J Community Health. 2016 Jul 23. [Pubmed Abstract]
Therapeutic Relationship and Study Adherence in a Community Health Worker-Led Intervention
Mundorf C, Shankar A, Peng T, Hassan A, Lichtveld MY
Community health workers (CHWs) are increasingly utilized to reach low-resource communities. A critical domain influencing success is the CHWs’ ability to create and maintain a therapeutic relationship with the participants they serve. A limited evidence base exists detailing this construct, and evaluating CHW-participant relationships in the context of CHW-led programs. In a longitudinal study design, data on this therapeutic relationship were collected [as captured using The Scale to Assess the Therapeutic Relationship in Community Mental Health Care (STAR)] on 141 participants who had been assigned to a CHW during their perinatal period. Results indicate that therapeutic relationship was associated with the participant’s psychosocial health, and independently predicted…
Quantifying the benefits of peer support for people with dementia: A Social Return on Investment study
Dementia (London). 2016 Mar 24. [Pubmed Abstract]
Quantifying the benefits of peer support for people with dementia: A Social Return on Investment (SROI) study
Willis E, Semple AC, de Waal H
Peer support for people with dementia and carers is routinely advocated in national strategies and policy as a post-diagnostic intervention. However there is limited evidence to demonstrate the value these groups offer. This study looked at three dementia peer support groups in South London to evaluate what outcomes they produce and how much social value they create in relation to the cost of investment.
A Social Return on Investment (SROI) analysis was undertaken, which involves collecting data on the inputs, outputs and outcomes of an intervention, which are put into a formula, the end result being a SROI ratio showing how much social value is created per £1 of investment.
Findings showed the three groups created social value ranging from £1.17 to…
Transl Behav Med. 2015 Dec;5(4):415-24. [Pubmed Abstract]
Community health workers assisting Latinos manage stress and diabetes (CALMS-D): rationale, intervention design, implementation, and process outcomes
Wagner J, Bermudez-Millan A, Damio G, Segura-Perez S, Chhabra J, Vergara C, Perez-Escamilla R
Latinos have high rates of diabetes and mental distress, but lack appropriate services. A study was designed to compare enhanced standard diabetes care with enhanced standard care plus community health worker (CHW) delivered stress management for Latinos with type 2 diabetes. This paper reports intervention design and process outcomes. A formative process was used to develop and implement an eight-session, group stress management intervention. One hundred twenty-one participants completed baseline assessments; n = 107 attended diabetes education and were then randomized. Recruits reported high credibility and treatment expectancies. Treatment fidelity was high….