ageWELL in the Community Together (aCT) Study
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- George Mason University
- Enrollment
- 250
- Locations
- 1
- Primary Endpoint
- blood pressure
Overview
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.
Detailed Description
The six senior centers are located in southeastern Kentucky. The CHWs are community-based, certified in the state of Kentucky and employed by a local organization. The CHW intervention will be guided by a training module developed by the researchers in collaboration with our collaborating partner, the University of Kentucky Center for Excellence in Rural Health that reflects evidence-based geriatric practices and formative assessment conducted in 2024/2025 with seniors and senior service administrators from the area
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Eligible participants will be age 60 years and older, registered as a meal program participant at a participating senior center and speak English.
Exclusion Criteria
- •Non-English speakers and older adults who access meal program services in senior centers not participating in the study are not eligible for study participation.
Arms & Interventions
aCT CHW Intervention
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.
Intervention: aCT CHW intervention (Behavioral)
Usual practice
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.
Outcomes
Primary Outcomes
blood pressure
Time Frame: Baseline following enrollment and 4-5 months later following completion of the intervention
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.
physical activity levels
Time Frame: Baseline following enrollment and 4-5 months later following intervention completion
We will use a self-report measure, the Rapid Assessment of Physical Activity (RAPA), a 9-item questionnaire validated for use in older adults
Secondary Outcomes
No secondary outcomes reported
Investigators
Martha Kubik
Professor
George Mason University