Community Health Worker Navigation to Support Mental Health

Part of paid clinical trials in San Francisco, California.

Sponsor
University of California, Riverside
Study ID
NCT07387146
Status
Recruiting
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Conditions

  • Service Utilization
  • Stress

Eligibility Criteria

Sex
ALL
Age
18 Years - 120 Years
Healthy Volunteers
Not accepted

Interventions

  • Protocolized Promotora-Led Navigation — BEHAVIORAL
    Participants in this group will receive the CAPAZ protocolized navigation intervention, in which trained promotoras-supported by the Lead Study Navigator and the Principal Investigator (PI)-deliver structured, individualized health navigation. The intervention will follow a defined protocol that includes behavioral health screening, care coordination, and facilitated referrals to mental health services, primary care, and social-cultural or community resources as needed. The model also allows participants to integrate cultural and traditional healing practices into their care plan. Each participant will receive up to six promotora sessions over 12 weeks, focusing on improving access to care, stress reduction, and overall wellbeing.

Study Details

This pilot study tests the feasibility and preliminary impact of a protocolized promotora-led navigation intervention to improve behavioral health access among Latinx and Native American underserved adults. The study is embedded within a community cultural center, leveraging a trusted and culturally grounded environment for recruitment and intervention delivery. Participants will be randomized 1:1 to receive either the promotora navigation intervention or a treatment-as-usual (TAU) condition consisting of cultural resources and promotora-supported wait-list control. The TAU group will continue to receive any usual care during the study period and will be offered the protocolized navigation intervention after completing follow-up assessments. Primary outcomes include feasibility, acceptability, and preliminary changes in behavioral health access, stress reduction, self-efficacy, and wellbeing.

Key Dates

Start date
Apr 16, 2026
Status verified
Apr 2026
Primary completion
Feb 28, 2027
Completion
Sep 19, 2028

Study Design

Enrollment
80 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Wait-List Control Arm - Treatment as Usual
    Promotora Support for Cultural Healing Practices: Participants assigned to the wait-list control condition will receive standard promotora support as typically provided through CANA's Indigenous Peoples Cultural Arts Healing Center and the Native American Health Center (NAHC), which may include general health promotion, wellness education, and linkage to cultural healing resources. After completing the 12-week wait-list period and follow-up assessment, participants in this group will be offered the full CAPAZ protocolized navigation intervention.
  • Experimental: Protocolized Promotora-Led Navigation

Primary Outcome Measure

Perceived Stress Scale (PSS-10) [ Time Frame: Baseline, Week 12, Week 24 ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Cultura Y Arte Nativa De Las AmericasSan FranciscoCalifornia94110
Jaime Smith
[email protected]
951-827-0741

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