A Web-Based Healthy Living Training for Promotores

June 24, 2026 updated by: ISA Associates, Inc.

Comadres Saludables: A Web-Based Promotora Training Program for Obesity Prevention in Hispanic Women

The goal of this clinical trial is to test a new web-based promotora de salud/ community health worker (CHW) training. This training is designed to provide CHWs with the knowledge and skills to effectively implement a healthy living intervention for Latinas. The main question it aims to answer is:

o Do CHWs who complete the web-based healthy living training have higher self-efficacy in implementing core lifestyle intervention learning components for obesity interventions in Hispanics than CHWs who do not?

Participants will:

  • Complete a baseline survey asking about self-efficacy related to implementing core lifestyle intervention learning components, knowledge, health behaviors, and skill mastery.
  • Be randomized to receive the new web-based training or to a standard CHW training designed by Health and Human Services. The new web-based training provides promotores with the self-efficacy, knowledge, and skills required to effectively implement an obesity intervention for Hispanic women. Promotores will build their skillset through interactive quizzes, exercises, video role-playing scenarios, and interactive tools.
  • Complete follow-up surveys at 3 months and 6 months after the baseline survey. This survey will ask the same questions as the baseline survey and will include additional questions regarding satisfaction with training and behavior application.

Researchers will compare participants who receive the new web-based training to participants who utilize the HHS training. The goal is to see whether the new web-based training increases self-efficacy among CHWs to effectively implement core lifestyle learning components for obesity interventions in Hispanics.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

160

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Virginia
      • Arlington, Virginia, United States, 22203
        • ISA Associates

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • 18 years of age and old
  • Comfortable speaking, reading, and writing English OR Spanish
  • Female
  • Access to a computer that has internet
  • Not Pregnant
  • Have a community health worker certification through the state of TX OR have worked over 6 moths as a community health worker and meets core competencies for CHWs
  • Provides services to Hispanic populations

Exclusion Criteria:

  • Less than 18 years of age and old
  • Not comfortable speaking, reading, and writing English OR Spanish
  • Male
  • Does not have access to a computer that has internet
  • Pregnant
  • Does not have a community health worker certification through the state of TX OR have not worked over 6 moths as a community health worker and does not meet core competencies for CHWs
  • Does not provide services to Hispanic populations

