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Cardiovascular DiseasesCo-LEARNNCT06730633

Collaborate and Leverage Evidence in African American Rural Network

A study testing Heart Matters in people with Cardiovascular Diseases, run by University of North Carolina, Chapel Hill at 9 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this non-randomized, propensity-matched-controlled study is to assess the effectiveness of the Heart Matters evidence-based program -- previously evaluated for feasibility and efficacy in NCT02707432 -- in improving cardiovascular health outcomes (change in systolic and diastolic blood pressure, primary… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cardiovascular Diseases
What is being tested?
Heart Matters
Could I receive a placebo?
No, everyone receives an active treatment
How many people
173 participants
Where
9 sitesUnited States
Study dates
22 Feb 2025to 17 Aug 2026
Phase
Interventional
Are there results?
None posted in the registry

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

  • Identify as Black or African American
  • Reside in rural, eastern North Carolina
  • Self-report at least one cardiovascular disease risk factor, such as pre-diabetes, pre-hypertension or stage one hypertension, obesity, or family history of early heart disease

Who cannot join

  • Evidence of active or unstable cardiovascular disease
  • Cognitive impairment that limits informed consent

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • A Better Chance, A Better Community

    Enfield, North Carolina, 27823

  • The Mercer Foundation, Inc.

    Nashville, North Carolina, 27856

  • Marks Chapel Baptist Church

    Rocky Mount, North Carolina, 27801

  • Thorne's Chapel Missionary Baptist Church

    Rocky Mount, North Carolina, 27801

  • Truth Tabernacle Ministries

    Rocky Mount, North Carolina, 27801

  • Girls Making the Grade

    Rocky Mount, North Carolina, 27804

  • Carolina Hierarchy of Needs

    Spring Hope, North Carolina, 27882

  • St. James United Holy Church

    Stantonsburg, North Carolina, 27883

  • Warren County Health Department

    Warrenton, North Carolina, 27537

Other trials in United States

About this study

Official title: Implementation of Heart Matters Evidence-based Program

The goal of this non-randomized, propensity-matched-controlled study is to assess the effectiveness of the Heart Matters evidence-based program -- previously evaluated for feasibility and efficacy in NCT02707432 -- in improving cardiovascular health outcomes (change in systolic and diastolic blood pressure, primary outcomes) when implemented by community-based facilitators.

Read the detailed description

The research team will use a non-randomized, propensity-matched-controlled design to evaluate the effectiveness of the Heart Matters evidence-based program -- previously evaluated for feasibility and efficacy under NCT02707432 -- in improving cardiovascular health outcomes when scaled in multiple rural, eastern North Carolina counties and implemented by community-based facilitators.

This study aims to recruit 210 participants, 70 of whom will be propensity-score-matched with participants from NCT02707432. Propensity-score-matching will allow for flexibility in recruitment, statistical rigor, and resource efficiency. The research team hypothesizes that matched participants in the present study will show significant improvements in health outcomes (systolic blood pressure, diastolic blood pressure) compared to the matched NCT02707432 controls.

Being tested
Heart Matters
Keywords
Heart health, Behavioral modification, Community-based participatory research
Medical subject headings
Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Heart MattersBehavioural

    Also called PREMIER

    Heart Matters is a lifestyle modification intervention guided by the theory of planned behavior. Designed to mitigate cardiovascular disease risk factors, the program strives to help participants consume nutritious foods, engage in a more active lifestyle, lose weight and lower their systolic or diastolic blood pressure. Lifestyle modifications can include weight loss, a reduction in percent calorie fat consumption and total sodium intake, improving diet and increasing physical activity, and reducing daily alcoholic beverage consumption.

Study groups in NCT06730633
Study groupRoleWhat they receive
Intervention GroupExperimentalThis group will receive the Heart Matters intervention, delivered by community-based facilitators. All participants consenting to the present study will be assigned to this arm.
Receives: Behavioral: Heart Matters
Propensity-matched Control Group (Retrospective)Active comparatorThis group received the Heart Matters intervention, delivered by researchers, under NCT02707432.
Receives: Behavioral: Heart Matters

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean change from Baseline, Systolic Blood Pressure

    Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor. Reporting will compare participants in the present study with propensity-score-matched controls.

