This project is part of the ACHIEVE GREATER (Addressing Cardiometabolic Health Inequities by
Early PreVEntion in the GREAT LakEs Region) Center (IRB 100221MP2A), the purpose of which is
to reduce cardiometabolic health disparities and downstream Black-White lifespan inequality
in two cities: Detroit, Michigan, and Cleveland, Ohio. The ACHIEVE GREATER Center will
involve three separate but related projects that aim to mitigate health disparities in risk
factor control for three chronic conditions, hypertension (HTN, Project 1), heart failure
(HF, Project 2) and coronary heart disease (CHD, Project 3), which drive downstream lifespan
inequality. All three projects will involve the use of Community Health Workers (CHWs) to
deliver an evidence-based practice intervention program called PAL2. All three projects will
also utilize the PAL2 Implementation Intervention (PAL2-II), which is a set of structured
training and evaluation strategies designed to optimize CHW competence and adherence (i.e.,
fidelity) to the PAL2 intervention program. The present study is Project 2 of the ACHIEVE
GREATER Center.