George Mason University
The aCT Study will develop, implement and evaluate a community health worker (CHW) integrated model of care delivery for older adults that is senior center based. CHW services will be available for older adult participants at three centers, 4 hours per week for 4 months. Three centers will continue usual services. Researchers will compare blood pressure, physical activity levels, fruit/vegetable consumption and psychosocial outcomes across groups before and after the intervention.
The six senior centers are located in southeastern Kentucky. The CHWs are community-based, certified in the state of Kentucky and employed by a local organization. The CHW intervention will be guided by a training module developed by the researchers in collaboration with our collaborating partner, the University of Kentucky Center for Excellence in Rural Health that reflects evidence-based geriatric practices and formative assessment conducted in 2024/2025 with seniors and senior service administrators from the area
Inclusion Criteria: Eligible participants will be age 60 years and older, registered as a meal program participant at a participating senior center and speak English. Exclusion Criteria: Non-English speakers and older adults who access meal program services in senior centers not participating in the study are not eligible for study participation.
The aCT CHW intervention arm will be delivered by state-certified CHWs employed and supervised by Kentucky Homeplace, a local organization that provides training and CHW services to local communities. Trained CHWs will deliver the intervention at three senior centers 4 hours per week for 4 months, which will include health promotion and disease prevention services and programs, advocacy, and health screenings.
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