Understanding and Addressing Risks of Low Socioeconomic Status and Diabetes for Heart Failure

This study is looking for people aged 30-70 who live in Baltimore City or Washington County, Maryland, have type 2 diabetes, obesity, and low socioeconomic status. You should also show early signs of heart problems, even if you haven't been diagnosed with heart failure yet. The study wants to see if a 6-month program called "Community Champions" is better at improving your fitness than receiving newsletters and a YMCA membership (called "Homegrown Heroes"). The "Community Champions" program includes problem-solving training, support from community health workers, and exercise help from health coaches at the YMCA. We will measure your fitness using a 6-minute walk test at the beginning and after 6 months to see if the programs help.

Study design: This is an interventional study with a planned enrollment of 156 participants. It is a randomized controlled trial, meaning participants will be assigned to one of two groups by chance.
What's involved: Participants will engage in a 6-month intervention, which may include biweekly problem-solving training, support from community health workers, and exercise support. Fitness will be assessed at the beginning and after 6 months.
Compensation: Not stated in the trial record.
Follow-up: Participants will be followed for 6 months after the intervention begins.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

Understanding and Addressing Risks of Low Socioeconomic Status and Diabetes for Heart Failure

Recruiting

NAAges 30–70InterventionalPrevention

Johns Hopkins University

~156 participants

Updated 2026-07-15 on ClinicalTrials.gov

What's tested:Community ChampionsHomegrown Heroes

At a glance

Recruiting sites

1 of 2 listed sites are recruiting right now

RecruitingSuspended, closed, or not yet open

What they're measuring

Change in fitness as assessed by the 6 minute walk test

Measured over Baseline and 6 month follow up

Conditions

Type2diabetes

Heart Failure

Obesity

Where it's being run

2 sites across 1 states

Maryland2

Study leadership

Chiadi Ndumele, MD, PhD · PRINCIPAL_INVESTIGATOR · Johns Hopkins School of Medicine

Who to contact

Chiadi Ndumele, MD, PhD

[email protected]

4105022319

Email the study team

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Do you actually qualify for this trial?

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Eligibility criteria

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

Age \< 30 or \>70 years

Prevalent heart failure

Uncontrolled glycemia (blood glucose \<60 mg/d or ≥ 300 mg/dl or most recent hemoglobin A1c ≥11%)

Uncontrolled blood pressure (Systolic blood pressure (SBP) ≥160 or diastolic blood pressure (DBP) ≥100 mm Hg, either on or off medications)

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

Inability to participate in moderate intensity physical activity as assessed by the self-report Physical Activity Readiness Questionnaire Plus (PAR-Q+).

Any condition or planned surgery/procedure precluding exercise for ≥ 150 minutes per week

End-stage renal disease

Current participation in another behavior change program

Active alcohol or substance abuse disorder

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

Evidence of ischemia, dangerous arrhythmia, or other clinical instability on baseline exercise stress test

What this trial measures

Change in fitness as assessed by the 6 minute walk testBaseline and 6 month follow up
Total distance walked in the 6 minutes walk test in meters

Trialytics