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MA-CEAL Community Health Ambassador Program

NCT07136402 — Not applicable, Withdrawn, Boston Medical Center

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Massachusetts Community Engaged Alliance (MA-CEAL) Community Health Ambassador Program

RegistryNCT07136402, acronym CHANGE
StatusWithdrawn - Withdrawn for study design changes prior to implementation of the study. No participants were enrolled.
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, health services research
SponsorBoston Medical Center (Other); collaborators: National Heart, Lung, and Blood Institute (NHLBI), Massachusetts Community Engaged Alliance (MA-CEAL)
ConditionsHypertension, Diabetes Mellitus, Health Care Utilization
InterventionsEducating participants about healthcare resources, Healthcare appointments, Workshops (Other)
Datesstart 2025-09-01 (estimated), primary completion 2028-05-01 (estimated), completion 2028-05-01 (estimated), first posted 2025-08-22, last updated 2025-10-02

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-Summary

This research is being conducted to investigate how to increase primary care health care visits and screenings and treatment for hypertension and diabetes in residents of housing developments in Boston. The investigators are partnering with Boston Housing Authority (BHA) and Trinity housing management to randomize 12 housing developments (6 in intervention and 6 in control). 6 residents from the housing developments will become Community Health Ambassadors (CHA). The CHAs will be trained to conduct "workshops" within the intervention arm. These workshops will cover Diabetes Mellitus (DM) and Hypertension (HTN) information. Along with the workshops, CHAs will act as mentors for the residents and provide them with resources to connect them to primary care, Community Health Centers, food pantry resources, how to get insurance, and other needed services. CHAs will be part-time employees of the Massachusetts Community Engaged Alliance (MA-CEAL), so they will be paid for the work they are doing while simultaneously building their professional skill set.

MA-CEAL's community engagement (CE) team will act as liaisons and mentors for the CHA's to help guide them and also connect them to opportunities for career/personal development.

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+Arms and interventions

ArmTypeInterventionsDescription
Intervention (Phase A)ExperimentalOther: Educating participants about healthcare resources; Other: Healthcare appointments; Other: WorkshopsCommunity health centers randomized into this arm will receive study interventions in the first 18 months of the study.
Control (Phase B)ExperimentalOther: Educating participants about healthcare resources; Other: Healthcare appointments; Other: WorkshopsCommunity health centers randomized into this arm will be wait listed and will not receive study interventions during the first 18 months of the study. They will receive study interventions during the last 12 months of the study.
  • Educating participants about healthcare resources (Other): MA-CEAL team members, including the community health ambassador (CHA), will assist in connecting residents with healthcare resources.
  • Healthcare appointments (Other): MA-CEAL team members, including the community health ambassador (CHA), will assist residents in making physician appointments.
  • Workshops (Other): Trained CHAs will provide workshops with information about diabetes and hypertension and how to be screened and get care.

+Outcome measures

Primary outcomes

  • Number of primary care visits [Baseline, 6 months, 12 months, 18 months]: Self-report primary care visits in the last 18 months will be obtained using selected items from the National Health Interview Survey (NHIS)

Secondary outcomes

  • Number of screenings for diabetes [Baseline, 6 months, 12 months, 18 months]: Self-reported by participants in a study questionnaire
  • Number of screenings for hypertension [Baseline, 6 months, 12 months, 18 months]: Self-reported by participants in a study questionnaire

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Current resident in selected Boston Health Authority (BHA) and Trinity housing developments
* Speak and understand English and/or Spanish

Exclusion Criteria:

* Does not speak English or Spanish
* Not a resident of the development

+Investigators

+Funding

NIH grants: OT2HL158287

My Notes