RecruitingNot ApplicableNCT07111026

Sisters of Heart (Hermanas de Corazón): A Community Health Worker Initiative for Improving Heart Health in Migrant Farmworker Women

Sponsor

Emory University

Enrollment

269 participants

Start Date

Sep 16, 2025

Study Type

INTERVENTIONAL

Conditions

Hypertension Social Isolation Occupational Stress Gender Related Stress

Summary

The goal of this hybrid Type 1 effectiveness-implementation trial is to test the extent to which a peer support and community resource navigation intervention improves psychological well-being, addresses social determinants of health and thus reduces cardiometabolic risk among rural, migrant, low-income farmworker women aged 18-45 years. The main questions it aims to answer are: * If and to what extent does the intervention reduce stress, social isolation, and psychological distress by improving social support and access to needed resources? * If and to what extent does the intervention improve cardiometabolic health, measured by the American Heart Association's Life's Essential 8 (LE8) score? Researchers will compare the CHW-led Sisters of Heart (Hermanas de Corazón) intervention to a Basic intervention (LE8 assessment and resource information) to assess the effect of peer support and community resource navigation on heart health outcomes.

Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 50 Years

Plain Language Summary

Simplified for easier understanding

This study is bringing cardiovascular health education and screening to female migrant farmworkers through community health worker programs. Heart disease is a leading cause of death in women, and farmworker communities often face significant barriers to healthcare — including lack of insurance, language gaps, and limited time off work. Trained community health workers who share cultural and linguistic backgrounds with participants will deliver heart health information, screenings, and support. **You may be eligible if...** - You identify as a woman - You work as a migrant farmworker - You speak Spanish or English - You plan to remain in the local geographic area for at least 6 months - You are willing to participate in health education sessions and screenings **You may NOT be eligible if...** - You have a cognitive or psychological condition (such as a neurological disorder or substance use disorder) that would prevent you from giving informed consent or actively participating - You are currently pregnant or breastfeeding 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

BEHAVIORALSisters of Heart

The intervention consists of ten weekly, 60-75-minute in-person peer support group sessions led by trained community health workers/promotoras (CHWs/Ps), with 6-10 participants per group. Sessions will be semi-structured, covering AHA Life's Essential 8 (LE8), stress management, and individualized topics based on participant priorities and social needs identified through surveys or group discussions. Each session includes stress management, core educational content, and time for addressing participant-driven issues. CHWs/Ps will also provide individualized support outside the sessions through direct community resource navigation, including phone or in-person "warm handoffs" to needed services.

BEHAVIORALBasic intervention

The Basic intervention will include assessment of AHA LE8, provision to participants of results of 1) their baseline AHA LE8 assessments, including lab results, 2) written/online information with pertinent AHA LE8 health education content, 3) stress management educational materials, and 4) written information about the Ellenton Migrant Farm Worker Clinic and a community resource list