Training Community Health Workers as Diabetes Educators for Urban African Americans: Value Added Using Participatory Methods

Hill‐Briggs, Felicia; Batts-Turner, Marian; Gary, Tiffany L.; Brancati, Frederick L.; Hill, Martha N.; Levine, David M.; Bone, Lee R.

doi:10.1353/cpr.2007.0008

Cited by 46 publications

(36 citation statements)

References 16 publications

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“…The final selection consisted of 21 studies [383940414243444546474849505152535455565758]. Examples of integrated care interventions included patient education by specialist nurses, structured patient-oriented care coordination, the use of a patient registry to support multidisciplinary team work and practice nurse involvement in shared medical appointments.…”

Section: Resultsmentioning

confidence: 99%

Barriers and Facilitators to Workforce Changes in Integrated Care

Busetto¹,

Luijkx²,

Calciolari³

et al. 2018

International Journal of Integrated Care

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Introduction:The aim of the study is to investigate the barriers and facilitators to the implementation of workforce changes implemented as part of integrated chronic care interventions.Methods:We used a qualitative multimethod design that combined expert questionnaires, a systematic literature review, and secondary analysis of two case reports. Twenty-five experts, twenty-one studies and two case reports were included in the study.Results:Most barriers related to problematic delivery structures, health professionals’ skills and enthusiasm, IT, funding, culture and cooperation and communication. Most facilitators related to health professionals’ motivation and enthusiasm, good delivery structures, communication and cooperation, IT, patients, leadership and senior management. Overall, similar categories of barriers and facilitators were found.Discussion:We recommend that future research focusses on more complex designs including multiple data sources, as these are better able to capture the complexity of interventions such as integrated care. We recommend that health managers and policy-makers should invest in delivery structures and skills and motivation of health professionals to improve the implementation of workforce changes in integrated chronic care interventions.Conclusion:The added value of the present study lies in its provision of information on which factors might mitigate the success of an intervention, which helps to prevent premature conclusions of ineffectiveness for complex interventions.

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Section: Resultsmentioning

confidence: 99%

Barriers and Facilitators to Workforce Changes in Integrated Care

Busetto¹,

Luijkx²,

Calciolari³

et al. 2018

International Journal of Integrated Care

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“…27 For example, in a randomized, controlled trial (RCT) of a nurse case manager and CHW team intervention, CHWs received a mean salary of $20,000 for working with study participants. 28 Similarly, in a study examining the impact of a pharmacist-and health promoter-led intervention, the health promoter position was paid $15 per hour to assist patients in improving their medication adherence via home, clinic, and telephone support interactions. 29 Finally, in a study by Ingram et al 30 of a peerled self-management intervention for Mexican Americans with diabetes, promotoras (the term for peer supporters in the Latino community) were employed as full-time staff by the community health center to conduct outreach and education and earned an hourly wage of $7-10, with health benefits.…”

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confidence: 99%

A Review of Volunteer-Based Peer Support Interventions in Diabetes

Tang¹,

Ayala²,

Cherrington³

et al. 2011

Diabetes Spectrum

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Peer support has become increasingly recognized as a viable and promising model for long-term diabetes self-management. Although there have been several reviews of peer support studies in diabetes, to date, there has been no review that has focused exclusively on interventions involving volunteer peer supporters. This article reviews volunteer-based peer support interventions and examines the implementation strategies and diabetes-related health outcomes associated with them.

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“…As partners in research, CHWs offer valuable insights into the lives of community members, including impediments they face to accessing care and services (Andrews et al, 2004;Hill-Briggs et al, 2007;Peacock et al, 2011). Partly as a result of these demonstrated outcomes, the Patient Protection and Affordable Care Act (2010) highlighted the actual and potential role of CHWs and encouraged their further integration into health care teams.…”

Section: The Role Of Chws In Addressing Health Inequitiesmentioning

confidence: 99%

“…Community health workers (CHWs) have successfully addressed health inequities in a variety of communities, including the African American community (Hill-Briggs et al, 2007). Previous studies suggest that the type of training in which CHWs engage has an impact on their ability to be successful in their work (Wiggins et al, 2013).…”

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confidence: 99%

“It's In My Veins”

Bridgeman‐Bunyoli

Mitchell²,

Abdullah³

et al. 2015

Journal of Ambulatory Care Management

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The role racism and other social determinants of health play in the creation of health inequities in African American communities in the United States is increasingly understood. In this article, we explore the effectiveness of an Afrocentric, popular education-based community health worker (CHW) training program in creating positive change among CHW participants and their communities in Portland, Oregon. Findings suggest that CHW participants experienced 4 types of awakening, in addition to changes in their interaction with their family members and increased community involvement. The CHWs identified group bond, Afrocentrism, public health knowledge, popular education, facilitators, and time management as important elements of an effective training program for this community. Psychological empowerment, self-reported health status, and health behavior among participants generally increased over time, but changes were not statistically significant.

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Training Community Health Workers as Diabetes Educators for Urban African Americans: Value Added Using Participatory Methods

Abstract: Core training in research intervention policies, procedures, and protocols, combined with an extended participatory training, led to effective preparation of laypersons to serve as CHWs.

Cited by 46 publications

References 16 publications

Barriers and Facilitators to Workforce Changes in Integrated Care

Barriers and Facilitators to Workforce Changes in Integrated Care

A Review of Volunteer-Based Peer Support Interventions in Diabetes

“It's In My Veins”

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