    Measured: Baseline, 12 Months

  2. Mean change from Baseline, Diastolic Blood Pressure

    Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor. Reporting will compare participants in the present study with propensity-score-matched controls.

    Measured: Baseline, 12 Months

Secondary outcomes (34)
  1. Number of Participants with Personal History of Cardiovascular Disease

    Personal history of cardiovascular disease is measured via self-report at baseline using an adapted item from My Personal Health Record (MyPHR). Personal history of cardiovascular disease is defined as history of diabetes, heart surgery, high blood cholesterol, high blood pressure, pain or pressure in chest, palpitations, stroke, or other heart condition (including heart attack).

    Measured: Baseline

  2. Number of Participants with Family History of Cardiovascular Disease

    Family history of cardiovascular disease is measured via self-report using an adapted item from the Women's Health Initiative. Family history of cardiovascular disease is defined as having a parent, full-blooded sibling, or child who has ever had a heart condition, such as heart attack, high blood pressure, or stroke.

    Measured: Baseline

  3. Mean Systolic Blood Pressure in mmHg

    Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor.

    Measured: Baseline, 6 Months

  4. Mean Diastolic Blood Pressure in mmHg

    Blood pressure is measured as the average of three readings, taken in a seated position using an Omron BP6100 digital blood pressure monitor.

    Measured: Baseline, 6 Months

  5. Mean Body-mass Index

    Body-mass index (BMI) will be calculated as weight (pounds) * 703 / height^2 (inches).

    Measured: Baseline, 6 Months, 12 Months

  6. Mean Weight in Pounds

    Weight will be measured via a digital scale.

    Measured: Baseline, 6 Months, 12 Months

  7. Mean Waist Circumference in Centimeters

    Waist circumference will be measured using inelastic tape.

    Measured: Baseline, 6 Months, 12 Months

  8. Mean Total Cholesterol in mg/dL

    Total cholesterol is measured via blood sample using a Cholestech LDX analyzer.

    Measured: Baseline, 6 Months, 12 Months

  9. Mean High-density Lipoprotein (HDL) Cholesterol in mg/dL

    HDL cholesterol is measured via blood sample using a Cholestech LDX analyzer.

    Measured: Baseline, 6 Months, 12 Months

  10. Mean Low-density Lipoprotein (LDL) Cholesterol in mg/dL

    LDL cholesterol is measured via blood sample using a Cholestech LDX analyzer.

    Measured: Baseline, 6 Months, 12 Months

  11. Mean Blood Triglycerides in mg/dL

    Blood triglycerides are measured via blood sample using a Cholestech LDX analyzer.

    Measured: Baseline, 6 Months, 12 Months

  12. Mean Glycated Hemoglobin (A1C) Score

    A1C is measured via blood sample using A1CNow+ test kits.

    Measured: Baseline, 6 Months, 12 Months

  13. Number of Participants by Categorical Smoking Status

    Smoking status is measured via self-report using excerpted items from wave 1 of the Population Assessment of Tobacco and Health Study. Reporting will include number of participants endorsing ever having smoked a cigarette and (among participants who have endorse ever having smoked) numbers of participants endorsing now smoking every day, some days, or not at all.

    Measured: Baseline, 6 Months, 12 Months

  14. Mean Healthy Days

    Healthy Days measured via self report using the Center for Disease Control (CDC)'s 4-item Healthy Days Core Module (HRQOL-4) with a look-back period of 30 days. HRQOL-4 scores can range from 0 to 30, with 30 indicating maximum number of healthy days.

    Measured: Baseline, 6 Months, 12 Months

  15. Mean Heart Disease Fact Questionnaire Score

    Heart disease knowledge is measured via self-report using the 25-item Heart Disease Fact Questionnaire (HDFQ). HDFQ scores can range from 0 to 25, with higher scores indicating greater knowledge of heart disease.

    Measured: Baseline, 6 Months, 12 Months

  16. Mean University of Rhode Island Change Assessment Score

    Readiness for behavioral change is measured via self-report using the 32-item University of Rhode Island Change Assessment (URICA). URICA scores can range from -2 to +14, with higher scores indicating greater levels of readiness to change.

    Measured: Baseline, 6 Months, 12 Months

  17. Mean Perceived Stress Scale Score

    Perceived stress is measured via self-report using the 10-item Perceived Stress Scale (PSS). PSS scores can range from 0 to 40, with higher scores indicating higher levels of perceived stress.

    Measured: Baseline, 6 Months, 12 Months

  18. Mean Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) Score

    Alcohol use is measured via self-report using the 3-item Alcohol Use Disorders Identification Test - Consumption (AUDIT-C). AUDIT-C scores can range from 0 to 12, with higher scores indicating greater of drinking quantity and/or frequency.

    Measured: Baseline, 6 Months, 12 Months

  19. Mean Minutes of Light, Moderate, and Vigorous Leisure-Time Physical Activity

    Minutes of light, moderate, and vigorous leisure-time physical activity is measured via self-report using an English-language version of Registre Gironí del Cor (REGICOR) with a look-back period of one month.

    Measured: Baseline, 6 Months, 12 Months

  20. Number of Participants by Categorical Frequency of Dietary Intake of Sweetened Fruit Drinks

    Dietary intake of sweetened fruit drinks is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  21. Number of Participants by Categorical Frequency of Dietary Intake of 100% Pure Fruit Juice

    Dietary intake of 100% pure fruit juice is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  22. Number of Participants by Categorical Frequency of Dietary Intake of Soda

    Dietary intake of soda is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  23. Number of Participants by Categorical Frequency of Dietary Intake of Water

    Dietary intake of water is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  24. Number of Participants by Categorical Frequency of Dietary Intake of Fruit

    Dietary intake of fruit is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  25. Number of Participants by Categorical Frequency of Dietary Intake of Vegetables (Excluding Potatoes)

    Dietary intake of vegetables (excluding potatoes) is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  26. Number of Participants by Categorical Frequency of Dietary Intake of Frozen and Fast Food

    Dietary intake of frozen and fast food is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  27. Number of Participants by Categorical Frequency of Dietary Intake of Processed Meat

    Dietary intake of processed meat is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  28. Number of Participants by Categorical Frequency of Dietary Intake of Whole Grains

    Dietary intake of whole grains is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  29. Number of Participants by Categorical Frequency of Dietary Intake of Candy, Desserts, and Chocolate

    Dietary intake of candy, desserts, and chocolate is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  30. Number of Participants by Categorical Frequency of Dietary Intake of Chips

    Dietary intake of chips is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  31. Number of Participants by Categorical Frequency of Dietary Intake of Sugary Cereals

    Dietary intake of sugary cereals is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  32. Number of Participants by Categorical Frequency of Dietary Intake of Fish

    Dietary intake of fish is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  33. Number of Participants by Categorical Frequency of Dietary Intake of Nuts and Seeds

    Dietary intake of nuts and seeds is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

  34. Number of Participants by Categorical Frequency of Dietary Intake of Eggs

    Dietary intake of eggs is measured via an adapted self-report item from Family Life, Activity, Sun, Health, and Eating (FLASHE) with a look-back period of 7 days. Reporting will include categorical number of participants endorsing non-consumption, 1-3 times weekly consumption, 4-6 times weekly consumption, once-daily consumption, twice-daily consumption, or three-or-more times daily consumption.

    Measured: Baseline, 6 Months, 12 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Dec 2024
  2. Study start22 Feb 2025
  3. Primary completion14 Aug 2026
  4. Study completion17 Aug 2026

Resources

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
Treatment
Allocation
Non-randomised
Intervention model
Single group
Model description
Non-randomized, propensity-matched-controlled trial. Specifically, 70 participants from the present study will be propensity-matched with 70 participants from NCT02707432.
Masking
None (open label)
Enrolment
173 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06730633
Sponsor's protocol ID
21-1366
Other IDs
5R01HL157255
Acronym
Co-LEARN
Status last verified
Aug 2026
First submitted
9 Dec 2024
Last updated
28 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with The University of North Carolina at Chapel Hill.

Questions about this trial

What is this clinical trial studying?

A study testing Heart Matters in people with Cardiovascular Diseases, run by University of North Carolina, Chapel Hill at 9 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 3 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: finished, as of the sponsor's last update on 28 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Mean change from Baseline, Systolic Blood Pressure (time frame: Baseline, 12 Months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Aug 2026.

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