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Project Title

Carolina Heart Alliance Networking for Greater Equity (CHANGE)

Funding Dates



Logo for Carolina Heart Alliance Networking for Greater Equity

CHANGE is a community-engaged project based in Hertford and Edgecombe Counties with the goals of reducing the risk of cardiovascular disease in rural and medically underserved communities; strengthening linkages between public health and clinical practice to enhance community outreach, care coordination, and delivery of a behavior change strategy to reduce cardiovascular disease risk; and supporting the adoption of evidence-based approaches in public health and clinical settings. Two community health workers joined the teams at Roanoke Chowan Community Health Center and Hertford County Public Health Authority to: (1) use new technology to deliver an evidence-based program, Heart-to-Health, and other resources to clinic patients and community members, (2) link community members to clinic, public health, and community-based services that promote heart health, (3) improve coordination of care across clinical and public health settings, and (4) support culturally relevant and heart healthy changes in community environments where people live and work.

Research Areas 

Cardiovascular Health, Obesity, and Diabetes
Health Equity
Nutrition and Physical Activity
Rural Health
Additional Topics

Principal Investigator

Carmen Samuel-Hodge, PhD and Sam Cykert, MD


Centers for Disease Control and Prevention


CHANGE Project website