DiabetesCEAL-DMVNCT06607341
Community Engagement Alliance Against Disparities
A study testing Multi-level, community-digital health promotion intervention in people with Diabetes and Pre-diabetes, run by Johns Hopkins University at 2 sites in United States.
Trial summary
The Community Engagement Alliance against Disparities - Washington District of Columbia, Maryland, Virginia (CEAL DMV), is a multi-community and multi-university consortium. Through collaboration and shared leadership, the CEAL-DMV the consortium- comprising five institutions: George Washington University, Howard… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diabetes, Pre-diabetes, Hypertension
- What is being tested?
- Multi-level, community-digital health promotion intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 664 participants
- Where
- 2 sitesUnited States
- Study dates
- 20 Dec 2024to 30 Sep 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Self-identify as Black or Latino
- Age 18 years or older
- Reside in defined geographic area
- Diagnosis of one or more target conditions: Prediabetes/Diabetes (HbA1c 5.7%), Hypertension (≥130/80 mm Hg), Overweight/obesity (BMI >25 kg/m^2)
Who cannot join
- Unable to provide informed consent
- No access to phone/internet
Trial locations and contacts
2 sites in 1 country.
United States2 sites
Johns Hopkins University School of Nursing
Baltimore, Maryland, 21205
George Washington University, Milken Institute of Public Health
Washington D.C., District of Columbia, 20054
About this study
Official title: Community Engagement ALliance Against Disparities - Washington District of Columbia (DC), Maryland, and Virginia (CEAL-DMV)
The Community Engagement Alliance against Disparities - Washington District of Columbia, Maryland, Virginia (CEAL DMV), is a multi-community and multi-university consortium. Through collaboration and shared leadership, the CEAL-DMV the consortium- comprising five institutions: George Washington University, Howard University, Johns Hopkins University, Morgan State University, and the University of Maryland, Baltimore-has established a regional structure for bi-directional community involvement to engender trust and foster communication. Each site builds on thriving community partnerships, which have been instrumental in enhancing trust, community capacity, and readiness to reduce health disparities.
Read the detailed description
The investigators propose to evaluate the effect of a multi-level, community-digital health promotion intervention, compared to delayed control intervention, at improving health and social service utilization, and the prevention and management of hypertension, diabetes, overweight and obesity. The evidence-based intervention is based on substantial evidence supporting the role of Community Health Workers in health promotion and reduction of risks associated with chronic diseases.
Studies have demonstrated community health worker (CHW) intervention success at improving chronic disease risks and management, including for hypertension and diabetes, through support in implementing clinical recommendations, overcoming barriers to lifestyle behavior change, achieving personal goals, and preventing complications. Additionally, there is substantial evidence supporting digital approaches for the prevention and management of cardiometabolic diseases. The proposed intervention and methods also build on almost three years of CEAL DMV collaboration with community partners. At the community level, core activities will focus on capacity building to ensure the trusted community-based organization partners are fully supported in the implementation of community-digital strategies to address hypertension, diabetes, overweight and obesity.
- Conditions
- Diabetes, Pre-diabetes, Hypertension, Overweight and Obesity
- Being tested
- Multi-level, community-digital health promotion intervention
- Keywords
- CEAL-DMV, Community Engagement Alliance, Diabetes, Hypertension, Pre-diabetes
- Medical subject headings
- Diabetes Mellitus, Glucose Intolerance, Hypertension, Overweight, Obesity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multi-level, community-digital health promotion interventionBehavioural
Community level activities:
- Capacity building for community-based organizations, and
- Community health workers will facilitate linkage to community resources, including health/social service access referrals and client social support.
Individual level activities:
- Goal setting and self-monitoring,
- Tailored feedback,
- Personalized lifestyle coaching, health and social service referral support, and
- Digital access and digital health literacy skills building
Social network:
- Social network-based activities, and
- Digital health literacy skills building
| Study group | Role | What they receive |
|---|---|---|
| Multi-level, community-digital health promotion intervention | Experimental | Participants will receive a multi-level, community-digital health promotion intervention.
