You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page.
Turn on more accessible mode
Turn off more accessible mode
Skip Ribbon Commands
Skip to main content
Turn off Animations
Turn on Animations
Health Disparities Readings Course
Community Health Worker Training
Research Training Workshops
Health Disparity Colloquia
Research in Training Sessions
Outreach to Community and Students
CHW Training Programs
Principals Guiding Our Work
Communities Where We Are Working
Health Care Partners
Community Based Organizations
Community Advisory Board
Services we can provide to communities
Community Health Works
Mission And Vision
Overview of RCT
for Academics/ Researchers
Older adults experience depression and cardiovascular disease at higher rates than younger people; these problems are especially prevalent among African American and Latino elderly. Scientists have observed that there is an association between heart disease and depression, although it is not clear how or why this association occurs. What is known is that depressed people have more heart disease and people with heart disease are more likely to be depressed. This association might be due to various problems such as decreased physical activity, poor dietary habits, medication non-adherence, or a direct impact on inflammatory systems.
The BRIGHTEN-Heart study is the first-ever evaluation of two approaches to simultaneously target both depression and metabolic syndrome. Metabolic syndrome is a group of problems that when combined represent a major risk factor for the development of heart disease. The metabolic syndrome includes high blood pressure, high cholesterol, overweight and obesity, increased waist circumference.
The study will determine if either of these two approaches improves depression and lowers the risk of heart problems in older African Americans and Latinos.
Content Editor 
BRIGHTEN-Heart is open to participants 65 years of age or over, who are overweight, and have symptoms of either depression or anxie
y, and receive their primary medical care from a participating clinic. Most clinics in the project are Community Health Centers, Federally Qualified Health Clinics, or are part of the Cook County Bureau of Health Services. Participants will be followed for about one year.
Content Editor 
People who receive Generations services will receive a free membership in Rush’s health and wellness program serving older adults. Generations provides free health classes, support programs for healthy lifestyles, assistance with obtaining needed social services, and other resources that can help improve conditions such as depression and the metabolic syndrome.
People who receive the Virtual team services will have a comprehensive evaluation by a Social Worker Care Coordinator, and then a case review by an on-line team of health professionals. The recommendations of this virtual inter-professional team will be shared with the participant, and the Care Coordinator will then work with the participant to implement the care plan to address depression symptoms and the metabolic syndrome.
Content Editor 
In order to compare the two interventions fairly, participants are randomly assigned to one intervention or the other. A computer picks this at random, and neither the participant nor a member of the study can select which treatment the person receives. Randomization is entirely by chance, like the flip of a coin or the roll of dice.