Improving Adherence to Care Recommendations Using a CHW Intervention with the Pediatric Medical Home
J Community Health. 2016 Oct 14. [Pubmed Abstract]
Improving Adherence to Care Recommendations Using a Community Health Worker (CHW) Intervention with the Pediatric Medical Home
Justvig SP, Li J, Caravella G, Chen M, Wang H, Benz Scott LA, Pati S
While CHW interventions improve health outcomes, evidence identifying specific domains of CHW-delivered support resulting in positive outcomes is limited. Our goals were to identify domains of CHW-delivered support that assist families with adhering to recommended pediatric care; and, to identify predictors of successful completion of an enriched medical home intervention (EMHI) using trained CHWs making home visits to provide health education and support positive health behaviors. We performed a prospective descriptive study of 88 families participating in a protocol-based EMHI. Completers (N = 46) finished the program with mutual agreement that the family can independently adhere to recommended clinical care….
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
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…
J Ambul Care Manage. 2016 Jan-Mar;39(1):76-86. [Pubmed Abstract]
“They’re Doing Something That Actually No One Else Can Do”: A Qualitative Study of Peer Support and Primary Care Integration
Mayer MK, Urlaub DM, Guzman-Corrales LM, Kowitt SD, Shea CM, Fisher EB
Peer support (PS) is a strategy for improving quality of care for people with chronic disease and is increasingly being integrated with primary care. We conducted semistructured qualitative interviews with 18 staff members from 4 practices that have integrated PS and primary care. From these interviews, we identified several benefits of PS and primary care integration as well as challenges to integrating and sustaining PS programs. We also identified key considerations and strategies for facilitating integration. Strategies for developing messaging to promote understanding of the unique role of peer supporters are discussed.