NCT07428174

Brief 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.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
250

participants targeted

Target at P75+ for not_applicable

Timeline
6mo left

Started Apr 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress21%
Apr 2026Dec 2026

First Submitted

Initial submission to the registry

February 17, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

February 23, 2026

Completed
1 month until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

February 23, 2026

Status Verified

February 1, 2026

Enrollment Period

8 months

First QC Date

February 17, 2026

Last Update Submit

February 17, 2026

Conditions

Keywords

older adults, community health workers, senior centers

Outcome Measures

Primary Outcomes (2)

  • blood pressure

    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.

    Baseline following enrollment and 4-5 months later following completion of the intervention

  • physical activity levels

    We will use a self-report measure, the Rapid Assessment of Physical Activity (RAPA), a 9-item questionnaire validated for use in older adults

    Baseline following enrollment and 4-5 months later following intervention completion

Study Arms (2)

aCT CHW Intervention

ACTIVE COMPARATOR

State-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.

Behavioral: aCT CHW intervention

Usual practice

NO INTERVENTION

Three 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.

Interventions

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.

aCT CHW Intervention

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Kentucky Center for Excellence in Rural Health

Hazard, Kentucky, 41701, United States

Location

Study Officials

  • Martha Kubik, PhD

    George Mason University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Martha Kubik, PhD

CONTACT

William Baker

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 17, 2026

First Posted

February 23, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

February 23, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations