Applying the community health worker model to diabetes management: using mixed methods to assess implementation and effectiveness
Authors
Cherrington, AndreaAyala, Guadalupe X.
Amick, Halle
Scarinci, Isabel
Allison, Jeroan J.
Corbie-Smith, Giselle
UMass Chan Affiliations
Department of Quantitative Health SciencesDocument Type
Journal ArticlePublication Date
2008-11-26Keywords
*Community Health AidesDiabetes Mellitus
Health Behavior
Health Education
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Humans
Personnel Selection
Professional Role
Bioinformatics
Biostatistics
Epidemiology
Health Services Research
Metadata
Show full item recordAbstract
INTRODUCTION: The community health worker (CHW) model is a popular method for reaching vulnerable populations with diabetes. This study assessed implementation and effectiveness of the model within diabetes programs. METHODS: Four databases were searched to identify diabetes programs implementing the CHW model. Corresponding articles were reviewed and semi-structured interviews were conducted with directors of each program. RESULTS: Eight studies met inclusion criteria for review and their program managers were interviewed. Five CHW roles were identified: educator, case manager, role model, program facilitator, and advocate. Roles, responsibilities and training varied greatly across programs. Selected outcomes also varied, ranging from physiologic measures, to health behaviors, to measures of health care utilization and cost. CONCLUSIONS: Research regarding application of the community health worker model in diabetes management is limited and consensus regarding the scope of the CHW's role is lacking. Future studies should rigorously examine how best to integrate this promising model into chronic disease management.Source
J Health Care Poor Underserved. 2008 Nov;19(4):1044-59. Link to article on publisher's siteDOI
10.1353/hpu.0.0077Permanent Link to this Item
http://hdl.handle.net/20.500.14038/47704PubMed ID
19029736Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1353/hpu.0.0077
Scopus Count
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