Community Health Worker Intervention for Social Determinants of Health
(AZCEAL Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
The goal of the Arizona Community Engagement Alliance (AZ-CEAL) will be to combine social care with healthcare programs. The study will be connecting selected patients from clinics with trained community health workers (CHW) who will assist participants in getting the help that is needed for their health such as transportation needs, accessing healthy food, health information, accessing good health care, job opportunities, and housing. The study will collect information from both the patients and the health care systems to test how effectively the care plan works over time.
Are You a Good Fit for This Trial?
This trial is for adults with chronic health conditions like high blood pressure, diabetes, or high cholesterol who may also face challenges related to social needs such as transportation, food access, housing, or employment. Participants are selected from certain clinics.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- Community Health Worker intervention
Trial Overview
The study compares usual medical care to an added program where community health workers help patients address both their health and social needs. The goal is to see if this support improves overall well-being over time.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants will be assigned to CHWs with knowledge of the local community resources based upon participant's residential area. The CHWs will assist the patient participant by systematically assessing and addressing the social drivers of health and Health Related Social Needs (HRSNs). A standardized assessment tool will be implemented to systematically identify baseline drivers of health. The CHWs will set long term goals and create an action plan with the patient. Through CHW core competencies of coaching, advocacy, and individual capacity building, the CHWs will use an adapted Goal Setting and Action Planning tool to prioritize short and long term goals to ensure patient self-sufficiency, self-determination and ensure patient navigation and mediation are people-centered.
Comparator (Description of usual care): Participants receiving care in clinics at the same time of a stepped-wedge design in a different clinic cluster but before the rolling in of the CHW-intervention described in the active comparator. These participants (patients) do not have CHWs addressing social issues and HRSNs within the healthcare system. The social drivers of health are assessed by phone interview as part of annual population health assessments and entered into the Electronic Medical Records system.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Sairam Parthasarathy
Lead Sponsor
University of Arizona
Collaborator
Arizona State University
Collaborator
Mayo Clinic
Collaborator
Northern Arizona University
Collaborator
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
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