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. The purpose of … [Read more...] about Factors influencing the retention and attrition of community health aides/practitioners in Alaska.
Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education.
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 … [Read more...] about Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education.
Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers.
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 days of referral. Results showed … [Read more...] about Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers.
The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach.
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 advisors … [Read more...] about The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach.
The ethnic minority linkworker: a key member of the primary health care team?
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 traditional nursing tasks, which permits a change of role for the … [Read more...] about The ethnic minority linkworker: a key member of the primary health care team?