Corrigendum to: Addressing financial strain through a peer-to-peer intervention in primary care

Abstract Background Financial strain is a key social determinant of health. As primary care organizations begin to explore ways to address social determinants, peer-to-peer interventions hold promise. Objective Our objective was to evaluate a peer-to-peer intervention focussed on financial empowerment delivered in primary care, in partnership with a social enterprise. Methods This intervention was hosted by a large primary care organization in Toronto, Canada. Participants were recruited within the organization and from local services. We organized three separate groups who met over 10 weekly in-person, facilitated sessions: millennials (age 19–29) no longer in school, precariously employed adults (age 30–55) and older adults near retirement (age 55–64). We applied principles of adult education and peer-to-peer learning. We administered surveys at intake, at exit and at 3 months after the intervention, and conducted three focus groups. Results Fifty-nine people took part. At 3 months, participants had sustained higher rates of optimism about their financial situation (54% improved from baseline), their degree of control (55% improved) and stress around finances (50% improved). In focus groups, participants reported greater understanding of their finances, that they were not alone in struggling with finances, and that it was useful to meet with others. One group continued to meet for several months after the intervention. Conclusions In this study, a peer-to-peer intervention helped address a key social determinant of health, likely through reducing stigma, providing group support and creating a space to discuss solutions. Primary care can host these interventions and help engage potential participants.

Download Full-text

Drug Story Theater: A Mixed-Methods Study of a Peer-to-Peer Approach to Substance Abuse Education

Health Behavior and Policy Review ◽

10.14485/hbpr.8.4.1 ◽

2021 ◽

Vol 8 (4) ◽

Author(s):

joseph shrand ◽

madeline digiovanni ◽

dana lee ◽

anita kishnore ◽

andres martin

Keyword(s):

Substance Use ◽

High School Students ◽

Risk Perceptions ◽

Peer To Peer ◽

Active Components ◽

School Students ◽

Test Range ◽

Peer Intervention ◽

Before And After ◽

Group Interviews

Objective: Drug Story Theater (DST) is a peer-to-peer intervention that engages teenagers in the early stages of their recovery to develop shows about the seduction of, addiction to, and recovery from drugs and alcohol. Methods: We analyzed anonymous surveys completed by students before and after attending a DST performance, and transcripts of focus group interviews conducted with (1) program developers, (2) stakeholders, (3) performers, and (4) audience members. Results: Students (N = 871) from 5 schools attended one of 2 DST performances. Participants demonstrated increased knowledge on 5 fact-based questions (mean improvement range, 19%- 35%; p < .001 for all), and favorable changes on 10 items addressing perceptions regarding substance use risk (paired t test range, 3.9-9.4; p < .001 for all). Through iterative thematic analysis we developed an alliterative “7P” model spanning 2 domains: (1) Participants (Performers and Peers); and (2) Program (Partnerships, Practicalities, and Prevention). Conclusions: Exposure to a DST performance improved knowledge and risk perceptions about addiction among middle and high school students. It remains to be seen if those changes can have an effect on the prevention of substance use and dependence among vulnerable youth, and whether the active components of DST can be replicated in other school environments.

Download Full-text

Differential Impact of Home Nurse Contact After Discharge by Financial Strain, Primary Care Access, and Medical Complexity

Hospital Pediatrics ◽

10.1542/hpeds.2020-004267 ◽

2021 ◽

Vol 11 (8) ◽

pp. 791-800

Author(s):

Katherine A. Auger ◽

Heidi J. Sucharew ◽

Jeffrey M. Simmons ◽

Samir S. Shah ◽

Robert S. Kahn ◽

...

Keyword(s):

Primary Care ◽

Financial Strain ◽

Differential Impact ◽

Primary Care Access ◽

Care Access ◽

Medical Complexity ◽

Home Nurse

Download Full-text

Abstract P134: Selected Social Determinants Of Health And Hypertension For Patients Of An Urban Community Primary Care Clinic

Hypertension ◽

10.1161/hyp.78.suppl_1.p134 ◽

2021 ◽

Vol 78 (Suppl_1) ◽

Author(s):

Melvin R Echols ◽

Paula Pollard-Thomas ◽

Henry Nuss ◽

Heartley Egwuogu ◽

Kristen Hobbs ◽

...

