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Improving the Heart Health of Home Health Aides

Sponsor: Weill Medical College of Cornell University • ClinicalTrials.gov ID: NCT07067398

Registry updated: 2026-08-20

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Description

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.

Interventions

Peer Coaching Delivered Life's Essential 8 Program (Behavioral)
This intervention includes structured bi-weekly peer coach (PC) Zoom or telephone sessions and a cardiovascular health curriculum including links to AHA resources. During the 1:1 session, PCs will elicit participants' challenges and successes from the previous week, track progress, and set goals (behavioral targets). PCs will use cognitive training techniques to teach participants how to manage negative thinking and replace it with positive thinking and goal setting. They will be encouraged to work towards these goals and monitor their progress (i.e. getting more physical activity on the job).

Eligibility criteria

Inclusion Criteria 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 Exclusion Criteria: 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.

Conditions

Cardiovascular Cardiovascular (CV) Risk Cardiovascular Disease (CVD) Risk Factors Cardiovascular Health

Locations

1199 SEIU Home Care Industry Education Fund — New York, New York, United States
Weill Cornell Medicine — New York, New York, United States

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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