Results: 3217
Teaching how, not what: the contributions of community health workers to diabetes self-management. (2007)
The purpose of this study is to describe ways in which community health workers (CHWs) are used in various clinic and community settings to support diabetes self-management (DSM). The assistance CHWs reported providing was most often in form of encouragement/motivation. During interviews, patients shared that CHWs were helpful in demonstratingRead more…
Measuring return on investment of outreach by community health workers. (2006)
Community health workers (CHWs) are effective in improving access to health care, promoting client knowledge and behavior change, and contributing to improved health status of individuals. However, few outreach programs have evaluated the financial impact of CHWs on health care systems and policies. A longitudinal repeated measures design was usedRead more…
Do community health worker interventions improve rates of screening mammography in the United States? A systematic review. (2011)
Community health workers (CHW) are lay individuals who are trained to serve as liaisons between members of their communities and health care providers and services. A systematic review was conducted to synthesize evidence from all prospective controlled studies on effectiveness of CHW programs in improving screening mammography rates. Participation in aRead more…
Comprehensive asthma management for underserved children. (2007)
In response to the ‘asthma epidemic’, local organisations in San Francisco formed the Yes We Can Urban Asthma Partnership, which uses a comprehensive medical/social model for paediatric asthma care. The Yes We Can Urban Asthma Partnership reaches out to high-risk children in different clinical settings: urgent visits, the hospital, aRead more…
How to make the most of village health promoters. (1997)
In a rural area of Bangladesh the methods used by village health promoters and the time available to them for their intended tasks were inadequate. Poverty and illiteracy in the community exacerbated their difficulties. Ways of tackling these problems are discussed in the article.
Community health workers: a front line for primary care? (2012)
Among the potential changes invoked in discussions on health system transformation, a need to revitalize primary care remains paramount. One way of doing this, most agree, is to move more in the direction of team-based care. Professionals such as physician assistants and nurse practitioners may be able to ease someRead more…
Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression (2011)
We assessed the role of promotoras—briefly trained community health workers—in depression care at community health centers. The intervention focused on four contextual sources of depression in underserved, low-income communities: underemployment, inadequate housing, food insecurity, and violence. After a structured training program, primary care practitioners (PCPs) and promotoras collaboratively followed aRead more…
The influence of observation and setting on community health workers’ practices. (2006)
This study aims to determine whether results from an evaluation that involved observation of community health workers while they performed patient consultations in a hospital reflected normal everyday practices. We found that community health workers made treatment errors less frequently when they were observed in a hospital in-patient or outpatientRead more…
Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. (2011)
This research tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control. Using an empowerment-based approach, community health workers provided participants with diabetes self-management education and regular home visits, and accompanied them to a clinic visit during the 6-month intervention period. This studyRead more…
Adapting the popular opinion leader intervention for Latino young migrant men who have sex with men. (2006)
Young Latino migrant men who have sex with men are at high risk for HIV infection. The Popular Opinion Leader intervention, shown to be effective with White gay men, was adapted by the Farmworker Justice Fund, Inc., for this Latino migrant population. This project, called the Young Latino Promotores, wasRead more…
Providing health care to low-income women: a matter of trust. (2004)
Trust is an important indicator of quality in patient-provider relationships and predicts adherence to certain protective health behaviours. It has been relatively unexplored among low-income or minority women. We explored health care experiences that influence patient trust among low-income women in the USA with respect to professionals and lay health workersRead more…
Effects of a culturally grounded community-based diabetes prevention program for obese Latino adolescents. (2012)
The purpose of this study was to test the feasibility and preliminary effects of a culturally grounded, community-based diabetes prevention program among obese Latino adolescents. Fifteen obese Latino adolescents completed a 12-week intervention that included weekly lifestyle education classes delivered by bilingual/bicultural promotoras and three, 60-minute physical activity sessions per week.Read more…
African American Community Breast Health Education: A Pilot Project. (2006)
This paper reports the results of a project designed to examine the effectiveness of a Train the Trainer breast health education and screening program for African American, elderly and underserved women residing in the greater Nashville area. The project aimed to identify a cadre of women from the community willingRead more…
Pasa la voz (spread the word): using women’s social networks for HIV education and testing. (2010)
Pasa la Voz (spread the word) is a human immunodeficiency virus (HIV) prevention methodology inspired by respondent-driven sampling (RDS) that uses social networks to access hard-to-reach populations. As field testing showed the approach to be efficacious among at-risk women in West Texas and Southern New Mexico, we set out toRead more…
Church-Based Breast Cancer Screening Education: Impact of Two Approaches on Latinas Enrolled in Public and Private Health Insurance Plans (2007)
The Tepeyac Project is a church-based health promotion project that was conducted from 1999 through 2005 to increase breast cancer screening rates among Latinas in Colorado. Previous reports evaluated the project among Medicare and Medicaid enrollees in the state. In this report, we evaluate the program among enrollees in theRead more…
Lay Health Advisor Interventions Among Hispanics/Latinos: (2007)
With an expanding Hispanic/Latino community in the United States, practitioners and researchers working to promote health and prevent disease have relied on lay health advisor (LHA) models to address a variety of health issues. The primary goal of this systematic review was to explore how LHA approaches have been usedRead more…
Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial. (2011)
This research was designed to evaluate the effect of a culturally sensitive diabetes self-management education program that uses a low-cost, peer-educator format (Project Dulce) on glucose control and metabolic parameters in low-income Mexican Americans with type 2 diabetes. This randomized trial, using the Project Dulce model of culturally sensitive, peer-led education,Read more…
Nike-Footed Health Workers deal with the problems of adolescent pregnancy. (1992)
Working principally to prevent repeat teen pregnancy, improve birth outcomes to teen mothers, and build adolescent parenting skills, the Nike (sneaker)-Footed Health Worker Project (NFHW) draws trainees from the target population of parenting adolescents. The Nike-Footed Health Worker Project is designed to allow adolescent mothers to complete high school whileRead more…
The impact of community health worker training and programs in NYC. (2006)
The Northern Manhattan Community Voices Collaborative is committed to improving health care in Harlem, Washington Heights, Inwood, and low-income communities in New York City, large parts of which are home to many immigrants to the U.S. The collaborative developed a program to train and integrate community health workers (CHWs) intoRead more…
Evaluating the efficacy of lay health advisors for increasing risk-appropriate Pap test screening: a randomized controlled trial among Ohio Appalachian women. (2011)
Cervical cancer is a significant health disparity among women in Ohio Appalachia. The goal of this study was to evaluate the efficacy of a lay health advisor (LHA) intervention for improving Papanicolaou (Pap) testing rates, to reduce cervical cancer, among women in need of screening. Women from 14 Ohio Appalachian clinicsRead more…
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