Results: 3286
Salud es vida: development of a cervical cancer education curriculum for promotora outreach with Latina farmworkers in rural Southern Georgia. (2011)
This research developed and evaluated a lay health worker curriculum intended to educate Hispanic farmworker women on cervical cancer, human papillomavirus (HPV), and the HPV vaccine. We pilot tested the curriculum in 2010 with 7 volunteer promotoras for readability, attractiveness, content, comprehension, cultural appropriateness, persuasion, structure and organization of lessons,Read more…
CHWs get credit: a 10-year history of the first college-credit certificate for community health workers in the United States. (2004)
Community health workers have become increasingly important in the U.S. health care system, playing a significant role in basic health promotion and care coordination; however, their status and visibility have not kept pace with their wider use. A major impediment has been the absence of systematic preparation-the field needs standardizedRead more…
Educating Hispanic women about breast cancer prevention: evaluation of a home-based promotora-led intervention. (2010)
Trained community health promoters (i.e., promotoras) conducted home-based group educational interventions (home health parties) to educate Hispanic women from the Lower Yakima Valley of Washington state about breast cancer and mammography screening. Changes in general cancer knowledge, breast cancer screening practices, and intentions to be screened among participants from baseline toRead more…
Factors influencing the retention and attrition of community health aides/practitioners in Alaska. (2004)
The Community Health Aide Program (CHAP) is a unique program employing local, indigenous peoples as primary care nonphysician providers in extremely remote frontier, tribal Alaskan communities. With attrition rates up to 20%, recommendations for improving retention are necessary to maintain access to health services for Alaska Natives in these communities. TheRead more…
Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education. (2003)
Five times more Vietnamese-American women develop cervical cancer than white women. Few studies have examined whether community-based participatory research can effectively address Asian immigrants’ health problems. This article reports the preliminary evaluation of 1 such project. At post-intervention, significantly more LHWO+ME women understood that human papillomavirus and smoking cause cervical cancer.Read more…
Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers. (1999)
This study assessed the effectiveness of enhanced tracking and follow-up services provided by community health workers in promoting medical follow-up of persons whose elevated blood pressures were detected during blood pressure measurement at urban community sites. The primary outcome measure was completion of a medical follow-up visit within 90 daysRead more…
The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach. (2004)
Overweight and obesity, lack of exercise, and exposure to tobacco smoke are clearly identified behavioral risk factors for cardiovascular disease. These problems disproportionately affect some communities. To address these problems within one community of underserved Latinos, participatory research methods were used to design an outreach program. Latina lay health advisorsRead more…
The ethnic minority linkworker: a key member of the primary health care team? (1999)
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 traditionalRead more…
Can community health workers improve adherence to highly active antiretroviral therapy in the USA? A review of the literature. (2011)
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 onRead more…
Community Health Worker Performance in the Management of Multiple Childhood Illnesses: Siaya District, Kenya, 1997–2001 (2001)
This report summarizes the CHW evaluations conducted in 1998, 1999 and 2001. It also characterizes community health worker (CHW) performance using an algorithm for managing common childhood illnesses in Siaya District, Kenya. Results showed deficiencies were found in the management of sick children by CHWs, although care was not consistentlyRead more…
Madres para la Salud: design of a theory-based intervention for postpartum Latinas. (2011)
Weight gain in young women suggests that childbearing may be an important contributor to the development of obesity in women. Depressive symptoms can interfere with resumption of normal activity levels following childbirth or with the initiation of or adherence to physical activity programs essential for losing pregnancy weight. Depression symptomsRead more…
Community health workers and medicaid managed care in New Mexico. (2012)
We describe the impact of community health workers (CHWs) providing community-based support services to enrollees who are high consumers of health resources in a Medicaid managed care system. The CHWs provided patients education, advocacy and social support for a period up to 6 months. For all measures, there was aRead more…
It’s all about the children: a participant-driven photo-elicitation study of Mexican-origin mothers’ food choices (2011)
There is a desperate need to address diet-related chronic diseases in Mexican-origin women, particularly for those in border region colonias (Mexican settlements) and other new destination communities in rural and non-rural areas of the U.S. Understanding the food choices of mothers, who lead food and health activities in their families,Read more…
Injectable contraception provided by community-based health workers: one important step toward meeting unmet need (2013)
Community-based provision of injectable contraception continues to advance and is gaining wider acceptance—a major step toward meeting unmet need. However, fully addressing family planning need will require access to a much wider range of methods, including long-acting reversible contraception and permanent methods.
Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services (2013)
Trained female community health volunteers provided low-cost urine pregnancy tests in their communities, leading to counseling and appropriate referrals for antenatal care, family planning, or comprehensive abortion care.
Cancer Screening for Underserved Women: The Breast and Cervical Cancer Intervention Study (2008)
BACCIS targeted ∼25,000 multiethnic, underserved women in eight neighborhoods and the public health clinics that served them. An outreach intervention using lay health worker peers and clinic provider inreach intervention to improve breast and cervical cancer screening were evaluated in a quasi-experimental, controlled trial with pretest and posttest household surveys.Read more…
Participants’ assessments of the effects of a community health worker intervention on their diabetes self-management and interactions with healthcare providers. (2009)
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 toRead more…
The Healthy Connections project: a community-based participatory research project involving women at risk for diabetes and hypertension. (2009)
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).Read more…
Effective utilization and evaluation of indigenous health care workers. (1989)
The use of indigenous health care workers (IHCWs), who were key elements in community health care programs in the United States in the 1960s, has gone in and out of fashion in subsequent years. The author and his colleagues recently established a service program at Wayne State University’s Institute ofRead more…
The Impact of Paraprofessional versus Volunteer-Driven Home Visiting Programs on the Wellbeing of Orphans and Vulnerable Children: Evidence from a Longitudinal Evaluation in KwaZulu-Natal, South Africa (2013)
This brief describes the findings and program implications from a study designed to develop critical knowledge on “what works” to improve the well-being of children affected by HIV and AIDS. Community-based home visiting, in which care workers provide a range of support services during regular visits to the child’s home,Read more…
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