Keyword(s):

Blood Pressure ◽

Primary Care ◽

African American ◽

Food Insecurity ◽

Care Setting ◽

Primary Care Setting ◽

Primary Care Clinic ◽

Financial Strain ◽

Care Clinic ◽

Stage 1

Background: Hypertension (HTN) is the most potent cardiovascular disease worldwide and a major public health concern in the U.S. Although Social Determinants of Health (SDoH) are associated with HTN, it is unclear whether these indicators are routinely captured in the primary care setting. We sought to examine the prevalence of any HTN and its association with captured SDoH for new patients (pts) presenting to an urban community primary care clinic for 2019 and 2020. Methods and Results: We identified a cohort-based, cross-sectional sample of 2,577 new pts ≥ 18 years of age in a community clinic in Atlanta, GA, between Jan 2019 and Dec 2020. Electronic health records were reviewed to determine the rate of selected SDoH indicators (financial strain, transportation, medical transportation, and food insecurity) captured at any time and the presenting blood pressure for all new patients. Blood pressure was classified as follows: normal, systolic BP/diastolic BP (SBP/DBP) ≤120/80 mmHg, elevated SBP 120-129mmHg and DBP<80mm, stage 1 SBP 130-139mmHg or DBP 80-90mmHg, and stage 2 SBP ≥ 140mmHg+ or DBP 90mmHg+. Likelihood-ratio Chi-square tests were analyzed to detect an association between SDOH and stages of HTN. Of the 2,577 pts seen, 93% were African American, 72% were female, 59% were single, 77% had BMI ≥ 25, and 85% were insured. Only 41% (n=1062) pts had information of at least one SDoH measure in the entire cohort. Of the SDoH domains evaluated, financial strain and food insecurity were more likely in new pts with stage 1 HTN or higher (χ2= 16.0, df=8, p=0.04; χ2= 27.7, df=12, p=0.006). Conclusion: Routine assessments of SDoH for African American pts presenting for new pt visits are suboptimal in the primary care setting. However, financial strain and food insecurity are significantly associated with stage 1 and 2 HTN in this population. Standardization of intake processes is essential to increase the collection of SDoH indicators and may ultimately guide secondary prevention strategies for HTN interventions.

Download Full-text

41.1 Hearing the Whole Story: Peer-to-Peer Parent Support in Primary Care

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1016/j.jaac.2017.07.801 ◽

2017 ◽

Vol 56 (10) ◽

pp. S61

Author(s):

Karen Martinez

Keyword(s):

Primary Care ◽

Peer To Peer ◽

Parent Support

Download Full-text

Peer-to-Peer Sessions in Primary Care to Improve the Hepatitis B Detection Rate in Seville, Spain

Annals of Hepatology ◽

10.5604/01.3001.0012.3162 ◽

2018 ◽

Vol 17 (5) ◽

pp. 864-870

Author(s):

María Ángeles Otero ◽

Chang-Hai Liu ◽

Javier Ampuero ◽

Rocío Llorca ◽

Manuel Vargas ◽

...

Keyword(s):

Primary Care ◽

Hepatitis B ◽

Detection Rate ◽

Peer To Peer

Download Full-text

Rationale, Design and Methods of “Set the Rules”: A Tailored Peer-to-Peer Health Information Intervention

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15112391 ◽

2018 ◽

Vol 15 (11) ◽

pp. 2391 ◽

Cited By ~ 1

Author(s):

Jennifer Warren ◽

Brandi White

Keyword(s):

Health Information ◽

Low Income ◽

Community Based Participatory Research ◽

Peer To Peer ◽

Multiple Data ◽

Access To Health ◽

Peer Intervention ◽

Parent Leaders ◽

Design And Methods ◽

Informational Barriers

Ensuring equitable access to health information is one strategy to promote health equity for underserved communities, especially for low-income African Americans (AAs). Childcare centers are one viable site to deliver health information to address this disparity. This paper describes the methods used in a community-based participatory research project with a childcare facility that aimed to reduce environmental tobacco smoke (ETS) exposure among low-income AA children. Through collaboration and multiple data collection methods, partners identified communication strategies to overcome informational barriers. These initial findings indicated a peer-to-peer health information intervention, entitled “Set the Rules”, as the best strategy to increase awareness. The goal of the intervention was to build knowledge in reducing the harms of ETS exposure. Twelve community members were trained as parent leaders for the “Set the Rules” workshops and conducted workshops with parents. Even though there were barriers interfacing with all centers, parents that attended the workshop (n = 32) found the peer-to-peer intervention novel and quite helpful and will share the information learned with others. This intervention suggests that a childcare setting is a relevant space to increase access to health information to optimize child health outcomes. More research is necessary to determine if this intervention has salience in other childcare settings and across racial/ethnic groups.

Download Full-text