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Web-based Comadres Saludables CHW Training
Experimental group participants will have access to the web-based Comadres Saludables training for three months.
Behavioral: Comadres Saludables
Comadres Saludables is a web-based healthy living training for community health workers aimed at addressing obesity in Latinas. Comadres Saludables will combine both theory and evidence-based practices to provide participants with the self-efficacy, knowledge, and skills required to effectively implement an obesity intervention for Hispanic women. Participants (CHWs) will build their skillset through interactive quizzes, exercises, and video role-playing scenarios. Additionally, Comadres Saludables allows participants to utilize interactive mHealth tools to enhance implementation with Hispanic women. Participants will access the training for three months.
Active Comparator: HHS Promoting Healthy Choices and Community Changes
Control condition participants will receive information on how to access the HHS CHW Promoting Healthy Choices and Community Changes training. They will be asked to review for three months.
Behavioral: Control
Participants will access the web-based HHS Promoting Healthy Choices and Community Changes that includes a variety of content via text, audio, and video. The information is designed to educate CHWs on how to implement health interventions for positive community change. They are asked to review it for three months.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Self-Efficacy in Core Lifestyle Intervention Learning Components at Week 12
Time Frame: Baseline and 12-weeks post baseline
This Self-Efficacy scale was created specifically for this study. A scale of 19 items includes a list of evidence-based components to a healthy living intervention and asks participants their confidence in implementing these components. They provide a response ranging from '0-Not at all Confident' to '6-Extremely Confident'. An average score was taken across all 19 items with a minimum average score of 0 indicating no confidence at all and 6 indicating extreme confidence. Higher scores are favorable and indicate high self-efficacy in implementing a lifestyle intervention.
Baseline and 12-weeks post baseline
Change in Self-Efficacy in Core Lifestyle Intervention Learning Components at Week 24
Time Frame: Baseline and 24 weeks post baseline
This Self-Efficacy scale was created specifically for this study. A scale of 19 items includes a list of evidence-based components to a healthy living intervention and asks participants their confidence in implementing these components. They provide a response ranging from '0-Not at all Confident' to '6-Extremely Confident'. An average score was taken across all 19 items with a minimum average score of 0 indicating no confidence at all and 6 indicating extreme confidence. Higher scores are favorable and indicate high self-efficacy in implementing a lifestyle intervention.
Baseline and 24 weeks post baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Obesity Intervention Knowledge Questionnaire at 12 Weeks
Time Frame: Baseline and 12-Weeks post baseline
This Obesity Intervention Knowledge scale was created specifically for this study. A scale of 19 items includes a list of statements related to nutrition, physical activity, and habits to living a healthy lifestyle. Participants are asked whether the statement is 'True' or 'False' to assess their overall knowledge on healthy living. The scale is scored by assessing the number of percent items answered correctly, with a minimum percent correct score of 0% indicating no correct responses to 100% correct responses. Higher scores are favorable and indicate high obesity intervention knowledge.
Baseline and 12-Weeks post baseline
Change in Obesity Intervention Knowledge Questionnaire at 24 Weeks
Time Frame: Baseline and 24-Weeks post baseline
This Obesity Intervention Knowledge scale was created specifically for this study. A scale of 19 items includes a list of statements related to nutrition, physical activity, and habits to living a healthy lifestyle. Participants are asked whether the statement is 'True' or 'False' to assess their overall knowledge on healthy living. The scale is scored by assessing the number of percent items answered correctly, with a minimum percent correct score of 0% indicating no correct responses to 100% correct responses. Higher scores are favorable and indicate high obesity intervention knowledge.
Baseline and 24-Weeks post baseline
Change in Self-Report Skill Mastery at 12 Weeks
Time Frame: Baseline and 12 weeks post baseline
This Self-Report skill mastery measure was created specifically for this study. This measure is comprised of 15 items. Participants review a case study and then self-report their level of skill mastery of each of the components related to implementing a healthy living intervention. They provide a response ranging from '0-Strongly Disagree' to '4-Strongly Agree' for each question. An average score was taken across all 15 items with a minimum average score of 0 indicating they strongly disagree they have skill mastery to 4 indicating they strongly agree they have skill mastery for implementing the healthy living intervention. Higher scores are favorable and indicate high skill mastery.
Baseline and 12 weeks post baseline
Change in Self-Report Skill Mastery at 24 Weeks
Time Frame: Baseline and 24 weeks post baseline
This Self-Report skill mastery measure was created specifically for this study. This measure is comprised of 15 items. Participants review a case study and then self-report their level of skill mastery of each of the components related to implementing a healthy living intervention. They provide a response ranging from '0-Strongly Disagree' to '4-Strongly Agree' for each question. An average score was taken across all 15 items with a minimum average score of 0 indicating they strongly disagree they have skill mastery to 4 indicating they strongly agree they have skill mastery for implementing the healthy living intervention. Higher scores are favorable and indicate high skill mastery.
Baseline and 24 weeks post baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

ISA Associates, Inc.

Collaborators

National Institute on Minority Health and Health Disparities (NIMHD)

Investigators

  • Principal Investigator: Debra M Rios, DrPH, ISA Associates

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 13, 2024

Primary Completion (Actual)

July 31, 2025

Study Completion (Actual)

September 30, 2025

Study Registration Dates

First Submitted

October 2, 2024

First Submitted That Met QC Criteria

October 2, 2024

First Posted (Actual)

October 4, 2024

Study Record Updates

Last Update Posted (Actual)

July 22, 2026

Last Update Submitted That Met QC Criteria

June 24, 2026

Last Verified

December 1, 2025

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • R44MD016228 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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