The Affordable Care Act of 2010 builds on earlier efforts to expand home and community-based alternatives to institutional long-term care. Identifying people living in the community who have unmet long-term care needs and who may be at risk for entering nursing homes may be crucial to these efforts. The Arkansas Community Connector Program used specially trained community … [Read more...] about The Care Span: Medicaid savings resulted when community health workers matched those with needs to home and community care.
United States of America
The Mexican-American Trial of Community Health workers (MATCH): design and baseline characteristics of a randomized controlled trial testing a culturally tailored community diabetes self-management intervention.
Community Health Workers (CHWs) have been recommended to reduce diabetes disparities, but few robust trials of this approach have been conducted. Limitations of prior studies include: unspecified a priori outcomes; lack of blinded outcome assessments; high participant attrition rates; and lack of attention to intervention fidelity. These limitations reflect challenges in … [Read more...] about The Mexican-American Trial of Community Health workers (MATCH): design and baseline characteristics of a randomized controlled trial testing a culturally tailored community diabetes self-management intervention.
Program planners’ perspectives of promotora roles, recruitment, and selection.
Program planners work with promotoras (the Spanish term for female community health workers) to reduce health disparities among underserved populations. Based on the Role-Outcomes Linkage Evaluation Model for Community Health Workers (ROLES) conceptual model, we explored how program planners conceptualized the promotora role and the approaches and strategies they used to … [Read more...] about Program planners’ perspectives of promotora roles, recruitment, and selection.
Training of community health workers to deliver cancer patient navigation to rural African American seniors.
Rural-dwelling African American (AA) seniors with cancer may experience significant challenges that can lead to disparities in cancer-related outcomes and overall quality of life. There is a need for sustainable, culturally appropriate support for these seniors and their support persons within the communities they live in. Prior research has shown that cancer patient navigation … [Read more...] about Training of community health workers to deliver cancer patient navigation to rural African American seniors.
Designing a community-based lay health advisor training curriculum to address cancer health disparities.
Racial and ethnic minorities have disproportionately higher cancer incidence and mortality than their White counterparts. In response to this inequity in cancer prevention and care, community-based lay health advisors (LHAs) may be suited to deliver effective, culturally relevant, quality cancer education, prevention/screening, and early detection services for underserved … [Read more...] about Designing a community-based lay health advisor training curriculum to address cancer health disparities.
