The DOI matches its Crossref record; 32 of the 32 references it cites were found in a registry or an index.
Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial
Open accessAbstract
Objectives. To determine whether a community health worker (CHW) intervention improved outcomes in a low-income population with multiple chronic conditions. Methods. We conducted a single-blind, randomized clinical trial in Philadelphia, Pennsylvania (2013–2014). Participants (n = 302) were high-poverty neighborhood residents, uninsured or publicly insured, and diagnosed with 2 or more chronic diseases (diabetes, obesity, tobacco dependence, hypertension). All patients set a disease-management goal. Patients randomly assigned to CHWs also received 6 months of support tailored to their goals and preferences. Results. Support from CHWs (vs goal-setting alone) led to improvements in several chronic diseases (changes in glycosylated hemoglobin: −0.4 vs 0.0; body mass index: −0.3 vs −0.1; cigarettes per day: −5.5 vs −1.3; systolic blood pressure: −1.8 vs −11.2; overall P = .08), self-rated mental health (12-item Short Form survey; 2.3 vs −0.2; P = .008), and quality of care (Consumer Assessment of Healthcare Providers and Systems; 62.9% vs 38%; P < .001), while reducing hospitalization at 1 year by 28% (P = .11). There were no differences in patient activation or self-rated physical health. Conclusions. A standardized CHW intervention improved chronic disease control, mental health, quality of care, and hospitalizations and could be a useful population health management tool for health care systems. Trial Registration. clinicaltrials.gov identifier: NCT01900470.
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Cited by
Social determinants of health and diabetes: A scientific review
Hill-Briggs, F., Adler, N. E., Berkowitz, S. A., Chin, M. H., Gary-Webb, T. L., Navas-Acien, A., Thornton, P. L., & Haire-Joshu, D. (2021) · Diabetes Care · doi:10.2337/dci20-0053 · Cited by 1,732
Kangovi, S., Mitra, N., Norton, L., Harte, R., Zhao, X., Carter, T., Grande, D., & Long, J. A. (2018) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2018.4630 · Cited by 272
Self-citationKangovi, S., Mitra, N., Grande, D., Long, J. A., & Asch, D. A. (2020) · Health Affairs · doi:10.1377/hlthaff.2019.00981 · Cited by 237
Self-citationKnowles, M., Crowley, A. P., Vasan, A., & Kangovi, S. (2023) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-071521-031648 · Cited by 156
Self-citation(2022) · doi:10.2196/29535 · Cited by 45
Metadata
- Authors
- Kangovi, S., Mitra, N., Grande, D., Huo, H., Smith, R. A., & Long, J. A.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2017-10
- Volume
- 107
- Issue
- 10
- Pages
- 1660-1667
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2750464611
- Cited by
- 257
- References
- 32
- FWCI
- 13.17
- Type
- journal article
- Language
- en
- Open access
- green
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- Kangovi, S., Mitra, N., Grande, D., Huo, H., Smith, R. A., & Long, J. A. (2017). Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial. American Journal of Public Health. https://doi.org/10.2105/ajph.2017.303985
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