[go: up one dir, main page]

IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2017.303985_1.html
   My bibliography  Save this article

Community health worker support for disadvantaged patients with multiple chronic diseases: A randomized clinical trial

Author

Listed:
  • Kangovi, S.
  • Mitra, N.
  • Grande, D.
  • Huo, H.
  • Smith, R.A.
  • Long, J.A.
Abstract
Objectives. To determine whether a community health worker (CHW) intervention improved outcomes in a low-income population with multiple chronic conditions. Methods. We conducted a single-blind, randomized clinical trial in Philadelphia, Pennsylvania (2013-2014). Participants (n = 302) were high-poverty neighborhood residents, uninsured or publicly insured, and diagnosed with 2 or more chronic diseases (diabetes, obesity, tobacco dependence, hypertension). All patients set a diseasemanagement goal. Patients randomly assigned to CHWs also received 6 months of support tailored to their goals and preferences. Results. Support from CHWs (vs goal-setting alone) led to improvements in several chronic diseases (changes in glycosylated hemoglobin: -0.4 vs 0.0; body mass index: -0.3 vs -0.1; cigarettes per day: -5.5 vs -1.3; systolic blood pressure: -1.8 vs -11.2; overall P = .08), self-rated mental health (12-item Short Form survey; 2.3 vs -0.2; P = .008), and quality of care (Consumer Assessment of Healthcare Providers and Systems; 62.9% vs 38%; P

Suggested Citation

  • Kangovi, S. & Mitra, N. & Grande, D. & Huo, H. & Smith, R.A. & Long, J.A., 2017. "Community health worker support for disadvantaged patients with multiple chronic diseases: A randomized clinical trial," American Journal of Public Health, American Public Health Association, vol. 107(10), pages 1660-1667.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.303985_1
    DOI: 10.2105/AJPH.2017.303985
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2017.303985
    Download Restriction: no

    File URL: https://libkey.io/10.2105/AJPH.2017.303985?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Andrew D Kerkhoff & Darpun Sachdev & Sara Mizany & Susy Rojas & Monica Gandhi & James Peng & Douglas Black & Diane Jones & Susana Rojas & Jon Jacobo & Valerie Tulier-Laiwa & Maya Petersen & Jackie Mar, 2020. "Evaluation of a novel community-based COVID-19 ‘Test-to-Care’ model for low-income populations," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-18, October.
    2. Ibrahim Alananzeh & Heidi Lord & Ritin Fernandez, 2021. "Social Support for Arab People with Chronic Conditions: A Scoping Review," Clinical Nursing Research, , vol. 30(4), pages 380-391, May.
    3. Dorien Vanden Bossche & Sara Willems & Peter Decat, 2022. "Understanding Trustful Relationships between Community Health Workers and Vulnerable Citizens during the COVID-19 Pandemic: A Realist Evaluation," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
    4. Cynthia F. Corbett & Kenn B. Daratha & Sterling McPherson & Crystal L. Smith & Michael S. Wiser & Brenda K. Vogrig & Sean M. Murphy & Roy Cantu & Dennis G. Dyck, 2021. "Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults," IJERPH, MDPI, vol. 18(11), pages 1-14, May.
    5. Flier, Jeffrey & Rhoads, Jared, 2018. "The US Health Provider Workforce: Determinants and Potential Paths to Enhancement," Working Papers 07662, George Mason University, Mercatus Center.
    6. Atheendar S Venkataramani & Rourke O’Brien & Gregory L Whitehorn & Alexander C Tsai, 2020. "Economic influences on population health in the United States: Toward policymaking driven by data and evidence," PLOS Medicine, Public Library of Science, vol. 17(9), pages 1-17, September.
    7. Li, Yan, 2022. "Social care for disabled elderly women in urban China: The roles of the community," Social Science & Medicine, Elsevier, vol. 314(C).
    8. Guey-Shin Shyu & Shinn-Jou Lin & Wei-Ta Fang & Bai-You Cheng, 2020. "How to Screen Suitable Service Improve Community Health Care Services by University Students in Taiwan," IJERPH, MDPI, vol. 17(15), pages 1-13, July.
    9. Aliza Moledina & Olivia Magwood & Eric Agbata & Jui‐Hsia Hung & Ammar Saad & Kednapa Thavorn & Ginetta Salvalaggio & Gary Bloch & David Ponka & Tim Aubry & Claire Kendall & Kevin Pottie, 2021. "A comprehensive review of prioritised interventions to improve the health and wellbeing of persons with lived experience of homelessness," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.303985_1. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.