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).
This paper describes the house party model. The house party model is a community-based workshop approach to health education facilitated by community health workers. Participants rated the experience highly and the ability to recognized causes or signs of preterm labor increased after participation.
This randomized controlled study looked at the feasibility of incorporating community health workers into a team leading diabetes group visits. The authors concluded that integrating community health workers into diabetes group visit program is a feasible, effect intervention.
For the organizations who have dedicated themselves to building good CHW programs, where can they go to learn how to make programs that are built to thrive? The Center for Health Market Innovation awarded two like-minded health delivery organizations, Last Mile Health in Liberia and Possible in Nepal, a learning exchange grant.