The goal of this hybrid Type 1 effectiveness-implementation trial is to test the extent to which a peer support and community resource navigation intervention improves psychological well-being, addresses social determinants of health and thus reduces cardiometabolic risk among rural, migrant, low-income farmworker women aged 18-45 years. The main questions it aims to answer are: * If and to what extent does the intervention reduce stress, social isolation, and psychological distress by improving social support and access to needed resources? * If and to what extent does the intervention improve cardiometabolic health, measured by the American Heart Association's Life's Essential 8 (LE8) score? Researchers will compare the CHW-led Sisters of Heart (Hermanas de Corazón) intervention to a Basic intervention (LE8 assessment and resource information) to assess the effect of peer support and community resource navigation on heart health outcomes.
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Change in cardiometabolic health
Timeframe: T-0 (Baseline) ,T2 (3 months), T3 (6 months), T4 (7-9 months)
Change in diet
Timeframe: Baseline, End of study (3 months)
Change in physical activity
Timeframe: Baseline, End of study (3 months)
Change in nicotine consumption
Timeframe: Baseline, End of study (3 months)
Change in Sleep
Timeframe: Baseline, End of study (3 months)
Change in Body Mass Index (BMI)
Timeframe: Baseline, End of study (3 months)
Change in Lipids (non-HDL cholesterol)
Timeframe: Baseline, End of study (3 months)
Change in HbA1c
Timeframe: Baseline, End of study ( 3 months)
Change in Blood pressure
Timeframe: Baseline, Emd of study (3 months)