scholarly journals Community Health Workers: A Missing Piece of the Puzzle for Complex Patients With Diabetes?

2015 ◽  
Vol 30 (7) ◽  
pp. 878-879 ◽  
Author(s):  
Maria E. Garcia ◽  
Richard W. Grant
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Complex Patients ◽  
Patients With Diabetes

Community Health Workers Assisting Patients With Diabetes in Self-management

2012 ◽  
Vol 35 (1) ◽  
pp. 15-26 ◽  
Author(s):  
J. Lee Hargraves ◽  
Warren J. Ferguson ◽  
Celeste A. Lemay ◽  
Joan Pernice
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Self Management ◽  
Patients With Diabetes

scholarly journals Community health workers improve disease control and medication adherence among patients with diabetes and/or hypertension in Chiapas, Mexico: an observational stepped-wedge study

2018 ◽  
Vol 3 (1) ◽  
pp. e000566 ◽  
Author(s):  
Patrick M Newman ◽  
Molly F Franke ◽  
Jafet Arrieta ◽  
Hector Carrasco ◽  
Patrick Elliott ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Disease Control ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Haemoglobin A1c ◽  
Stepped Wedge ◽  
Patients With Diabetes ◽  
The Impact ◽  
Improve Disease Control

BackgroundNon-communicable diseases (NCDs) contribute greatly to morbidity and mortality in low-income and middle-income countries (LMICs). Community health workers (CHWs) may improve disease control and medication adherence among patients with NCDs in LMICs, but data are lacking. We assessed the impact of a CHW-led intervention on disease control and adherence among patients with diabetes and/or hypertension in Chiapas, Mexico.MethodsWe conducted a prospective observational study among adult patients with diabetes and/or hypertension, in the context of a stepped-wedge roll-out of a CHW-led intervention. We measured self-reported adherence to medications, blood pressure and haemoglobin A1c at baseline and every 3 months, timed just prior to expansion of the intervention to a new community. We conducted individual-level mixed effects analyses of study data, adjusting for time and clustering by patient and community.FindingsWe analysed 108 patients. The CHW-led intervention was associated with a twofold increase in the odds of disease control (OR 2.04, 95% CI 1.15 to 3.62). It was also associated with optimal adherence assessed by 30-day recall (OR 1.86; 95% CI 1.15 to 3.02) and a positive self-assessment of adherence behaviour (OR 2.29; 95% CI 1.26 to 4.15), but not by 5-day recall.InterpretationA CHW-led adherence intervention was associated with disease control and adherence among adults with diabetes and/or hypertension. This study supports a role of CHWs in supplementing comprehensive primary care for patients with NCDs in LMICs.Trial registration numberNCT02549495.

Bringing Community Health Workers into the Mainstream of U.S. Health Care

2015 ◽  
Vol 5 (2) ◽  
Author(s):  
Mary Pittman ◽  
Anne Sunderland ◽  
Andrew Broderick ◽  
Kevin Barnett
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers
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