Pediatric
Integrating Social Needs Screening and CHWs in Primary Care: The Community Linkage to Care Program
Clin Pediatr (Phila). 2020 Jun;59(6):547-556. [Pubmed Abstract]
Fiori KP, Rehm CD, Sanderson D, Braganza S, Parsons A, Chodon T, Whiskey R, Bernard P, & Rinke ML
Abstract
Clinic-based social needs screening has been associated with increased access to social services and improved health outcomes. Using a pragmatic study design in an urban pediatric practice, we used logistic regression to identify factors associated with successful social service uptake. From December 2017 to November 2018, 4948 households were screened for social needs, and 20% self-reported at least one. Of the 287 households with unmet needs who were referred and interested in further assistance, 43% reported successful social service uptake. Greater than 4 outreach encounters (adjusted odds ratio = 1.92; 95% confidence interval = 1.06-3.49) and follow-up time >30 days (adjusted odds ratio = 0.43; 95% confidence interval = 0.25-0.73) were significantly associated with successful referrals. These…
Mediators and Moderators of the Effectiveness of a CHW Intervention…
Health Educ Behav. 2015 Jan 30. [Pubmed Abstract]
Mediators and Moderators of the Effectiveness of a Community Health Worker Intervention that Improved Dietary Outcomes in Pregnant Latino Women
Shah MK, Kieffer EC, Choi H, Schumann C, Heisler M
Background
Pregnancy is an opportune time to initiate diabetes prevention strategies for minority and underserved women, using culturally tailored interventions delivered by community health workers. A community-partnered randomized controlled trial (RCT) with pregnant Latino women resulted in significantly improved vegetable, fiber, added sugar, and total fat consumption compared to a minimal intervention group. However, studying RCT intervention effects alone does not explain the mechanisms by which the intervention was successful or help identify which participants may have benefitted most.
Purpose
To improve the development and targeting of future community health worker interventions for high-risk pregnant women, we examined…
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…
