Breast cancer screening continues to be underutilized by the population in general, but is particularly underutilized by traditionally underserved minority populations. Two of the most at risk female minority groups are American Indians/Alaska Natives (AI/AN) and Latinas. American Indian women have the poorest recorded 5-year cancer survival rates of any ethnic group while … [Read more...] about Engaging diverse underserved communities to bridge the mammography divide
Chronic conditions
A path analysis of a randomized promotora de salud cardiovascular disease-prevention trial among at-risk Hispanic adults
This study assessed effectiveness of an educational community intervention taught by promotoras de salud in reducing cardiovascular disease (CVD) risk among Hispanics using a structural equation modeling (SEM) approach. Model development was guided by a social ecological framework proposing CVD risk reduction through improvement of protective health behaviors, health beliefs, … [Read more...] about A path analysis of a randomized promotora de salud cardiovascular disease-prevention trial among at-risk Hispanic adults
Applying the community health worker model to diabetes management: using mixed methods to assess implementation and effectiveness.
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...] about Applying the community health worker model to diabetes management: using mixed methods to assess implementation and effectiveness.
Improving Asthma Management among African-American Children via a Community Health Worker Model: Findings from a Chicago-Based Pilot Intervention
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 pilot project implemented and evaluated a … [Read more...] about Improving Asthma Management among African-American Children via a Community Health Worker Model: Findings from a Chicago-Based Pilot Intervention
Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.
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) levels. The … [Read more...] about Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.