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.
CHW Role
Counseled women’s perspectives on their interactions with lay health advisors: a feasibility study.
Although the use of lay health advisors (LHAs) has become a popular intervention in public health promotion projects, few programs have conducted evaluations demonstrating program impact by interviewing people actually counseled by LHAs. This study used semistructured, in-person interviews with 29 older, black women to elicit their perceptions of their interactions with the … [Read more...] about Counseled women’s perspectives on their interactions with lay health advisors: a feasibility study.
Determining prevalence and correlates of elder abuse using promotores: low-income immigrant Latinos report high rates of abuse and neglect.
Low-income Latino immigrants are understudied in elder abuse research. Limited English proficiency, economic insecurity, neighborhood seclusion, a tradition of resolving conflicts within the family, and mistrust of authorities may impede survey research and suppress abuse reporting. To overcome these barriers, promotores, local Spanish-speaking Latinos, were recruited and … [Read more...] about Determining prevalence and correlates of elder abuse using promotores: low-income immigrant Latinos report high rates of abuse and neglect.
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
Report on Community Health Worker Programs
North Dakota does not currently have a system in place to train and certify individuals to serve as Community Health Workers (CHS). The North Dakota (ND) Coordinated Chronic Disease Prevention Program (CCDPP) has designated funds to develop an infrastructure for training and certifying CHWs. Background information, examples of state CHW programs and related … [Read more...] about Report on Community Health Worker Programs