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.
United States of America
Effective utilization and evaluation of indigenous health care workers.
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 of Maternal and Child Health that employs IHCWs. Characterizations of IHCWs in … [Read more...] about Effective utilization and evaluation of indigenous health care workers.
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.
The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial.
Although African American adults bear a disproportionate burden from diabetes mellitus (DM), few randomized controlled trials have tested culturally appropriate interventions to improve DM care. This study randomly assigned 542 African Americans with type 2 DM enrolled in an urban managed care organization to either an intensive or minimal intervention group. The intensive … [Read more...] about The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial.
Improving asthma-related health outcomes among low-income, multiethnic, school-aged children: results of a demonstration project that combined continuous quality improvement and community health worker strategies.
The purpose of this work was to improve asthma-related health outcomes in an ethnically and geographically disparate population of economically disadvantaged school-aged children by using a team-based approach using continuous quality improvement and community health workers. Cross-sectional data showed clinic-wide improvements in the documentation of asthma severity, … [Read more...] about Improving asthma-related health outcomes among low-income, multiethnic, school-aged children: results of a demonstration project that combined continuous quality improvement and community health worker strategies.