Study of an Enhanced Community Health Worker Program to Improve Cardiovascular Disease Self-Management and Address Social Needs in Philadelphia Residents Aged 35 to 75

What this Trial Is About

Cardiovascular disease CVD affects racial and ethnic minority groups and underserved populations in Philadelphia more than others. This research evaluates an enhanced community health worker CHW program combining the DECIDE self-management intervention with structured CHW consultations. The goal is to improve CVD self-management skills and address social needs among 500 Philadelphia residents aged 35 to 75 who have CVD risk factors and unmet social needs. The study uses a Type 1 Hybrid Effectiveness-Implementation Design to compare outcomes and understand factors influencing participation and CHW experiences. Participants are randomly assigned to receive either the DECIDE intervention or continue with standard CHW services. The DECIDE program consists of nine bi-weekly group sessions focused on education and problem-solving to support behavior changes for better chronic disease management. Those in the DECIDE group also receive CHW follow-up calls either biweekly or monthly. The standard care group receives CHW services and follow-up calls on a biweekly or monthly schedule without the DECIDE sessions. Community advisory council support helps mobilize resources to address social needs. During the study, participants will be assessed on their CVD self-management skills using the Self-care of Chronic Illness Inventory Maintenance scale over six months. Researchers will also track changes in health behaviors and the resolution of social needs. Implementation outcomes include CHW knowledge, attitudes, job satisfaction, and the impact of community advisory council efforts. The study aims to provide evidence on combining self-management programs with CHW services to reduce health disparities and improve cardiovascular health outcomes.

Philly CEAL- DECIDE+ Adaptation