Results: 3217
Detroit’s East Side Village Health Worker Partnership: community-based lay health advisor intervention in an urban area. (1998)
In recent years, there have been few reports in the literature of interventions using a lay health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community health worker model, which has been used extensively in rural areas, may differ in anRead more…
Customizing survey instruments and data collection to reach Hispanic/Latino adults in border communities in Texas. (2010)
This research sought to modify an instrument and to use it to collect information on smoking knowledge, attitudes, beliefs, and behaviors among Hispanics/Latinos, and to adapt survey methods to obtain high participation levels. Promotoras (outreach workers) conducted face-to-face interviews. Strategic, targeted, carefully designed methods and surveys can achieve high reach andRead more…
Role development of community health workers: an examination of selection and training processes in the intervention literature. (2009)
Research evaluating community health worker (CHW) programs inherently involves these natural community leaders in the research process, and often represents community-based participatory research (CBPR). Interpreting the results of CHW intervention studies and replicating their findings requires knowledge of how CHWs are selected and trained. There was inconsistent reporting of selection andRead more…
Community health worker intervention to decrease cervical cancer disparities in Hispanic women. (2010)
U.S. Hispanic women suffer a disproportionate burden of cervical cancer, with incidence and mortality rates almost twice that of whites. Community health workers, or promotoras, are considered a potential strategy for eliminating such racial and ethnic health disparities. The current study is a randomized trial of a promotora-led educational interventionRead more…
Promotores as researchers: expanding the promotor role in community-based research. (2011)
The community health worker, known as promotor in the Hispanic community, is an accepted member of the public health team whose core role is that of bridging target communities with health services. However, the promotor’s role in research has not been considered a core function of their work. This articleRead more…
Texas’ Community Health Workforce: From State Health Promotion Policy to Community-level Practice (2005)
In 1999, Texas became the first state in the nation to recognize these workers and their contributions to keeping Texans healthy. This paper examines a state health promotion policy that culminated in a training and certification program for promotores and the impact of this program on the lay health educationRead more…
New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team. (2010)
This article assesses the value of using telecommunications with Promotoras (paraprofessional outreach workers) and an expert medical team of registered nurses (RNs) and endocrinologists in an at-risk type 2 diabetic Hispanic population recruited for a telemedicine feasibility project from a free clinic. A Promotoras is the primary educator and theRead more…
Tobacco cessation services through community health workers for Spanish-speaking populations. (2006)
Partnerships were established with the University of Arizona’s Healthcare Partnership to train promotores–Spanish-speaking community health workers–as tobacco cessation counselors. Tobacco Free El Paso certified promotores to help identify tobacco users and offer tobacco cessation counseling services. Participants who completed Técnicas Básicas, Treatment Specialist, and Déjate de ese Vicio certifications significantlyRead more…
Reducing home triggers for asthma: the Latino community health worker approach. (2006)
This study assessed the ability of a community health worker asthma intervention to change home asthma triggers. A total of 56 children and 47 adults with asthma were enrolled. Every home visit was associated with a 0.32 reduction in home trigger score (p < 0.01) for children and a 0.41Read more…
Child passenger safety for inner-city Latinos: new approaches from the community. (2006)
Motor vehicle crashes injuries, the leading cause of death for Latino children in the United States, can be reduced by the correct use of child safety seats. This study evaluated the ability of a community health worker education program to improve proper child safety seat usage in urban low incomeRead more…
People Improving the Community’s Health: community health workers as agents of change. (2006)
People Improving the Community’s Health (PITCH) uses teams of community health workers to provide targeted outreach, to enroll those eligible in health coverage plans, to provide information and linkages to health and social support services, and to engage community members in community improvement activities. The initiative is based on theRead more…
Salud es vida: development of a cervical cancer education curriculum for promotora outreach with Latina farmworkers in rural Southern Georgia. (2011)
This research developed and evaluated a lay health worker curriculum intended to educate Hispanic farmworker women on cervical cancer, human papillomavirus (HPV), and the HPV vaccine. We pilot tested the curriculum in 2010 with 7 volunteer promotoras for readability, attractiveness, content, comprehension, cultural appropriateness, persuasion, structure and organization of lessons,Read more…
CHWs get credit: a 10-year history of the first college-credit certificate for community health workers in the United States. (2004)
Community health workers have become increasingly important in the U.S. health care system, playing a significant role in basic health promotion and care coordination; however, their status and visibility have not kept pace with their wider use. A major impediment has been the absence of systematic preparation-the field needs standardizedRead more…
Educating Hispanic women about breast cancer prevention: evaluation of a home-based promotora-led intervention. (2010)
Trained community health promoters (i.e., promotoras) conducted home-based group educational interventions (home health parties) to educate Hispanic women from the Lower Yakima Valley of Washington state about breast cancer and mammography screening. Changes in general cancer knowledge, breast cancer screening practices, and intentions to be screened among participants from baseline toRead more…
Factors influencing the retention and attrition of community health aides/practitioners in Alaska. (2004)
The Community Health Aide Program (CHAP) is a unique program employing local, indigenous peoples as primary care nonphysician providers in extremely remote frontier, tribal Alaskan communities. With attrition rates up to 20%, recommendations for improving retention are necessary to maintain access to health services for Alaska Natives in these communities. TheRead more…
Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education. (2003)
Five times more Vietnamese-American women develop cervical cancer than white women. Few studies have examined whether community-based participatory research can effectively address Asian immigrants’ health problems. This article reports the preliminary evaluation of 1 such project. At post-intervention, significantly more LHWO+ME women understood that human papillomavirus and smoking cause cervical cancer.Read more…
Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers. (1999)
This study assessed the effectiveness of enhanced tracking and follow-up services provided by community health workers in promoting medical follow-up of persons whose elevated blood pressures were detected during blood pressure measurement at urban community sites. The primary outcome measure was completion of a medical follow-up visit within 90 daysRead more…
The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach. (2004)
Overweight and obesity, lack of exercise, and exposure to tobacco smoke are clearly identified behavioral risk factors for cardiovascular disease. These problems disproportionately affect some communities. To address these problems within one community of underserved Latinos, participatory research methods were used to design an outreach program. Latina lay health advisorsRead more…
The ethnic minority linkworker: a key member of the primary health care team? (1999)
This article presents an evaluation of the role of a link-worker trained in health promotion and aspects of chronic disease management. A shift in workload occurred from the practice nurse to link-worker, and there were improvements in asthma and diabetes care. A link-worker can be successfully trained to do traditionalRead more…
Can community health workers improve adherence to highly active antiretroviral therapy in the USA? A review of the literature. (2011)
Highly active antiretroviral therapy (HAART) has transformed HIV infection into a manageable chronic illness, yet AIDS mortality among ethnic minorities persists in the USA. HAART nonadherence is associated with increased HIV viral load, low CD4 cell count and racial disparities in HIV outcomes. While there is no universal consensus onRead more…
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