RecruitingNot ApplicableNCT07091032

Building Connections

Building Connections Between Practices, Patients, and Community Health

Sponsor

Massachusetts General Hospital

Enrollment

3,600 participants

Start Date

Aug 7, 2025

Study Type

INTERVENTIONAL

Conditions

Obesity Depression, Anxiety Cancer Cervix Cancer Colorectal

Summary

Building Connections seeks to address health and healthcare inequities in socially vulnerable communities. The project will be conducted in collaboration with clinical practices across Massachusetts, serving a diverse population heavily represented in Community Clinics and Health Centers. The program will offer evidence-based interventions in obesity/weight management, cancer screening, and mental health.

Eligibility

Min Age: 18 YearsMax Age: 75 Years

Plain Language Summary

Simplified for easier understanding

This trial tests a program that connects patients to community health workers to help with obesity, cancer screenings, and mental health through their primary care clinic. You may be eligible if... - You are 18 or older and speak English or Spanish - You have obesity (BMI of 30 or higher), are overdue for a colon or cervical cancer screening, or have moderate-to-severe depression or anxiety - You have had a visit to the primary care clinic in the past two years You may NOT be eligible if... - You are currently pregnant or cognitively impaired - You have had bariatric surgery or are enrolled in an intensive weight-loss program (for the obesity part) - You speak a language other than English or Spanish - You have already had the recommended cancer screenings within the required time frames 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

OTHERTreatment as Usual

This is the comparison condition, in which participants will receive treatment as usual for their conditions at the clinic.

BEHAVIORALBuilding Connections Intervention

The combined Building Connections intervention incorporates three areas. Participants take part in those for which they are eligible. The obesity/weight management intervention offers coaching and support for education on evidence-based anti-obesity medications (AOM) and a lifestyle behavioral intervention offered by Community Health Workers focused on diet and physical activity. The cancer screening intervention focuses on developing workflows and systems to offer a CHW-delivered population-based intervention to improve colorectal and cervical cancer, focusing on newer screening modalities and monitoring adherence for individuals with a positive screening test result. The mental health intervention uses the evidence-based Strong Minds intervention, a 10-session psychoeducational program provided by trained community health workers with clinical supervision. The skills-based intervention uses an integrative approach aimed at improving depression, anxiety, and trauma-related symptoms.