This article presents an evaluation of the role of a link-worker trained in health promotion and aspects of chronic disease management. A shift in workload occurred from the practice nurse to link-worker, and there were improvements in asthma and diabetes care. A link-worker can be successfully trained to do traditional nursing tasks, which permits a change of role for the … [Read more...] about The ethnic minority linkworker: a key member of the primary health care team?
Chronic conditions
Can community health workers improve adherence to highly active antiretroviral therapy in the USA? A review of the literature.
Highly active antiretroviral therapy (HAART) has transformed HIV infection into a manageable chronic illness, yet AIDS mortality among ethnic minorities persists in the USA. HAART nonadherence is associated with increased HIV viral load, low CD4 cell count and racial disparities in HIV outcomes. While there is no universal consensus on how to improve medical adherence in … [Read more...] about Can community health workers improve adherence to highly active antiretroviral therapy in the USA? A review of the literature.
Participants’ assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providers.
The specific ways in which community health worker (CHW) programs affect participants' healthcare behaviors and interactions with their healthcare providers, as well as mechanisms by which CHW programs influence these outcomes, are poorly understood. A qualitative descriptive study of participants in a successful CHW diabetes self-management program was designed to examine: (1) … [Read more...] about Participants’ assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providers.
The Healthy Connections project: a community-based participatory research project involving women at risk for diabetes and hypertension.
The Healthy Connections (HC) project was a community health worker (CHW) intervention that built upon existing social networks to encourage African American and Latina women to obtain screening for type 2 diabetes and hypertension. This community-based participatory research (CBPR) project involved identifying and training CHWs, known as HC Advocates (HCAs). The HCAs … [Read more...] about The Healthy Connections project: a community-based participatory research project involving women at risk for diabetes and hypertension.
Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans.
African Americans suffer disproportionately from diabetes complications, but little research has focused on how to improve diabetic control in this population. There are also few or no data on a combined primary care and community-based intervention approach. This study randomly assigned 186 urban African Americans with type 2 diabetes to 1 of 4 parallel arms: (1) usual … [Read more...] about Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans.
