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 … [Read more...] about Promotoras as Mental Health Practitioners in Primary Care: A Multi-Method Study of an Intervention to Address Contextual Sources of Depression
The influence of observation and setting on community health workers’ practices.
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 outpatient department than when they … [Read more...] about The influence of observation and setting on community health workers’ practices.
Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial.
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 … [Read more...] about Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial.
Adapting the popular opinion leader intervention for Latino young migrant men who have sex with men.
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, was implemented over a 2-year period by community-based organizations in … [Read more...] about Adapting the popular opinion leader intervention for Latino young migrant men who have sex with men.
Providing health care to low-income women: a matter of trust.
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 workers … [Read more...] about Providing health care to low-income women: a matter of trust.