Accelerating Best Practices in Peer Support Around the World

CVD

5.31.17

The Effectiveness of CHWs in CVD Prevention in LMIC

Glob Heart. 2016 Dec 16. [Pubmed Abstract]

Khetan AK, Purushothaman R, Chami T, Hejjaji V, Madan Mohan SK, Josephson RA, Webel AR

Abstract
Community health workers (CHW) may be effective in tackling the burden of cardiovascular diseases in low- and middle-income countries (LMIC). This review examines whether CHWs can improve the identification and control of cardiovascular risk factors in LMIC. We searched for studies that used CHW as a basis for cardiovascular risk factor management. Our search yielded 11 articles that targeted cardiovascular risk factor assessment, hypertension, diabetes, smoking, diet and physical activity. There were 4 randomized controlled trials, 3 quasi-experimental studies, 3 cross-sectional studies, and 1 retrospective analysis. Eight studies reported positive results with CHW being able to effectively screen for cardiovascular risk factors, decrease systolic blood pressure, decrease fasting blood glucose, increase quit rates of smoking, decrease…

1.17.17

Cardiovascular risk outcome and program evaluation of a cluster RCT of a community-based, lay peer led program for people with diabetes

BMC Public Health. 2016 Aug 24;16(1):864. [Pubmed Abstract]

Cardiovascular risk outcome and program evaluation of a cluster randomised controlled trial of a community-based, lay peer led program for people with diabetes
Riddell MA, Dunbar JA, Absetz P, Wolfe R, Li H, Brand M, Aziz Z, Oldenburg B; Australasian Peers for Progress Diabetes Project Investigators

Background
The 2013 Global Burden of Disease Study demonstrated the increasing burden of diabetes and the challenge it poses to the health systems of all countries. The chronic and complex nature of diabetes requires active self-management by patients in addition to clinical management in order to achieve optimal glycaemic control and appropriate use of available clinical services. This study is an evaluation of a “real world” peer support program aimed at improving the control and management of type 2 diabetes (T2DM) in Australia.

Methods
The trial used a randomised cluster design with a peer support intervention and…

5.5.16

Toward A Scalable, Patient-Centered CHW Model: Adapting the IMPaCT Intervention for Use in the Outpatient Setting

Popul Health Manag. 2016 Mar 23. [Pubmed Abstract]

Toward A Scalable, Patient-Centered Community Health Worker Model: Adapting the IMPaCT Intervention for Use in the Outpatient Setting
Kangovi S, Carter T, Charles D, Smith RA, Glanz K, Long JA, Grande D

Abstract
Community health worker (CHW) programs are an increasingly popular strategy for patient-centered care. Many health care organizations are building CHW programs through trial and error, rather than implementing or adapting evidence-based interventions. This study used a qualitative design-mapping process to adapt an evidence-based CHW intervention, originally developed and tested in the hospital setting, for use among outpatients with multiple chronic conditions. The study involved qualitative in-depth, semi-structured interviews with chronically ill, uninsured, or Medicaid outpatients from low-income zip codes (n = 21) and their primary care practice staff (n = 30). Three key themes informed adaptation of the…

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