Community Health Workers help manage diabetes and high blood pressure.
Community Health Workers Systematically Assessing and Addressing Social Determinants of Health to Improve Outcomes in Community Health Centers (CHW-SYSTIM)
NA · Morehouse School of Medicine · NCT06926855
This study tests if Community Health Workers can help people with uncontrolled diabetes and high blood pressure by addressing social challenges and connecting them to helpful services.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 3120 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Morehouse School of Medicine (other) |
| Locations | 3 sites (Miami, Florida and 2 other locations) |
| Trial ID | NCT06926855 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of Community Health Worker (CHW)-led interventions aimed at addressing social risks that impact the management of uncontrolled diabetes and hypertension among patients in community health centers. The mixed-methods approach includes screening for social risks and providing referrals to appropriate services. The study aims to measure improvements in blood sugar levels and blood pressure among participants, while also identifying effective strategies for expanding CHW-led programs. Findings will guide community health centers in implementing programs that address social determinants of health.
Who should consider this trial
Good fit: Ideal candidates for this study are adults aged 18 and older with uncontrolled Type 2 diabetes or hypertension.
Not a fit: Patients who are under 18 years old, pregnant, or do not meet the criteria for Type 2 diabetes or hypertension may not benefit from this study.
Why it matters
Potential benefit: If successful, this intervention could significantly improve health outcomes for patients with uncontrolled diabetes and hypertension by addressing underlying social barriers.
How similar studies have performed: Other studies have shown promise in using community health workers to address social determinants of health, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria * 18 years or older * People with Type 2 diabetes with their most recent hemoglobin A1c test result (a blood test that reflects average blood sugar levels over the past 2-3 months) is greater than or equal to 9%. * People with essential hypertension with their last systolic blood pressure (BP) (the top number in a BP reading) is greater than or equal to 140 mmHg or diastolic BP (the bottom number in a BP reading) is greater than or equal to 90 mmHg. Exclusion Criteria * People who are less than 18 years old * Pregnant people * People who don't meet the Type 2 diabetes or hypertension criteria.
Where this trial is running
Miami, Florida and 2 other locations
- Health Choice Network (HCN) — Miami, Florida, United States (RECRUITING)
- Morehouse School of Medicine — Atlanta, Georgia, United States (RECRUITING)
- OCHIN — Portland, Oregon, United States (RECRUITING)
Study contacts
- Principal investigator: Megan Douglas, JD — Morehouse School of Medicine
- Study coordinator: Denita Walston, MS
- Email: dwalston@msm.edu
- Phone: 404-752-1696
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Uncontrolled Diabetes, Uncontrolled Hypertension, Uncontrolled diabetes, Federally Qualified Health Center, Health Inequities, Community Health Worker, CEAL, Randomized Controlled Trial