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An Aging Healthy Intervention for Older Adults Delivered by Community Health Workers in Senior Centers: A Clinical Trial

NCT07428174 — Not applicable, Not yet recruiting, 250 participants, George Mason University

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ageWELL in the Community Together (aCT) Study

RegistryNCT07428174, acronym aCT
StatusNot yet recruiting
PhaseNot applicable
Study typeInterventional; non randomized, parallel, masking: none, prevention
Enrollment250 (Estimated)
SponsorGeorge Mason University (Other); collaborators: University of Kentucky
ConditionsHealthy Aging
InterventionsaCT CHW intervention (Behavioral)
Datesstart 2026-04-01 (estimated), primary completion 2026-12-01 (estimated), completion 2026-12-01 (estimated), first posted 2026-02-23, last updated 2026-02-23
Locations1 site in United States

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-Summary

The aCT Study will develop, implement and evaluate a community health worker (CHW) integrated model of care delivery for older adults that is senior center based. CHW services will be available for older adult participants at three centers, 4 hours per week for 4 months. Three centers will continue usual services. Researchers will compare blood pressure, physical activity levels, fruit/vegetable consumption and psychosocial outcomes across groups before and after the intervention.

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+Detailed description

The six senior centers are located in southeastern Kentucky. The CHWs are community-based, certified in the state of Kentucky and employed by a local organization. The CHW intervention will be guided by a training module developed by the researchers in collaboration with our collaborating partner, the University of Kentucky Center for Excellence in Rural Health that reflects evidence-based geriatric practices and formative assessment conducted in 2024/2025 with seniors and senior service administrators from the area

+Arms and interventions

ArmTypeInterventionsDescription
aCT CHW InterventionActive comparatorBehavioral: aCT CHW interventionState-certified CHWs employed and supervised by Kentucky Homeplace, a local organization that provides training and CHW services to local communities, will deliver the intervention at three senior centers 4 hours per week for 4 months, which include health promotion and disease prevention services and programs, advocacy, and health screenings.
Usual practiceNo interventionThree other senior centers who have agreed to study participation will serve as comparison sites, where older adults who visit the centers will continue to access usual services which have not typically included on-site CHW services.
  • aCT CHW intervention (Behavioral): The aCT CHW intervention arm will be delivered by state-certified CHWs employed and supervised by Kentucky Homeplace, a local organization that provides training and CHW services to local communities. Trained CHWs will deliver the intervention at three senior centers 4 hours per week for 4 months, which will include health promotion and disease prevention services and programs, advocacy, and health screenings.

+Outcome measures

Primary outcomes

  • blood pressure [Baseline following enrollment and 4-5 months later following completion of the intervention]: Blood pressure will be measured in duplicate, with appropriate size cuff and participant seated, arm supported so elbow at heart level and following a 5 minute rest.
  • physical activity levels [Baseline following enrollment and 4-5 months later following intervention completion]: We will use a self-report measure, the Rapid Assessment of Physical Activity (RAPA), a 9-item questionnaire validated for use in older adults

+Eligibility

Sex: All, ages: 60 Years to any, accepts healthy volunteers

Inclusion Criteria: Eligible participants will be age 60 years and older, registered as a meal program participant at a participating senior center and speak English.

Exclusion Criteria: Non-English speakers and older adults who access meal program services in senior centers not participating in the study are not eligible for study participation.

+Locations (1)

FacilityCityCountryStatus
University of Kentucky Center for Excellence in Rural HealthHazard, KentuckyUnited States

+Investigators

My Notes