Promotora navigation to improve mental health access for Latinx and Native American adults
Community Health Worker Navigation to Support Mental Health
This pilot will test whether a promotora-led navigation program helps underserved Latinx and Native American adults reduce stress and connect with behavioral health care.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 80 (estimated) |
| Ages | 18 Years to 120 Years |
| Sex | All |
| Sponsor | University of California, Riverside Academic / other |
| Locations | 1 site (San Francisco, California) |
| Trial ID | NCT07387146 on ClinicalTrials.gov |
What this trial studies
This pilot randomized adults 1:1 to a protocolized promotora-led navigation intervention or a treatment-as-usual control that includes cultural resources and a promotora-supported wait-list. The program is embedded in a community cultural center to leverage a trusted, culturally grounded setting for recruitment and delivery. Primary outcomes are feasibility and acceptability, with preliminary measures of behavioral health access, perceived stress, self-efficacy, and wellbeing. Eligible participants are adults who speak English or Spanish and report moderate or higher perceived stress (PSS ≥14), while individuals with active suicidality or severe substance use are excluded.
Who should consider this trial
Good fit: Ideal candidates are English- or Spanish-speaking Latinx or Native American adults aged 18 or older who report moderate or higher perceived stress (PSS ≥14) and are able to attend sessions at the community site.
Not a fit: People with low perceived stress (PSS <14), active suicidal ideation, or severe alcohol/drug use (per exclusion criteria) are unlikely to be eligible or to benefit from this protocolized navigation approach.
Why it matters
Potential benefit: If successful, the intervention could increase timely access to behavioral health services and reduce stress for underserved Latinx and Native American adults.
How similar studies have performed: Community health worker and promotora programs have previously shown promise for improving care access and engagement, though protocolized navigation specifically for Latinx and Native American adults is relatively less tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Are 18 years of age or older * Speak either English or Spanish * Report moderate or higher perceived stress, defined as scoring 14 or above on the Perceived Stress Scale (PSS) Exclusion Criteria: * Score below 14 on the Perceived Stress Scale (PSS), indicating low perceived stress and ineligibility for enrollment. Endorse suicidal ideation on PHQ-9 item 9 (any score \> 0) and score at moderate to high risk on the Columbia Suicide Severity Rating Scale (C-SSRS) as assessed by the study psychiatrist/PI. Report verbal or written suicidal ideation to any study team member. Exhibit any indication of suicidality or threats of harm to others reported or observed by research staff. Score 16 or higher on the AUDIT, indicating severe alcohol use. Score 6 or higher on the DAST-10, indicating severe drug use. Arrive at screening intoxicated, impairing informed consent capacity or ability to participate. Present to the screening or interview space with any of the following concerning clinical signs: * Marked emotional dysregulation such that engagement is not feasible * Significant physical dishevelment suggesting acute impairment * Apparent intoxication from alcohol or other substances * Possible hallucinations or other signs of psychosis * Any indication that psychological status may compromise safe participation Are unable to complete the screening process due to any of the above concerns (screening will be halted and the participant will be referred for appropriate support).
Where this trial is running
San Francisco, California
- Cultura Y Arte Nativa De Las Americas — San Francisco, California, United States (Recruiting)
Study contacts
- Study coordinator: Jaime Smith
- Email: jaime.smith@medsch.ucr.edu
- Phone: 951-827-0741
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.