIFT team pairs a community-based organization (CBO)-affiliated community health worker with a community nurse and a social worker to address social needs, coordinate care, and connect you to services. The trial focuses on adults with more than three social determinants of health (SDOH) risk factors and follows functional recovery and physiological outcomes like blood pressure over time. The team works at the community, health system, interpersonal, and individual levels to reduce barriers such as housing, food, transportation, and access to care.
Who could benefit from this research
Good fit: Adults aged 21 and older recently hospitalized for stroke who have more than three social risk factors and can receive home visits are ideal candidates.
Not a fit: People without a recent stroke, those with few or no social risk factors, or those unable to receive home-based services are unlikely to benefit from this program.
Why it matters
Potential benefit: If successful, this approach could help people recover better after stroke and improve blood pressure control by directly addressing social needs at home.
How similar studies have performed: Previous work shows community health workers, homecare, and social support can improve chronic disease management, but this combined multi-level SHIFT approach for post-stroke recovery is novel and being formally tested.
Where this research is happening
New York, United States
- Columbia University Health Sciences — New York, United States (Active)
Researchers
- Principal investigator: Williams, Olajide — Columbia University Health Sciences
- Study coordinator: Williams, Olajide
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.