1. Community-level: Community Health Workers will assess needs of individuals including through a survey and facilitate access to the Medi digital resource platform.
2. Individual level: CHW-delivered coaching on behavior-change goals and facilitation to services via the Medi platform. Participants will also receive tailored social media and in person reinforcements and cues to action based on goal attainment
3. Social network level: Participants will receive tailored recommendations sent via social media on nearby parks, recreational facilities, faith-based ministries, and peer groups to support behavior change goals Receives: Behavioral: Multi-level, community-digital health promotion intervention |
| Delayed control intervention group | Active comparator | At the individual level, participants will receive standardized 12-month text message (SMS) campaign. At the community-level, the investigators will equip community-based organization partners and community health workers with chronic disease educational content. Participants will also receive recommendations for health events and fairs locally. Receives: Behavioral: Multi-level, community-digital health promotion intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Service utilization as assessed by the number of participants who use referral services
Utilization will be calculated by the total number of participants who use services referred to by the community health workers.
Measured: 6 and 9 months
Secondary outcomes (11)
Satisfaction with health and health-related social services as assessed by a 3-point Likert Scale
Participants who utilize health and/or social services will be asked if satisfied with services received from health workers (i.e health care providers, mental health professionals and community health workers) using a a 3 point likert scale ranging from 1-3. Higher values would imply higher satisfaction).
Measured: 6 and 9 months
Body mass index (BMI) in kg/m^2
Body mass index (BMI) in kg/m^2 as assessed by weight-to-height ratio
Measured: 6 and 9 months
Blood pressure
Systolic and diastolic blood pressure (mmHg)
Measured: 6 and 9 months
Hemoglobin A1c (HbA1c) levels
Pre-diabetes and diabetes management as assessed by Hemoglobin A1c levels
Measured: 6 and 9 months
Trust in health research and information sources as assessed by the Trust in Medical Research Survey
Trust in Medical Research Survey, distrust sub-scale ranges from 0 to 20 with lower scores indicating better trust; trust sub-scale ranges from 0 to 24, higher scores mean better trust
Measured: 6 and 9 months.
Social determinants of health as assessed by the Health Related Social Needs Tool
Health Related Social Needs Tool, scores ranging from 0 to 36; higher scored indicate higher need
Measured: 6 and 9 months.
Self-reported exercise frequency
Exercise frequency will be assessed by number of days per week a participant engages in moderate to strenuous exercise
Measured: 6 and 9 months
Self-reported intake of regular soda or pop that contains sugar.
Participants will report the frequency of consumption of regular soda or pop that contains sugar each week. Higher number of times/week represents a worse outcome.
Measured: 6 and 9 months
Self-reported sweetened fruit drinks intake
Participants will report the number of times they consumed sweetened fruit drinks per week. Higher number of times/week represents a worse outcome.
Measured: 6 and 9 months
Self-reported fruit intake
Participants will report the frequency of consumption of fruits per week. Higher number of times/week represents a better outcome.
Measured: 6 and 9 months
Self-reported intake of green leafy or lettuce salad
Participants will report the frequency of consumption of green leafy or lettuce salad each week. Higher number of number of times/week represents a better outcome.
Measured: 6 and 9 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Sep 2024
- Study start20 Dec 2024
- Primary completion20 Dec 2026 (estimated)
- Study completion30 Sep 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for DiabetesStudies of the same condition, open and under way.
