Linking social care with healthcare to help manage chronic diseases
Official title: Arizona CEAL: Linking Social Care With Healthcare Systems to Address SDOH
Run by University of Arizona · NCT07799961 · Data updated 2026-11-12
This trial tests whether pairing patients with trained community health workers can help them get transportation, healthy food, information, and better access to care to improve health in conditions like hypertension, diabetes, and high cholesterol.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 740 (estimated) |
| Sponsor | University of Arizona Academic / other |
| Locations | 2 sites (Tucson, Arizona and 1 other locations) |
| Status | Recruiting |
| Started | December 5, 2024 |
| Main results expected | April 1, 2028 |
| Study ends | April 1, 2028 |
| Registry record updated | September 2, 2026 |
| Trial ID | NCT07799961 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years and older who are Medicaid or dual-insured, racial/ethnic minorities or rural residents, or those in the bottom income quartile.
✕Probably not a fit
Participants without unmet social needs or those unlikely to benefit from CHW support may see little to no improvement.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The AZ-CEAL program connects clinic patients with community health workers to address social determinants of health and link them to health and social services. It evaluates how coordinated social care and clinical teams influence care plans over time in adults with chronic diseases. The study uses a pragmatic design, comparing usual care with a CHW-supported care pathway and collects data from patients and health systems to measure outcomes related to access, adherence, and health indicators. It also highlights the role of CHWs in reducing disparities by addressing upstream social needs that affect chronic disease management. The investigation is conducted across multiple affiliated institutions in Arizona and focuses on real-world implementation within existing clinical settings.
Why it matters
Potential benefit: If successful, participants could experience better access to services, improved disease management, and potentially better health outcomes through integrated social and medical care.
How similar studies have gone: Prior studies suggest CHW-led links to social and health services can improve access and some health outcomes, though results vary by setting and population.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 18 years of age or older * Must meet at least one of the three criteria: * Medicaid or dual-insured beneficiary or * Racial/ethnic minority or rural resident and * Household income in the bottom national quartile of household median income (low SES definition). Exclusion Criteria: * Unable to provide informed consent due to cognitive impairment * Other specified reason that, in the opinion of the investigator makes the participant unsuitable for enrollment
Where it's running
-
Banner University Medical Center South
Tucson, Arizona, United States Recruiting -
UAHS Center for Sleep, Circadian, & Neuroscience Research Department of Medicine, University of Arizona
Tucson, Arizona, United States Recruiting
Study contacts
- Study coordinator: Kristina Rico
- Email: UAHS-AZCEAL@arizona.edu
- Phone: 1(800)970-7118
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.