RecruitingNot ApplicableNCT06364644

Understanding and Addressing Risks of Low Socioeconomic Status and Diabetes for Heart Failure

Understanding and Addressing Risks of Low Socioeconomic Status and Diabetes for Heart Failure (UNLOAD-Heart Failure)

Sponsor

Johns Hopkins University

Enrollment

210 participants

Start Date

Jun 20, 2025

Study Type

INTERVENTIONAL

Conditions

Heart Failure Obesity Type2diabetes

Summary

This study aims to determine whether a 6-month multilevel intervention involving problem-solving training, exercise training and support from community health workers is more effective in improving outcomes for individuals with low socioeconomic status, type 2 diabetes, obesity, and early cardiac dysfunction than receiving education and access to a community exercise facility.

Eligibility

Min Age: 30 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This study looks at how low income and social disadvantage affect the health of people with Type 2 diabetes and obesity in Baltimore and Washington County, Maryland, and tests ways to address those risks. **You may be eligible if...** - You are an adult between 30 and 70 years old - You live in Baltimore City (Johns Hopkins Medicine patients) or Washington County (Johns Hopkins Community Physicians/Family Healthcare patients) - You have Type 2 diabetes - You are obese (BMI of 30 or higher) - You live in a high-deprivation area (low-income neighborhood) **You may NOT be eligible if...** - You have severe heart failure - Your blood sugar or blood pressure is dangerously uncontrolled - You have serious kidney disease or are on dialysis - You have known coronary artery disease with significant blockage Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALCommunity Champions

The UNLOAD-Heart Failure Program intervention includes problem solving training, community health worker support, and exercise support from health coaches at YMCAs.

BEHAVIORALHomegrown Heroes

Monthly newsletters/videos on diabetes self-management, healthy lifestyle and heart failure prevention will be provided, as well as a membership to the local YMCA.