- More trials run by Johns Hopkins UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Model description
- Randomized delayed control group with phased recruitment design
- Masking
- None (open label)
- Enrolment
- 664 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Johns Hopkins University
- Sponsor type
- University, hospital or other
- Collaborators
- Baltimore CONNECT, Coaching Salud Holistica, La Clinica del Pueblo, Rivera Group, The Medi Inc., Westat
- Responsible party
- Sponsor
- Investigators
- Cheryl Himmelfarb, PhD, MSN, BS, Principal investigator, Johns Hopkins University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06607341
- Sponsor's protocol ID
- IRB00338867
- Other IDs
- 6922-03-COVID-S017
- Acronym
- CEAL-DMV
- Status last verified
- May 2026
- First submitted
- 1 Sep 2024
- Last updated
- 11 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Himmelfarb CR, Chepkorir J, Miller HN, Ogungbe O, Perrin N, Olawole W, Cain G, Kinlock BL, Mullins CD, Kutcherman I, Barger P, Diaz-Ramirez M, Rodriguez J, Trujillo R, Gonzalez-Salinas A, Clark R, Andrade EL. A Multisite, Randomized Trial Testing a Community-Digital Health Intervention among Black and Latino Adults with Cardiometabolic Conditions: The Roots of Wellness (Raices del Bienestar) Protocol. medRxiv [Preprint]. 2026 May 27:2026.05.26.26354175. doi: 10.64898/2026.05.26.26354175.
PubMed 42245006
Study at a glance
From the registry record, last updated by the sponsor on 11 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Community Engagement ALliance Against Disparities - Washington District of Columbia (DC), Maryland, and Virginia (CEAL-DMV)
- ClinicalTrials.gov ID
- NCT06607341
- Acronym / sponsor ID
- CEAL-DMV / IRB00338867
- Conditions
- Diabetes, Pre-diabetes, Hypertension, Overweight and Obesity
- Keywords
- CEAL-DMV, Community Engagement Alliance, Diabetes, Hypertension, Pre-diabetes
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 664 participants (estimated)
- Lead sponsor
- Johns Hopkins UniversityUniversity, hospital or other
- Collaborators
- Baltimore CONNECT, Coaching Salud Holistica, La Clinica del Pueblo, Rivera Group, The Medi Inc., Westat
- Study start
- 20 Dec 2024 (actual)
- Primary completion
- 20 Dec 2026 (estimated)
- Study completion
- 30 Sep 2027 (estimated)
- First posted
- 23 Sep 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The Community Engagement Alliance against Disparities - Washington District of Columbia, Maryland, Virginia (CEAL DMV), is a multi-community and multi-university consortium. Through collaboration and shared leadership, the CEAL-DMV the consortium- comprising five institutions: George Washington University, Howard University, Johns Hopkins University, Morgan State University, and the University of Maryland, Baltimore-has established a regional structure for bi-directional community involvement to engender trust and foster communication. Each site builds on thriving community partnerships, which have been instrumental in enhancing trust, community capacity, and readiness to reduce health disparities.
Detailed description
The investigators propose to evaluate the effect of a multi-level, community-digital health promotion intervention, compared to delayed control intervention, at improving health and social service utilization, and the prevention and management of hypertension, diabetes, overweight and obesity. The evidence-based intervention is based on substantial evidence supporting the role of Community Health Workers in health promotion and reduction of risks associated with chronic diseases.
