Results: 3286
Effect of Community Health Workers on 30-Day Hospital Readmissions in an Accountable Care Organization Population: A Randomized Clinical Trial (2021)
Understanding how to reduce hospital readmissions is important for reducing costs and has been a key focus of accountable care organizations (ACOs). This randomized clinical trial evaluated the usefulness of pairing ACO-insured adults with community health workers (CHWs) to reduce hospital readmission rates within 30 days of discharge. The authorsRead more…
Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State (2021)
The authors of this study described a CHW-led home-visit model to improve asthma-related outcomes in Seattle, Washington; they analyze the factors that led to effective training of CHWs to conduct this work. They identified that community engagement in the training development, a strong training curriculum, and evaluation of the trainingRead more…
Community Health Worker Knowledge, Attitudes, Practices and Readiness to Manage Intimate Partner Violence (2021)
Intimate partner violence (IPV) remains a serious problem in the United States, yet there are few studies on the role of CHWs in addressing IPV. This study evaluates the knowledge, attitudes, and practices of CHWs in the United States regarding IPV. The authors found that CHWs lacked substantial knowledge onRead more…
Body composition outcomes of Healthy Fit and the role of acculturation among low-income Hispanics on the US-Mexico border (2021)
Hispanic immigrants to the United States experience higher rates of negative weight-related health outcomes than non-Hispanic individuals. This longitudinal observational study assessed the effectiveness of a community health worker (CHW) led weight-management intervention, Healthy Fit, focused on nutrition education and promotion of physical activity. The researchers found that the HealthyRead more…
Addressing maternal and child health equity through a community health worker home visiting intervention to reduce low birth weight: retrospective quasi-experimental study of the Arizona Health Start Programme (2021)
The Health Start Programme is a community health worker (CHW) program in Arizona that addresses maternal and child health. This quasi-experimental retrospective study sought to understand if the Health Start Programme decreased rates of low birth weight (LBW), very low birth weight (VLBW), extremely low birth weight (ELVW), and pretermRead more…
Community Health Worker Roles and Responsibilities in Rural and Urban America (2021)
With their unique ties and cultural knowledge of their communities, community health workers (CHWs) help fill healthcare gaps in both rural and urban America. This qualitative study sought to further understand the workforce development needs of CHWs and compare experiences of CHWs in urban and rural America. The study foundRead more…
Supporting the Integration of Community Health Workers in Whole Person Care Pilots (2019)
In California, whole person care (WPC) helps streamline coordination of care across many sectors of the healthcare system. Some WPC programs utilize community health workers (CHWs) to carry out this coordination of care, but as WPC programs differ across regions the support CHWs needed to carry out activities also varies.Read more…
Recognizing and Sustaining the Value of Community Health Workers and Promotores (2020)
Although community health workers/promotores (CHW/Ps) are key to delivering healthcare to underserved communities, there is no standardized certification for CHW/Ps in the United States. To advance professional recognition of CHW/Ps, this report from the Center for Health Care Strategies highlights the value of an accessible certification process, training employers onRead more…
Community Health Worker Workforce: Assessment of the Integration and Financing of Community Health Workers within Arizona Medicaid Health Plans (2019)
The Centers for Medicaid and Medicare allowed states to compensate non-licensed healthcare professionals such as CHWs. Since this new guidance was put in place, states have been interested in how to successfully integrate CHWs into their Medicare and Medicaid Health Plans. This report details how the State of Arizona hasRead more…
Community Health Workers and Pandemic Preparedness: Current and Prospective Roles (2019)
The authors of this study reviewed the response to the 2014 Ebola epidemic and the 2015 Zika epidemic to further understand the role of community health workers (CHWs) in pandemic preparedness. They found that CHWs influenced pandemic prepared both before and after the onset of pandemic. Before, CHWs were involvedRead more…
Supervision Strategies and Community Health Worker Effectiveness in Health Care Settings (2020)
This discussion paper argues that while the value of CHWs in providing cost effective care in the United States is recognized, improved human resources management practices are needed to strengthen the quality and performance of CHW programs. The authors discuss essential elements of CHW recruitment and training, but also theRead more…
Community Health Workers Can Provide Psychosocial Support to the People During COVID-19 and Beyond in Low- and Middle- Income Countries (2021)
Low- and middle-income countries have experienced a further decrease in the availability of already scarce mental health services during the COVID-19 pandemic. The authors of this article argue that community health workers (CHWs) are well-positioned to provide mental health services at the community level, but have not been fully supportedRead more…
Investigating violence against Accredited Social Health Activists (ASHAs): a mixed methods study from rural North Karnataka, India (2021)
In India, female community health workers (CHWs), also called Accredited Social Health Activists (ASHAs), provide essential services to their communities. However, their experience of violence as they carry out their work is not well researched. The authors of this paper conducted a mixed-methods study to understand the violence ASHAs experience.Read more…
Community health workers’ involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda (2021)
The authors of this study examined the role CHWs play in preventing and supporting noncommunicable diseases interventions in the Wakiso District of Uganda. Although CHWs showed general knowledge of noncommunicable diseases, their role in prevention was limited. There are opportunities to better involve CHWs in the prevention of noncommunicable diseasesRead more…
Recruitment, Training, and Roles of the Bilingual, Bicultural Navegantes: Developing a Specialized Workforce of Community Health Workers to Serve a Low-Income, Spanish-Speaking Population in Rhode Island (2021)
Community health workers (CHWs) share the multicultural and multilingual characteristics of their communities and are thus able to provide culturally sensitive healthcare. The Hope Clinic in Rhode Island developed a peer-led Advanced Navagente Training Program (ANTP) to prepare spanish-speaking individuals to become certified CHWs who provide patient navigation, life-style coachingRead more…
Organizational Readiness for Community Health Worker Workforce Integration Among Medicaid Contracted Health Plans and Provider Networks: An Arizona Case Study (2021)
Understanding how to better integrate community health workers (CHWs) into the complex healthcare infrastructure of the United States is important to better support CHWs in providing healthcare to their communities. This mixed-methods study conducted in Arizona assesses the organizational readiness of Arizona Medicaid for the integration of CHWs. The authorsRead more…
Training Needs of Community Health Workers Facing the COVID-19 Pandemic in Texas: A Cross-Sectional Study (2021)
The COVID-19 pandemic highlights the crucial role community health workers (CHWs) play in providing equitable healthcare in the United States. This cross-sectional study aimed to understand how COVID-19 impacted CHWs working conditions and training. The authors found training topics such as prevention of COVID-19, the clinical course of COVID-19, vulnerableRead more…
Validity of using mobile phone surveys to evaluate community health worker program in Mali (2021)
The monitoring and evaluation of interventions is critical to ensure their effectiveness. Mobile phone-based methods can help to assess the success of interventions, but understanding their implementation as an evaluation tool lacks validity. Community health workers in Mali providing integrated community case management and family planning took a survey toRead more…
An Emerging Model for Community Health Worker–Based Chronic Care Management for Patients With High Health Care Costs in Rural Appalachia (2020)
This paper presents the results of a CHW-centered intervention to improve diabetes health outcomes and lower diabetes-related healthcare costs for patients in Appalachia. The authors studied the dissemination of a community health worker–based chronic care management (CHW-Based CCM) model in three central Appalachian states and the process for engaging healthRead more…
Community Health Workers’ Role in DSMES and Prediabetes (2019)
Diabetes prevalence continues to grow in the United States, straining the healthcare workforce and increasing disease-burden. This practice piece from the American Association of Diabetes Educators argues that community health workers should be considered in the provision of diabetes self-management education and support (DSMES) to communities experiencing high rates ofRead more…
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