Healthy Fit is an intervention that uses CHWs to extend the public health infrastructure to reduce Hispanic health disparities in the US. This study evaluates the effectiveness of Healthy Fit in identifying the health needs of Hispanic Americans living on the US-Mexico border, and in helping participants access health services through CHW recommendations/referrals.
While CHW interventions have proved effective in hypertension control among ethnic minorities in the US, few have focused on Asian Americans. This randomized controlled trial assesses the efficacy of a CHW intervention in New York City to improve hypertension management among Filipino Americans with uncontrolled blood pressure.
Podcast: Susan Keen, director of the Pathways to Better Health Program, discusses how CHWs are able to assist people with their social and health needs, have a direct impact on improving the overall health of a community, and decrease unnecessary hospitalizations and emergency department visits.
Older Latino adults experience a higher incidence of multiple coexisting medical conditions than non-Hispanics and whites and face barriers to diabetes self-management. The results of this REACH Detroit CHW randomized control intervention suggests that CHWs may be effective in reducing barriers to diabetes self-management. Using descriptive analysis and multiple linear regression, the study evaluates the effects of a six-month CHW intervention on older Latinos versus younger participants.
Healthy Start (HS) is a program dedicated to preventing infant mortality, improving birth outcomes, and reducing maternal and infant health disparities. This mixed-methods study researched how CHWs, an essential part of the HS workforce, provide for families and communities and inform the development of a standardized training program.
The authors conducted a two-arm 2 year crossover trial to determine the effectiveness of clinical pharmacists and community health workers (CHWs) in increasing glycemic control among low-income ethnic minority populations. No significant difference was found between the clinical pharmacist and CHW team versus the clinical pharmacist working alone.
A new quality improvement program to increase the knowledge and skills of community health on an American Indian Reservation related to diabetes was tested. The authors found that the program improved knowledge and management of diabetes.
This is the first episode of the Review of Systems podcast, which is done in partnership with Harvard Center for Primary Care. The first guest is Shreya Kangovie, a researcher of community health worker (CHW) interventions who developed a multi-stakeholder team-based CHW model called IMPaCT (Individualized Management towards Patient-Centered Targets).
This study examines the effectiveness of a community health worker (CHW) program, which aims to address client objectives for frequent emergency department users. 43% of total objectives were achieved and objective achievement was linked with increased client engagement. The authors offer several suggestions as to why the objective achievement was low and how to better engage clients in CHW services.
This study tested a 10 week home-based intervention by promotoras to promote a healthy weight in Latino preschool children. The intervention involved weekly 90 minute sessions to Latin families in Allegheny County, Pennsylvania. At the follow-up, overweight and obese children had a significnat decrease in BMI. Post-intervention showed an increase in fruit and vegetable intake and decrease in screen time for children and parents, an increase in physical activity for parents, and a decrease in saturated fat and added-sugar intake for children (p's<0.05).