Cluster Randomized Trial

Older Adults’ Engagement for Change Reported During Community Health Worker Calls in an Enhanced Home-Delivered Meal Program

This study explored how Community Health Workers (CHWs) supported older adults who were unable to leave their homes through a meal delivery programme in Rhode Island, USA. In addition to receiving meals, 57 participants received coaching calls and healthy grocery bags to help them improve their health. More than half reported concerns about food and nutrition, and many set … [Read more...] about Older Adults’ Engagement for Change Reported During Community Health Worker Calls in an Enhanced Home-Delivered Meal Program

This study in Metro Manila, Philippines, looked at whether a program designed to strengthen hope could improve the well-being of community health workers from low-income communities. The program helped increase workers’ sense of support and hope from their families and peers, as well as their overall well-being. It also encouraged greater interest and participation in community … [Read more...] about The Locus-of-Hope Enhancement Program for Filipino Community Health Workers’ Hope and Well-Being: A Parallel Randomized Alternative-Treatments Study

This study in rural Lesotho looked at whether trained community health workers could safely manage high blood pressure, including adjusting patients’ medicines, instead of relying only on nurses at health facilities. The study involved 807 adults across 103 villages and found that after one year, blood pressure was controlled in 77.7% of people receiving care from CHWs compared … [Read more...] about Community Health Worker–Led Hypertension Management with Independent Prescribing in Rural Lesotho: A Cluster-Randomised Non-Inferiority Trial

This study examined whether digital training could improve the ability of lay health workers in Malawi to provide HIV testing to the partners and family members of people living with HIV. Among 306 health workers from 34 health facilities, those who received tablet-based training in addition to regular training showed greater improvements in knowledge and attitudes and … [Read more...] about Digital Training for Lay Health Care Workers’ Knowledge and Skills in HIV Index Case Testing: Cluster Randomized Trial

This study in rural Nepal tested whether female community health volunteers could help adults prevent and manage high blood pressure. Thirty-four volunteers led group sessions covering blood pressure checks, healthy lifestyles, taking medicines regularly, and referrals for people needing further care. The program was successfully taken up by all participating health facilities, … [Read more...] about Female Community Health Volunteer-led intervention for hypertension prevention and control in rural Nepal: A hybrid type 2 effectiveness-implementation design