Chronic conditions

End-of-Life Cancer Care Redesign: Patient and Caregiver Experiences in a Lay Health Worker–Led Intervention

This article discusses a lay health worker-driven (LHW) intervention called The Engagement of Patients with Advanced Cancer (EPAC). The program assists patients with advance care planning and is effective in improving patient experiences, lowering acute care use and reducing overall health care costs. This study presents information on patient and caregiver perceptions of the … [Read more...] about End-of-Life Cancer Care Redesign: Patient and Caregiver Experiences in a Lay Health Worker–Led Intervention

The purpose of this study was to apply the RE-AIM framework to evaluate data obtained from focus group discussions to generate information on the availability of cardiovascular disease (CVD) risk interventions through the COACH program in Nebraska. The COACH approach involves interventions provided by nurses and community health workers … [Read more...] about Adapting an Evidence-based Cardiovascular Disease Risk Reduction Intervention to Rural Communities.

Low cost strategies for cardiovascular disease (CVD) risk reduction are an essential requirement world over. This open label cluster randomized trial conducted in 28 villages across 3 states in India, looks at the impact of CHW-based interventions in reducing CVD risk factors in households in rural India. … [Read more...] about Cardiovascular risk factor reduction by community health workers in rural India: A cluster randomized trial

This study assessed the feasibility and acceptability of two approaches of community health worker (CHW)-delivered mental health counselling for patients with chronic diseases. The ‘designated’ approach involved CHWs providing counselling in addition to their regular duties while the ‘dedicated’ approach involved the CHWs taking sole responsibility of delivering mental health … [Read more...] about Community health worker-delivered counselling for common mental disorders among chronic disease patients in South Africa: a feasibility study

There is reasonable evidence that pulmonary rehabilitation (PR) is beneficial for alleviating the symptoms and disability brought about by chronic obstructive pulmonary disease (COPD) and can improve health status and quality of life. This cluster randomized control trial evaluates the efficacy of lay health workers (LHWs) to improve uptake and completion of PR in COPD … [Read more...] about Improving uptake and completion of pulmonary rehabilitation in COPD with lay health workers: feasibility of a clinical trial