Accelerating Best Practices in Peer Support Around the World

Asthma

1.12.15

CHW Home Visits for Adults With Uncontrolled Asthma: The HomeBASE Trial

JAMA Intern Med. 2015 Jan 1;175(1):109-17. [Pubmed Abstract]

Community Health Worker Home Visits for Adults With Uncontrolled Asthma: The HomeBASE Trial Randomized Clinical Trial
Krieger J, Song L, Philby M

Importance
Asthma is often poorly controlled. Home visitation by community health workers (CHWs) to improve control among adults has not been adequately evaluated.

Objective
To test the hypothesis that CHW home visits for adults with uncontrolled asthma improve outcomes relative to usual care.

Design, Setting, and Participants
Randomized parallel group study with 1-year follow-up, conducted 2008 through 2011 at homes of low-income adults aged 18 to 65 years with uncontrolled asthma living in King County, Washington.

Interventions
The CHWs provided a mean of 4.9 home visits during a 1-year period to assess asthma control, self-management, and home environment and to support asthma self-management practices.

Main Outcomes and Measures
Primary prespecified…

10.24.14

Impact of Integrating CHWs into the Patient-Centered Medical Home

J Prim Care Community Health. 2014 Oct;5(4):271-4. [Pubmed Abstract]

The impact of integrating community health workers into the patient-centered medical home
Matiz LA, Peretz PJ, Jacotin PG, Cruz C, Ramirez-Diaz E, Nieto AR

Objectives
Establishing patient-centered medical homes (PCMHs) that deliver comprehensive care can be challenging for practices serving diverse populations. Integrating community health workers (CHWs) as members of the care team is one approach to deliver such care; however, little is known about this process. We study an approach of integrating CHWs into PCMHs with predominantly Latino, pediatric asthma patients and examine the impact on care delivery.

Methods
A case study was conducted to examine the integration of 8 CHWs into 5 PCMHs in an academic medical center located in a large, urban setting. Data associated with referrals to CHW practice-based education and support and to a care coordination program, as well as survey results from providers on…

10.9.14

A CHW Asthma Intervention for Puerto Rican Youth in Chicago

J Asthma. 2014 Aug 27:1-12. [Pubmed Abstract]

Results from a community-based trial testing a community health worker asthma intervention in Puerto Rican youth in Chicago
Martin MA1, Mosnaim GS, Olson D, Swider S, Karavolos K, Rothschild S

Objective
Puerto Rican children suffer disproportionately from asthma. Project CURA tested the efficacy of a community health worker (CHW) intervention to improve use of inhaled corticosteroids (ICS) and reduce home asthma triggers in Puerto Rican youth in Chicago.

Methods
This study employed a behavioral randomized controlled trial design with a community-based participatory research approach. Medications and technique were visually assessed; adherence was determined using dose counters. Home triggers were assessed via self-report, visual inspection and salivary cotinine. All participants received education on core asthma topics and self-management skills. Participants in the CHW arm were offered home education by the CHW in four visits…

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