Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
ID05605054

An RCT Testing a Health Literacy Intervention to Reduce Disparities in Access to Care Among Minority Justice-Involved Adults

Led by Victoria D. Ojeda · Updated on 2026-02-20

300

Participants Needed

2

Research Sites

12 weeks

Total Duration

On this page

Sponsors

V

Victoria D. Ojeda

Lead Sponsor

N

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating effective health literacy teaching methods among justice-involved adults (JIA) to improve their access and use of healthcare services. This study compares a coach-guided health literacy intervention with a self-study design to see if either approach enhances health insurance coverage and long-term healthcare use in this underserved population. The research addresses gaps in health literacy support for JIA, a group facing significant barriers to healthcare access and higher burdens of chronic and infectious diseases. Participants will be randomly assigned to one of two groups. The Treatment Group will meet weekly for 12 weeks with a health coach for about one hour and a service navigator for 30 minutes to complete a health literacy course and address health and social service needs. The Control Group will self-study a printed or online version of the health literacy course weekly and receive a comprehensive service navigation report to access resources independently without navigator assistance. During the study, participants will complete surveys at 6 months and 1 year to assess healthcare access and use. Researchers will measure recent use of health services as the primary outcome after 6 months, along with health insurance coverage and having a regular source of care as secondary outcomes. The study aims to inform health literacy interventions and policies to support JIA and similar low-income communities over the course of participation.

CONDITIONS

Brief Title

UCSD RELINK: Connecting Adults To Supportive Services

Who Can Participate

Age: 18Years +
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated informed consent form
  • Willing to comply with all study procedures and available for the study duration
  • Aged 18 years or older
  • Resident of San Diego County
  • Not incarcerated at time of enrollment
  • Justice involved in the past 3 years (on parole, probation, or court diverted)
  • Understands English
  • Access to a cell phone
Not Eligible

You will not qualify if you...

  • Under 18 years of age
  • Not a resident of San Diego County
  • Incarcerated at enrollment
  • Not justice-involved within the last 3 years
  • No access to a cell phone
  • Unable to provide informed consent
  • Does not understand English
  • Previously enrolled in the pilot UCSD RELINK program
  • Adults with convictions related to sexual violence, lewd acts with a child, child abduction, or arson

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or phone)

Treatment

Duration - 12 weeks

Participants receive either a coach-guided health literacy intervention with weekly in-person or phone sessions and service navigation assistance, or self-study the health literacy course and access service referrals independently.

Weekly visits or contacts for about 1 hour with a Health Coach and 30 minutes with a Service Navigator for the treatment group; self-study is independent with no required visits for the control group

Follow-up

Duration - 6 months

Participants are followed for 6 months after the intervention to assess healthcare access outcomes.

Periodic assessments over 6 months

Trial Site Locations

Total: 2 locations

1

Center for employment opportunities

San Diego, California, United States, 92101

Actively Recruiting

2

San Diego Probation Department

San Diego, California, United States, 92104

Actively Recruiting

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Research Team

V

Victoria Ojeda, PhD, MPH

S

Sarah Hiller-Venegas

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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Published Research Related To This Trial

Overview of a Pilot Health-focused Reentry Program for Racial/Ethnic Minority Probationers ages 18 to 26 in Southern California.

Victoria D Ojeda, Emily Berliant, Tamara Parker...

https://pubmed.ncbi.nlm.nih.gov/33980068