Identifying the Core Elements of Effective Community Health Worker Programs: A Research Agenda

Arvey, Sarah R.; Fernández, María E.

doi:10.2105/ajph.2012.300649

Cited by 73 publications

(68 citation statements)

References 32 publications

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“…Therefore, evaluations of the effectiveness and comparative effectiveness of CHW interventions for men (as well as women)are becoming increasingly important. Such evaluations should consider contextual factors and processes that may differ by gender and, therefore, potentially influence the effectiveness of CHW interventions among men versus women (Arvey and Fernandez, 2012; Glenton et al, 2011). …”

Section: Discussionmentioning

confidence: 99%

Community Health Worker Hepatitis B Education for Cambodian American Men and Women

Taylor

Burke

Sos

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Cambodian Americans have high rates of chronic hepatitis B virus (HBV) infection and liver cancer. There is very limited information about the utility of community health worker (CHW) approaches to cancer education for Asian American men. We have previously reported our positive findings from a trial of CHW education about HBV for Cambodian Americans who had never been tested for HBV. This report describes similarities and differences between the outcomes of our CHW HBV educational intervention among Cambodian American men and women. Methods: The study group for this analysis included 87 individuals (39 men and 48 women) who were randomized to the experimental (HBV education) arm of our trial, participated in the CHW educational intervention, and provided follow-up data six months post-intervention. We examined HBV testing rates at follow-up, changes in HBV-related knowledge between baseline and follow-up, and barriers to HBV testing (that were reported to CHWs) by gender. Results: At follow-up, 15% of men and 31% of women reported they had received a HBV test (p=0.09). HBV-related knowledge levels increased significantly among both men and women. With respect to HBV testing barriers, women were more likely than men to cite knowledge deficits, and men were more likely than women to cite logistic issues. Discussion: Our study findings indicate that CHW interventions can positively impact knowledge among Cambodian American men, as well as women. They also suggest CHW interventions may be less effective in promoting the use of preventive procedures by Cambodian American men than women. Future CHW research initiatives should consider contextual factors that may differ by gender and, therefore, potentially influence the relative effectiveness of CHW interventions for men versus women.

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Section: Discussionmentioning

confidence: 99%

Community Health Worker Hepatitis B Education for Cambodian American Men and Women

Taylor

Burke

Sos

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…22 As FCMHs and hospitals are increasingly being held accountable to population quality measures, interest in home visitation (HV) and community health worker models have increased. 23 For instance, Healthcare Effectiveness Data and Information Set quality measures that assess well-child visit attendance of a primary care practice' s panel has increased interest in medical home outreach to families and home visitation strategies. Similarly, hospital reimbursement tied to readmission rates has also led some to consider social determinants of health and strategies beyond the health care setting.…”

Section: The Family-centered Medical Homementioning

confidence: 99%

“…Community health worker programs have also increased with emphasis on the shared culture of the worker and the family. 23 The scope of HV programs has been expanding to address special populations and to include additional goals such as follow-up from hospital discharge, medical visits to children who have special health care needs (eg, asthma care), hospice and palliative care, and environmental evaluations (eg, home lead evaluations). Although some HV programs are based in traditional health care settings such as hospitals and primary care practices, many are operated by state or local public health departments or private companies, often without connection to primary care practices.…”

Section: Home Visitationmentioning

confidence: 99%

“…22,23 Hardy and Street found that home visits conducted 2 to 3 weeks before a well-child visit resulted in fewer missed visits, fewer sick and acute care visits, decreased hospitalization, and decreased abuse and neglect. 37 Furthermore, at-risk children receiving an intensive HV program in collaboration with a PCP improved involvement with and retention in early intervention programs.…”

Section: Evidence For Integrationmentioning

confidence: 99%

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Merging Systems: Integrating Home Visitation and the Family-Centered Medical Home

2013

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To improve the health of children and bend the health care cost curve we must integrate the individual and population approaches to health and health care delivery. The 2012 Institute of Medicine (IOM) report Primary Care and Public Health: Exploring Integration to Improve Population Health laid out the continuum for integration of primary care and public health stretching from isolation to merging systems. Integration of the family-centered medical home (FCMH) and home visitation (HV) would promote overall efficiency and effectiveness and help achieve gains in population health through improving the quality of health care delivered, decreasing duplication, reinforcing similar health priorities, decreasing costs, and decreasing health disparities. This paper aims to (1) provide a brief description of the goals and scope of care of the FCMH and HV, (2) outline the need for integration of the FCMH and HV and synergies of integration, (3) apply the IOM' s continuum of integration framework to the FCMH and HV and describe barriers to integration, and (4) use child developmental surveillance and screening as an example of the potential impact of HV-FCMH integration. Pediatrics 2013;132:S74-S81 AUTHORS:

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“…19 Use Community Health Workers The third strategy is to employ community health workers to off-load certain duties from primary care providers. 20 Known by a variety of terms, including "lay health advisers," "promotores," and "GrandAides," 21 community health workers frequently come from the neighborhoods they serve. 22 Most of them provide health education, make followup phone calls, and visit patients in their homes.…”

Section: Closing the Gapmentioning

confidence: 99%

Primary Care Technicians: A Solution To The Primary Care Workforce Gap

et al. 2013

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Efforts to close the primary care workforce gap typically employ one of three basic strategies: train more primary care physicians; boost the supply of nurse practitioners or physician assistants, or both; or use community health workers to extend the reach of primary care physicians. In this article we briefly review each strategy and the barriers to its success. We then propose a new approach adapted from the widely accepted model of emergency medical services. Translating this model to primary care and leveraging the capabilities of modern health information technology, it should be possible to create primary care technicians who can dramatically expand the impact and reach of patient-centered medical homes by providing basic preventive, minor illness, and stable chronic disease care in rural and resource-deprived communities. P rimary care is "the logical basis of an effective health care system." 1 Nations with strong primary care systems enjoy better health and spend less than those that do not.

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Identifying the Core Elements of Effective Community Health Worker Programs: A Research Agenda

Cited by 73 publications

References 32 publications

Community Health Worker Hepatitis B Education for Cambodian American Men and Women

Community Health Worker Hepatitis B Education for Cambodian American Men and Women

Merging Systems: Integrating Home Visitation and the Family-Centered Medical Home

Primary Care Technicians: A Solution To The Primary Care Workforce Gap

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