NCT05091710Completed
Haiti Community Health Workers (CHW) Adaptation
Pilot Trial of a Community Health Worker Intervention to Improve Heart Failure Care in Rural Haiti
Source: ClinicalTrials.gov · Last updated 5 Nov 2026
Brief summary (registry, in English)
Evidence-based interventions to improve linkage and outcomes for heart failure (HF) patients requires input from stakeholders: patients, community health workers (CHWs), healthcare staff, and health system administrators. In this research the investigators will assess a CHW intervention designed to improve linkage to care for HF patients. This intervention was systematically adapted for use in rural Haiti in a prior study using the Assessment, Decisions, Administration, Production, Topical Experts, Integration, Training staff, Testing (ADAPT-ITT) framework. The ADAPT-ITT framework provides 8 sequential phases to adapt interventions and programs to new target audiences. It has been applied successfully to the adaptation of several interventions for HIV among under-resourced communities leading to randomized clinical trials. With the first 6 steps of the ADAPT-ITT framework completed in a prior study, this protocol outlines the training and testing of the adapted CHW intervention. In addition to assessing the feasibility, appropriateness, and acceptability of the adapted intervention through participants' feedback, the investigators will assess its efficacy in improving HF outcomes. The proposed intervention is targeted at both the patient domain - through improved peer support - and health system domain - by improving health system navigation.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 72 (actual)
- First submitted
- 15 Sept 2021
- Start date
- 23 Feb 2023
- Primary completion date
- 31 Aug 2025
- Lead sponsor
- Boston Medical Center
- Diseases
- Heart failure
- NCT number
- NCT05091710
What you commit to
- Study type: Interventional
- Participants enrolled: 72
- From 23 Feb 2023 to the primary completion date, 31 Aug 2025
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other
- None
- None
- None
Who the study is looking for
- Adult HF patients
- Hospitalized \>48 hours at Hôpital-Universitaire de Mirebalais (HUM)
- Anticipated discharge from HUM within 1-3 days
- Living in Mirebalais Commune, Haiti Inclusion criteria for historical patient reference group
- Adult HF patients
- Hospitalized \>48 hours at HUM
- Discharged from HUM within the 12 months preceding the intervention
- Living in Mirebalais Commune
- Adult
- Provide inpatient or outpatient care to HF patients
- Working in in Mirebalais
- Hospital leadership involved in supervision of clinical care programs (i.e. Chief Executive Officer, Chief Medical Officer, Chief Operations Officer, Chief Nursing Officer, etc.)
- Leaders of the Community Health Department - including the nurse Director of Community Health, and Community Health Worker Supervisors.
- Healthcare providers at HUM involved in the care of patients with heart failure (i.e. internal medicine physicians, inpatient hospital nurses, outpatient clinic physicians, outpatient clinic nurses, etc.)
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Zanmi Lasante/Hôpital Universitaire de Mirebalais Coordinator of this site? Confirm its status | Mirebalais | Haiti | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.