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Effectiveness of a community health worker cardiovascular risk reduction program in public health and health care settings

Author

Listed:
  • Krantz, M.J.
  • Coronel, S.M.
  • Whitley, E.M.
  • Dale, R.
  • Yost, J.
  • Estacio, R.O.

Abstract

Objectives. We evaluated whether a program to prevent coronary heart disease (CHD) with community health workers (CHWs) would improve CHD risk in public health and health care settings. Methods. The CHWs provided point-of-service screening, education, and care coordination to residents in 34 primarily rural Colorado counties. The CHWs utilized motivational interviewing and navigated those at risk for CHD into medical care and lifestyle resources. A software application generated a real-time 10-year Framingham Risk Score (FRS) and guideline-based health recommendations while supporting longitudinal caseload tracking. We used multiple linear regression analysis to determine factors associated with changes in FRS. Results. From 2010 to 2011, among 4743 participants at risk for CHD, 53.5% received medical or lifestyle referrals and 698 were retested 3 or more months after screening. We observed statistically significant improvements in diet, weight, blood pressure, lipids, and FRS with the greatest effects among those with uncontrolled risk factors. Successful phone interaction by the CHW led to lower FRS at retests (P = .04). Conclusions. A CHW-based program within public health and health care settings improved CHD risk. Further exploration of factors related to improved outcomes is needed. Copyright © 2012 by the American Public Health Association®.

Suggested Citation

  • Krantz, M.J. & Coronel, S.M. & Whitley, E.M. & Dale, R. & Yost, J. & Estacio, R.O., 2013. "Effectiveness of a community health worker cardiovascular risk reduction program in public health and health care settings," American Journal of Public Health, American Public Health Association, vol. 103(1), pages 19-27.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301068_8
    DOI: 10.2105/AJPH.2012.301068
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    Cited by:

    1. Man Hung & Jeremy D. Franklin & William A. Smith & Carlos J. Crespo & Evelyn U. Ezikwelu & Jerry Bounsanga & Martin S. Lipsky, 2024. "Racial Attitudes and Perceptions of Government Response during the COVID-19 Pandemic: Implications for Public Health Strategies," IJERPH, MDPI, vol. 21(9), pages 1-12, September.
    2. Eva Frigola-Capell & Jan Lieshout & Miguel A. Muñoz & Jose Verdú-Rotellar & Francesc Orfila & Rosa Suñol & Michel Wensing, 2016. "Community programmes for coronary heart disease in Spanish primary care," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(1), pages 87-96, January.

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