Unidos: Linking Individuals to Social Determinant and Community Health Services

NCT04124224 | Unknown

• 1 other identifier: U48DP006413
• Study Type: observational
• Target: 400
• Locations: 1 country
• Sites: 7

Brief Summary

For 19 years, the Centers for Disease Control and Prevention-funded Arizona Prevention Research Center (AzPRC) has been engaged in academic community collaborative research to reduce chronic disease health disparities among the Latino border communities in Arizona. Our research project, Unidos: Linking Individuals' to Social Determinant and Community Health Services, will result in a model Community-Clinical Linkage intervention to reduce chronic disease risk among Latinos in Arizona. Further, the investigators expect this intervention model to be applicable in other regions and populations. To execute this research, the AzPRC will implement the intervention in partnership with county health departments and Federally Qualified Health Centers. In Unidos the county/community-based CHWs will: 1) support and connect participants to health promotion resources; 2) provide individual and group-based support guided by a novel framework for understanding Latino's health advantages, the sociocultural resiliency model; and, 3) leverage community resources to help individuals address SDH-related needs.

Conditions

Chronic Disease; Community Health Workers

Outcome Measures

Primary Outcomes (4)

• Chronic Disease Risk

  Number of Participants with Chronic Disease Risk as Assessed by the American Heart Association Simple 7 (smoking, nutrition, physical activity, weight, blood pressure, cholesterol, and blood sugar) Change from Baseline in Simple 7 score at 3, 6, and 9 months.

  9 months

• Social Networks

  Number of Participants with Improved Social Networks as Assessed by the Berkman-Syme Network Index, Change from Baseline to 6 month follow-up.

  6 months

• Unidos Implementation within Local Health Departments

  Organizational readiness as assessed through qualitative data collection including focus groups and interviews.

  2 months

• Social Determinant of Health Factors

  Number of participants with improved Social Determinant of Health Factors as assessed by the Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences (PRAPARE), change from baseline to 6 month follow-up.

  6 months

Study Arms (2)

Unidos Participants

In the Unidos intervention the county/community-based CHWs will: 1) support and connect participants to health promotion resources; 2) provide individual and group-based support guided by a novel framework for understanding Latino's health advantages, the sociocultural resiliency model; and, 3) leverage community resources to help individuals address SDH-related needs.

Other: Unidos

Non-Unidos Participants: Comparison Group

Using propensity score matching, the investigators will use the medical records of Unidos participants and the electronic health record comparison group to compare health outcomes.

Interventions

Unidos OTHER

The investigators will collaborate with our community partners to implement and evaluate a Community-Clinical Linkage (CCL) model in which Community Health Workers (CHWs) connect individuals to social determinant and community health services and build sociocultural resilience through CHW-facilitated individual and group support. As a public health practice-based study that incorporates evidence-based strategies, the investigators seek to establish Unidos effectiveness in Arizona counties with the highest percentage of Latinos of Mexican origin (Yuma, Pima, Santa Cruz, and Maricopa). Unidos CHWs, based in local health departments, will use evidence-based strategies to address three elements that are important in addressing chronic disease risk: 1) health promotion resources and programs; 2) individual and group-based social support; and 3) leveraging community resources to address social determinants of health.

Unidos Participants

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Arizona counties with significant Latino populations experience underlying social and economic disparities that place them at risk for chronic disease and negative health outcomes. The participating Maricopa, Pima, Yuma, and Santa Cruz counties are where a significant number of the Latino population for the state reside. Compared to the US population, communities in Arizona with a higher percentages of Latinos are more likely to face poverty, be uninsured, and have chronic disease risks.

You may qualify if:

• Adult participants 18 years or older;
• Adults of Latino origin;
• Participants who speak either English or Spanish; and
• Participants who consent to participate in the study.

You may not qualify if:

• Excluded will be participants who do not consent to participate.

Sponsors & Collaborators

• University of Arizona: lead
• El Rio Community Health Center: collaborator
• Pima County Health Department: collaborator
• Yuma County Health District: collaborator
• Sunset Community Health Center: collaborator
• Maricopa County Health Department: collaborator
• Valle del Sol Community Health: collaborator
• Mariposa Community Health Center: collaborator

Study Sites (7)

Mariposa Community Health Center

Nogales, Arizona, 85621, United States

NOT YET RECRUITING

Maricopa County Health Department

Phoenix, Arizona, 85012, United States

NOT YET RECRUITING

Valle del Sol Community Health

Phoenix, Arizona, 85014, United States

NOT YET RECRUITING

El Rio Community Health Center

Tucson, Arizona, 85714, United States

RECRUITING

Pima County Health Department

Tucson, Arizona, 85714, United States

RECRUITING

Sunset Community Health Center

Yuma, Arizona, 85364, United States

RECRUITING

Yuma County Health District

Yuma, Arizona, 85364, United States

RECRUITING

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Abby M Lohr, MPH

CONTACT

5206263203; abbylohr@email.arizona.edu

Maia Ingram, MPH

CONTACT

(520) 626-2267; maiai@email.arizona.edu

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 3, 2019
• First Posted: October 11, 2019
• Study Start: September 16, 2020
• Primary Completion: December 31, 2023
• Study Completion: September 30, 2024
• Last Updated: November 5, 2020

Record last verified: 2020-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (7)