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The Impact of Community Health Workers on the Uptake of Preventative Care Services in London, UK

StatusCompleted
PhaseNot applicable
Started
View on ClinicalTrials.gov ↗

Record History

  1. Notable Phase changed: not specified → not applicable Completed without a posted recruiting period · Final enrollment: 7200 participants (planned 8400) · Primary completion date changed from estimate of Jan 15, 2026 to Jun 1, 2026 · 5 more Show 8 more changesShow less
    • Completed without a posted recruiting period
    • Final enrollment: 7200 participants (planned 8400)
    • Primary completion date changed from estimate of Jan 15, 2026 to Jun 1, 2026
    • Study sites: 0 to 1
    • Start date changed from estimate of Jan 15, 2024 to Jan 1, 2024
    • Secondary endpoints: 6 to 5
    • Study description expanded, about 38 words
    • Eligibility criteria expanded, about 2 words
  2. Minor Study First Submitted
  • Stopped: an ongoing trial was terminated, suspended or withdrawn.
  • Notable: the trial’s plan changed such as a big move in its timeline or size, a new primary endpoint, sponsor or phase, or recruiting opened or resumed.
  • Minor: routine progress and housekeeping, such as sites added or enrollment closed.
In 2021, Westminster Council, London, piloted a new Community Health and Wellbeing Worker (CHWW) role in the Churchill Gardens council estate. Four CHWWs were assigned to specific buildings on the estate, to proactively visit the same 120 households that they were responsible for, each month, whether there was a clinical need or not. This approach led to many positive outcomes. In households that were visited by the CHWWs, residents eligible for immunizations, screening or health checks were much more likely to receive them, than households that had not yet been visited. Based on this positive impact, the four Primary Care Networks of Westminster (called Healthcare Central London) have recruited a further twenty CHWWs for deployment in January 2024. In order to give households equal chance of receiving the CHWW services, they have been allocated at random to neighbourhoods of 120 households in two wards, Lisson Grove and Paddington Green. Our study will draw on routinely collected data using the Whole Systems Integrated Care (WSIC) data warehouse, to look back at whether households that were allocated a CHWW were more likely, or not, to receive the immunizations, screening and health checks they were eligible for, than households not allocated a CHWW. This robust evaluation of the impact of the CHWWs will help policy makers understand whether lay people from the community can aid the uptake of and access to preventative services. Already there is national interest in the use of CHWWs, particularly ones that have a mandate to visit households even before the residents express any clinical need, because understanding and supporting families before their problems become too big, makes sense for residents and the health and social care system. This has already been seen in many countries around the world, but for England this evidence base is yet to be developed because, until now, there are no services in place such as this.
Trial Details
NCT Number NCT06144580
Lead Sponsor Imperial College London
Collaborators: The George Institute
Conditions Immunization Uptake, Screening Uptake, Health Check Uptake
Enrollment 7,200 participants
Start Date
Primary Completion (estimated)
Study Completion (estimated)
Updated on ClinicalTrials.gov