Accelerating Best Practices in Peer Support Around the World

Hypertension

4.27.15

Partners in Health: A Conceptual Framework for the Role of CHWs in Facilitating Patients’ Adoption of Healthy Behaviors

Am J Public Health. 2015 May;105(5):872-80. [Pubmed Abstract]

Partners in Health: A Conceptual Framework for the Role of Community Health Workers in Facilitating Patients’ Adoption of Healthy Behaviors
Katigbak C, Van Devanter N, Islam N, Trinh-Shevrin C

Abstract
We formulated a conceptual framework that begins to answer the national call to improve health care access, delivery, and quality by explaining the processes through which community health workers (CHWs) facilitate patients’ adoption of healthy behaviors. In September 2011 to January 2012, we conducted a qualitative study that triangulated multiple data sources: 26 in-depth interviews, training documents, and patient charts. CHWs served as partners in health to immigrant Filipinos with hypertension, leveraging their cultural congruence with intervention participants, employing interpersonal communication techniques to build trust and rapport, providing social support, and assisting with health behavior change. To…

3.26.15

Improving Heart Healthy Lifestyles in a Salud Para su Corazón Promotores Model

Prev Chronic Dis. 2015 Mar 12;12:E34. [Pubmed Abstract]

Improving Heart Healthy Lifestyles among Participants in a Salud Para su Corazón Promotores Model: The Mexican Pilot Study, 2009-2012
Balcázar H, Fernández-Gaxiola AC, Pérez-Lizaur AB, Peyron RA, Ayala C

Introduction:
In Mexico, cardiovascular disease and its risk factors are growing problems and major public health concerns. The objective of this study was to implement cardiovascular health promotion and disease prevention activities of the Salud para su Corazón model in a high-risk, impoverished, urban community in Mexico City.

Methods:
We used a pretest-posttest (baseline to 12-week follow-up) design without a control group. Material from Salud para su Corazón was validated and delivered by promotores (community health workers) to community members from 6 geographic areas. Two validated, self-administered questionnaires that assessed participants’ knowledge and behaviors relating to heart health were…

10.9.14

Integrating CHWs into a PCMH for a Vietnamese American Population

Health Promot Pract. 2014 Aug 19. [Pubmed Abstract]

Integrating Community Health Workers Into a Patient-Centered Medical Home to Support Disease Self-Management Among Vietnamese Americans: Lessons Learned
Wennerstrom A, Bui T, Harden-Barrios J, Price-Haywood EG

There is evidence that patient-centered medical homes (PCMHs) and community health workers (CHWs) improve chronic disease management. There are few models for integrating CHWs into PCMHs in order to enhance disease self-management support among diverse populations. In this article, we describe how a community-based nonprofit agency, a PCMH, and academic partners collaborated to develop and implement the Patient Resource and Education Program (PREP). We employed CHWs as PCMH care team members to provide health education and support to Vietnamese American patients with uncontrolled diabetes and/or hypertension. We began by conducting focus groups to assess patient knowledge, desire for support, and availability of…

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