Community Health Worker-Led Intervention to Increase Cardiac Rehabilitation Participation

Last updated: February 25, 2026
Sponsor: Johns Hopkins University
Overall Status: Active - Recruiting

Phase

N/A

Condition

Vascular Diseases

Treatment

Education, Providing and Engaging Social Support and Assistance with Health System Navigation

Clinical Study ID

NCT06908590
IRB00463207
1K23HL161404
  • Ages > 21
  • All Genders

Study Summary

This study is being done to evaluate whether a program called Heart to Heart, that helps patients make a more informed decision about cardiac rehab (CR), is interesting, acceptable to participants, and whether participants would recommend it to others.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Patients hospitalized with cardiac events and eligible for CR at Johns HopkinsHospital and Bayview Medical Center. CR eligibility is determined by their treatinghealth care team .

  2. Low socioeconomic status defined by Medicaid insurance, or top quartile of the areadeprivation index in Baltimore city.

  3. Age ≥ 21 years

  4. Willing to be audio-recorded

Exclusion

Exclusion Criteria:

  1. Formal diagnosis of dementia or cognitive impairment in the Electronic Health Record (EHR) that would prohibit completion of study activities

  2. Formal diagnosis of a severe psychiatric disorders by Diagnostic and StatisticalManual (DSM-5) criteria in the EHR that would prohibit completion of studyactivities (e.g., schizophrenia, schizoaffective disorder, bipolar disorder, majordepressive disorder).

  3. Systemic illness limiting longevity (e.g., advanced cancer)

  4. Contraindications to CR as assessed by their health care team

  5. Unwilling or unable to follow study procedures.

  6. Unable to consent

  7. Unable to speak or understand English. Assessments including in-depth interviewswill be conducted in English.

Study Design

Total Participants: 50
Treatment Group(s): 1
Primary Treatment: Education, Providing and Engaging Social Support and Assistance with Health System Navigation
Phase:
Study Start date:
February 19, 2026
Estimated Completion Date:
July 01, 2027

Study Description

This is a prospective, single-institution pilot study to evaluate the acceptability, feasibility and preliminary efficacy of a tailored Community Health Worker (CHW) led intervention to increase CR participation called H2H. Individuals hospitalized with Cardio Vascular Disease (CVD) events (aged 21 and older) will be identified and screened for eligibility from two Johns Hopkins acute care sites into the pilot study. The duration of participation for each participant is up to 6 months from baseline assessments.

All participants will complete a survey at baseline, 3-, and 6-months and will have medical record abstraction conducted performed by the Johns Hopkins (JH) research study team.

For the intervention, participants enrolled in the H2H program will complete between 4 to 8 coaching sessions with the CHW (delivered by telephone and/or video chat) who will provide tailored education, improve or engage the participant's existing social support network, and assistance with health system navigation over a 3-month period.

Connect with a study center

  • Johns Hopkins Bayview Medical Center

    Baltimore, Maryland 21224
    United States

    Site Not Available

  • Johns Hopkins Hospital

    Baltimore, Maryland 21224
    United States

    Site Not Available

  • Johns Hopkins Bayview Medical Center

    Baltimore 4347778, Maryland 4361885 21224
    United States

    Active - Recruiting

  • Johns Hopkins Hospital

    Baltimore 4347778, Maryland 4361885 21217
    United States

    Active - Recruiting

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