Improving the Cardiovascular Health of Home Health Aides
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 4
- 主要终点
- Effectiveness, which will be assessed by a change from baseline in overall cardiovascular health score as measured by LE8.
研究概览
简要总结
The goal of this early-stage study is to support the heart health of home health aides, a workforce that provides care for adults at home but whose own health has been historically poor. To do this, the study will use Life's Essential 8 (LE8), a program developed by the American Heart Association (AHA) that promotes cardiovascular wellness through education and lifestyle changes. The program has been adapted specifically for home health aides and will be delivered by trained "peer coaches," who are fellow home health aides who will help guide participants through the program.
The main questions the study aims to answer are:
- Will the LE8 intervention, which provides cardiovascular health education and support with positive thinking, be used by home health aides and do they like it?
- Does the LE8 intervention actually improve home health aides' cardiovascular health after the intervention's conclusion compared to baseline?
Participants will be paired with a trained peer coach and take part in the 10-week program over the course of 6 months. The program includes support for healthy behaviors and positive thinking, with the goal of making lasting improvements in cardiovascular health.
详细描述
The goal of the proposed project is to improve the cardiovascular (CV) health of home health aides and attendants (HHAs), one of the fastest growing sectors of the healthcare industry, comprised predominantly of middle-aged women of color with a high burden of CV disease risk factors, including obesity, hypertension, hyperlipidemia, physical inactivity, and smoking. Improving HHAs' cardiovascular health and well-being is not only critical to their own longevity as a workforce, but it has the potential to improve the health of the patients for whom they care. The overall goal of the study is to test the preliminary effectiveness of the peer-coach (PC) delivered Life's Essential 8 (LE8) intervention program among 40 HHAs with poor CV health, while gathering data on its implementation.
The investigators have 3 main hypotheses. Under Aim 1, the investigators hypothesize that HHAs who receive the intervention will have higher CV health at follow-up compared to baseline. Under Aim 2, the investigators hypothesize that drivers of implementation will include: intervention adaptability, local conditions, work infrastructure, recipient centeredness, and motivation. Also under Aim 2, the investigators hypothesize the intervention will be feasible (>80% HHAs complete the study) and acceptable (>90% HHAs high levels of satisfaction).
All aspects of the study, including the intervention itself, will be conducted using a hybrid (in-person and virtual) model, with some sessions being completed online and others in person.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Home Health Aide Participants
- •Currently working as a home health aide
- •Speak English or Spanish
- •≥ 18 years of age
- •Have low CV Health as assessed by LE8 components made up by physical health measurements (blood pressure, BMI) and general self-reported health (physical activity, diet, smoking, sleep); calculated to be a score of 0-50 (the total score ranges from 0-100)
- •Peer Coach Participants
- •Previously participated in and completed Peer Coach training as part of the prior LE8 study (WCM IRB #24-11028134), or are members of the Weill Cornell Medicine study team who are trained in delivering the intervention.
- •Speak English or Spanish
排除标准
- •Home Health Aide Participants
- •Less than 1 year of job experience as a home health aide
- •Does not possess a smartphone
- •Gotten dizzy before with a finger stick blood sugar/cholesterol test
- •Have a history of syncope with a finger stick blood sugar/cholesterol test
- •Peer Coach Participants
- •Speak a language other than English or Spanish
- •Did not complete Peer Coach training as part of the prior LE8 study (WCM IRB #24-11028134), or are not members of the Weill Cornell Medicine study team who are trained in delivering the intervention.
研究组 & 干预措施
Peer Coaching Delivered Life's Essential 8 Program
Home Health Aides (HHAs) will receive educational content via paper-based booklets. HHAs will receive the 10-session adapted Life's Essential 8 program over 6 months. Each HHA will be paired with a trained Peer Coach participant who will work through the structured program with the HHA.
干预措施: Peer Coaching Delivered Life's Essential 8 Program (Behavioral)
结局指标
主要结局
Effectiveness, which will be assessed by a change from baseline in overall cardiovascular health score as measured by LE8.
时间窗: From baseline to end of the intervention at 6 months
Each individual Life's Essential 8 (LE8) domain (physical activity level, diet, smoking, sleep, and physiologic health (systolic and diastolic blood pressure), BMI, hemoglobin A1C, and non-HDL cholesterol) has a score of 0 to 100, with higher values indicating better cardiovascular health in each domain. The LE8 overall score is created by averaging individual scores across 8 domains. The overall score ranges from 0 to 100 with higher numerical values corresponding to better cardiovascular health.
次要结局
- Implementation, which will be assessed by feasibility through a process measure(Following the end of the intervention at 6 months)
- Implementation, which will be assessed by acceptability through a qualitative interview(One 30-90 minute session following the end of the intervention at 6 months)
- Implementation, which will be assessed by acceptability through a survey(Following the end of the intervention at 6 months)
- Implementation, which will be assessed by feasibility through a qualitative interview(One 30-90 minute session following the end of the intervention at 6 months)
- Implementation, which will be assessed by feasibility through a survey(Following the end of the intervention at 6 months)
- Implementation, which will be assessed by fidelity through a process measure(From baseline to end of the intervention at 6 months)
- Implementation, which will in part be assessed by adaptation through a process measure(From baseline to end of the intervention at 6 months)
- Effectiveness, which will be assessed by a change from baseline in well-being (quality of life) as measured by a survey(From baseline to end of the intervention at 6 months)
- Effectiveness, which will be assessed by a change from baseline in employment-related outcomes as measured by a survey(From baseline to end of the intervention at 6 months)