Studies have demonstrated community health worker (CHW) intervention success at improving chronic disease risks and management, including for hypertension and diabetes, through support in implementing clinical recommendations, overcoming barriers to lifestyle behavior change, achieving personal goals, and preventing complications. Additionally, there is substantial evidence supporting digital approaches for the prevention and management of cardiometabolic diseases. The proposed intervention and methods also build on almost three years of CEAL DMV collaboration with community partners. At the community level, core activities will focus on capacity building to ensure the trusted community-based organization partners are fully supported in the implementation of community-digital strategies to address hypertension, diabetes, overweight and obesity.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomized delayed control group with phased recruitment design
| Arm | Type | Receives |
|---|---|---|
| Multi-level, community-digital health promotion intervention | Experimental | Behavioral: Multi-level, community-digital health promotion interventionParticipants will receive a multi-level, community-digital health promotion intervention. 1. Community-level: Community Health Workers will assess needs of individuals including through a survey and facilitate access to the Medi digital resource platform. 2. Individual level: CHW-delivered coaching on behavior-change goals and facilitation to services via the Medi platform. Participants will also receive tailored social media and in person reinforcements and cues to action based on goal attainment 3. Social network level: Participants will receive tailored recommendations sent via social media on nearby parks, recreational facilities, faith-based ministries, and peer groups to support behavior change goals |
| Delayed control intervention group | Active comparator | Behavioral: Multi-level, community-digital health promotion interventionAt the individual level, participants will receive standardized 12-month text message (SMS) campaign. At the community-level, the investigators will equip community-based organization partners and community health workers with chronic disease educational content. Participants will also receive recommendations for health events and fairs locally. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Self-identify as Black or Latino
- Age 18 years or older
- Reside in defined geographic area
- Diagnosis of one or more target conditions: Prediabetes/Diabetes (HbA1c 5.7%), Hypertension (≥130/80 mm Hg), Overweight/obesity (BMI >25 kg/m^2)
Key exclusion criteria (2 listed)
- Unable to provide informed consent
- No access to phone/internet
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Multi-level, community-digital health promotion interventionCommunity level activities: 1. Capacity building for community-based organizations, and 2. Community health workers will facilitate linkage to community resources, including health/social service access referrals and client social support. Individual level activities: 1. Goal setting and self-monitoring, 2. Tailored feedback, 3. Personalized lifestyle coaching, health and social service referral support, and 4. Digital access and digital health literacy skills building Social network: 1. Social network-based activities, and 2. Digital health literacy skills building | Behavioural | Delayed control intervention group, Multi-level, community-digital health promotion intervention |
Primary outcome
Service utilization as assessed by the number of participants who use referral services
Time frame: 6 and 9 months
Utilization will be calculated by the total number of participants who use services referred to by the community health workers.
11 secondary outcomes
Satisfaction with health and health-related social services as assessed by a 3-point Likert Scale
Time frame: 6 and 9 months
Body mass index (BMI) in kg/m^2
Time frame: 6 and 9 months
Blood pressure
Time frame: 6 and 9 months
Hemoglobin A1c (HbA1c) levels
Time frame: 6 and 9 months
Trust in health research and information sources as assessed by the Trust in Medical Research Survey
Time frame: 6 and 9 months.
Social determinants of health as assessed by the Health Related Social Needs Tool
Time frame: 6 and 9 months.
Self-reported exercise frequency
Time frame: 6 and 9 months
Self-reported intake of regular soda or pop that contains sugar.
Time frame: 6 and 9 months
Self-reported sweetened fruit drinks intake
Time frame: 6 and 9 months
Self-reported fruit intake
Time frame: 6 and 9 months
Self-reported intake of green leafy or lettuce salad
Time frame: 6 and 9 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 May 2026.
- Derived from this study: PubMed 42245006Himmelfarb CR, Chepkorir J, Miller HN, Ogungbe O, Perrin N, Olawole W, Cain G, Kinlock BL, Mullins CD, Kutcherman I, Barger P, Diaz-Ramirez M, Rodriguez J, Trujillo R, Gonzalez-Salinas A, Clark R, Andrade EL. A Multisite, Randomized Trial Testing a Community-Digital Health Intervention among Black and Latino Adults with Cardiometabolic Conditions: The Roots of Wellness (Raices del Bienestar) Protocol. medRxiv [Preprint]. 2026 May 27:2026.05.26.26354175. doi: 10.64898/2026.05.26.26354175.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Cheryl Himmelfarb, PhD, MSN, BS principal investigator
Johns Hopkins University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multi-level, community-digital health promotion intervention in people with Diabetes and Pre-diabetes, run by Johns Hopkins University at 2 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 11 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Service utilization as assessed by the number of participants who use referral services (time frame: 6 and 9 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06607341, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 May 2026.