Results: 3069
Lessons learned from a community-academic initiative: the development of a core competency-based training for community-academic initiative community health workers. (2012)
Despite the importance of community health workers (CHWs) in strategies to reduce health disparities and the call to enhance their roles in research, little information exists on how to prepare CHWs involved in community-academic initiatives (CAIs). Therefore, the New York University Prevention Research Center piloted a CAI-CHW training program. Results demonstratedRead more…
Recognizing the diverse roles of community health workers in the elimination of health disparities: from paid staff to volunteers. (2010)
The community health worker (CHW) model has been successfully used to promote health and reduce adverse health outcomes in underserved communities. Although there is a general consensus that involvement of natural helpers from the targeted communities is a promising approach in the elimination of health disparities, there is less agreementRead more…
Applying the community health worker model to diabetes management: using mixed methods to assess implementation and effectiveness. (2008)
The community health worker (CHW) model is a popular method for reaching vulnerable populations with diabetes. This study assessed implementation and effectiveness of the model within diabetes programs. Five CHW roles were identified: educator, case manager, role model, program facilitator, and advocate. Roles, responsibilities and training varied greatly across programs.Read more…
Improving Asthma Management among African-American Children via a Community Health Worker Model: Findings from a Chicago-Based Pilot Intervention (2012)
Asthma affects 25-30% of children living in certain disadvantaged Chicago neighborhoods, a rate twice the national prevalence (13%). Children living in poor, minority communities tend to rely heavily on the emergency department (ED) for asthma care and are unlikely to be properly medicated or educated on asthma self-management. A pilotRead more…
A Community Capacity-Enhancement Approach to Breast and Cervical Cancer Screening among Older Women of Color (2006)
In the Screening Older Minority Women project, the authors applied a community capacity-enhancement approach to promoting breast and cervical cancer screening among older women of color. Members of informal support networks were recruited for this health promotion intervention to empower Latina and African American women to engage in positive health behaviors. The authors describeRead more…
Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. (2012)
The objective of this study was to estimate the long-term cost-effectiveness of a lifestyle modification program led by community health workers (CHWs) for low-income Hispanic adults with type 2 diabetes. The report forecasted disease outcomes, quality-adjusted life years (QALYs) gained, and lifetime costs associated with attaining different hemoglobin A1c (A1c)Read more…
Screening and Referral for Postpartum Depression among Low-Income Women: A Qualitative Perspective from Community Health Workers (2011)
Postpartum depression is a serious and common psychiatric illness. Mothers living in poverty are more likely to be depressed and have greater barriers to accessing treatment than the general population. Mental health utilization is particularly limited for women with postpartum depression and low-income, minority women. As part of an academic-community partnership, focus groupsRead more…
A Promotores de Salud Intervention to Reduce Cardiovascular Disease Risk in a High-Risk Hispanic Border Population, 2005-2008 (2010)
The high prevalence of cardiovascular disease (CVD) in the Hispanic population of the United States, together with low rates of health insurance coverage, suggest a potential cardiovascular health crisis. The objective of Project HEART (Health Education Awareness Research Team) was to promote behavior changes to decrease CVD risk factors in a high-risk Hispanic border population. ProjectRead more…
An Ecological Model Using Promotores de Salud to Prevent Cardiovascular Disease on the US-Mexico Border: The HEART Project (2012)
To address cardiovascular disease risk factors among Hispanics, a community model of prevention requires a comprehensive approach to community engagement. The objectives of our intervention were to reduce cardiovascular disease risk factors in Hispanics living in 2 low-income areas of El Paso, Texas, and to engage the community in aRead more…
Effects of a Promotor-Based Intervention to Promote Physical Activity: Familias Sanas y Activas (2011)
Latinos are the largest and fastest growing minority group in the United States and are among the most overweight. As in other populations, obesity contributes to several of the leading causes of illness and death. This study tested a train-the-trainer, promotor-based physical activity (PA) intervention to improve fitness and healthRead more…
Identifying the core elements of effective community health worker programs: a research agenda. (2012)
Community health workers (CHWs) are increasingly being incorporated into health programs because they are assumed to effectively deliver health messages in a culturally relevant manner to disenfranchised communities. Nevertheless, the role of CHWs-who they are, what they do, and how they do it-is tremendously varied. This variability presents a numberRead more…
When promotoras and technology meet: a qualitative analysis of promotoras’ use of small media to increase cancer screening among South Texas Latinos (2012)
Computer-based multimedia technologies can be used to tailor health messages, but promotoras (Spanish-speaking community health workers) rarely use these tools. Promotoras delivered health messages about colorectal cancer screening to medically underserved Latinos in South Texas using two small media formats: a “low-tech” format (flipchart and video) and a “high-tech” formatRead more…
Recommendations for developing and sustaining community health workers. (2011)
This report provides recommendations for the development and sustenance of community health workers. These recommendations are a result of the San Antonio Community Health Worker Summit held January 2010. Recommendations include defining the workforce, training standards, evaluating financial benefit, strategizing Medicaid reimbursement, and creating support networks
COACH trial: a randomized controlled trial of nurse practitioner/community health worker cardiovascular disease risk reduction in urban community health centers: rationale and design. (2011)
Despite well-publicized guidelines on the appropriate management of cardiovascular disease (CVD) and type 2 diabetes, implementation of risk-reducing practices remains poor. This paper describes the rationale and design of a randomized controlled clinical trial evaluating the effectiveness of a comprehensive program of CVD risk reduction delivered by nurse practitioner (NP)/communityRead more…
Improving Breast Cancer Control via the Use of Community Health Workers in South Africa: A Critical Review (2011)
Breast cancer is a growing concern in low- and middle-income countries (LMCs). We explore community health worker (CHW) programs and describe their potential use in LMCs. We use South Africa as an example of how CHWs could improve access to breast health care because of its middle-income status, existing cancerRead more…
Profiles, Perceptions and Motivations of Community Health Workers of NGOs in a Border City of US-Mexico (2012)
This study analyzes the profile, perceptions and motivations of Community Health Workers (CHWs) from nongovernmental organizations (NGOs) in the border city of US-Mexico and describes the type of community interventions they perform. Analysis of focus group discussions lead to the development of four conceptual categories: personal development, motivation, perception of their community participation and institutionalRead more…
Salud Para Su Corazon (Health for Your Heart) Community Health Worker Model: Community and Clinical Approaches for Addressing Cardiovascular Disease Risk Reduction in Hispanics/Latinos (2011)
This article describes 6 Salud Para Su Corazon (SPSC) family of programs that have addressed cardiovascular disease risk reduction in Hispanic communities facilitated by community health workers (CHWs) or Promotores de Salud (PS). A synopsis of the programs illustrates the designs and methodological approaches that combine community-based participatory research for 2 types of settings:Read more…
Community health worker integration into the health care team accomplishes the triple aim in a patient-centered medical home: a bronx tale (2014)
Community health workers are ideally suited to the care coordination niche within the patient-centered medical home (PCMH) team, but there are few case studies detailing how to accomplish this integration. This qualitative study documents how community health workers (CHWs) were integrated into a PCMH in South Bronx, New York. ResultsRead more…
A framework for outcome-level evaluation of in-service training of health care workers (2013)
In-service training is a key strategic approach to addressing the severe shortage of health care workers in many countries. However, there is a lack of evidence linking these health care worker trainings to improved health outcomes. In response, the United States President’s Emergency Plan for AIDS Relief’s Human Resources for Health Technical WorkingRead more…
A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa (2013)
The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% ofRead more…
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