Community program for heart risk in adults with low income and type 2 diabetes
Tests a community exercise and support program for adults with diabetes and obesity.
Plain-language title generated from the registry record
Registry title: Understanding and Addressing Risks of Low Socioeconomic Status and Diabetes for Heart Failure
Key facts
- Where
- Baltimore and Hagerstown, United StatesSee the 2 sites
Could this be for you?
Answer for yourself. This is not a decision: only the study team can say whether you can take part.
- Are you between 30 and 70 years old?
Source: NCT06364644, who can take part
Where in United States
- Johns Hopkins Center for Health EquityBaltimore, United StatesTaking people
- Johns Hopkins University Comstock CenterHagerstown, United StatesNot yet recruiting
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Johns Hopkins University
- Trial code
- NCT06364644
- Record updated
- 14 October 2026
- Original description
This study aims to determine whether a 6-month multilevel intervention involving problem-solving training, exercise training and support from community health workers is more effective in improving outcomes for individuals with low socioeconomic status, type 2 diabetes, obesity, and early cardiac dysfunction than receiving education and access to a community exercise facility.Read full original descriptionShow less
Understanding and Addressing Risks of Low Socioeconomic Status and Diabetes for Heart Failure (UNLOAD-Heart Failure)
This study aims to determine whether a 6-month multilevel intervention involving problem-solving training, exercise training and support from community health workers is more effective in improving outcomes for individuals with low socioeconomic status, type 2 diabetes, obesity, and early cardiac dysfunction than receiving education and access to a community exercise facility.
Inclusion: Adults from Johns Hopkins Medicine (JHM) who live in Baltimore City and adults from Johns Hopkins Community Physicians (JHCP) Hagerstown or Family Healthcare of Hagerstown who live in Washington County; Low socioeconomic status (SES) by high Area Deprivation Index (ADI) [>75th percentile for the state of Maryland] plus low income); Type 2 diabetes; Obesity (BMI≥30 kg/m\^2).
Exclusion: Uncontrolled blood pressure (Systolic blood pressure (SBP) ≥160 or diastolic blood pressure (DBP) ≥100 mm Hg, either on or off medications); Prevalent heart failure; Known coronary artery disease (unless < 50% stenosis by angiography); Moderate or severe valvular heart disease; Serious medical conditions limiting life expectancy or requiring active management; Any condition or planned surgery/procedure precluding exercise for ≥ 150 minutes per week; End-stage renal disease; Active alcohol or substance abuse disorder; Evidence of ischemia, dangerous arrhythmia, or other clinical instability on baseline exercise stress test; Uncontrolled glycemia (blood glucose <60 mg/d or ≥ 300 mg/dl or most recent hemoglobin A1c ≥11%); Age < 30 or >70 years; Inability to participate in moderate intensity physical activity as assessed by the self-report Physical Activity Readiness Questionnaire Plus (PAR-Q+); Current participation in another behavior change program; Already engaging in regular exercise with more than 60 minutes of moderate [3-6 METS] to vigorous [>6 METS] physical activity per week; Active pregnancy.