A Community Health Worker–Led Community–Clinical Linkage Model to Address Emotional Well-Being Outcomes Among Latino/a People on the US–Mexico Border

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Lohr, Abby M. ; Doubleday, Kevin ; Ingram, Maia ; Wilkinson-Lee, Ada M. ; Coulter, Kiera ; Krupp, Karl ; Espinoza, Cynthia ; Redondo-Martinez, Floribella ; David, Cassalyn ; Carvajal, Scott C.
• Description:
  Introduction
  
  Compared with their non-Hispanic White counterparts, Latino/a people have limited access to health resources that might improve their emotional well-being. Interventions that prioritize the Latino/a population, address social determinants of health, and decrease health disparities are needed. The objective of this study was to describe a community–clinical linkage intervention led by community health workers (CHWs) in 3 Latino/a populations along the US–Mexico border.
  
  Methods
  
  Researchers at the Arizona Prevention Research Center conducted the Linking Individual Needs to Community and Clinical Services (LINKS) study during 2017–2018. Clinic-based CHWs referred participants to community-based CHWs who met with participants monthly for 6 months to assess participant needs, provide support for emotional well-being, and link them to resources. Two community-based CHWs collaborated to maximize participant care; they also administered an emotional well-being questionnaire at baseline and at 3-month and 6-month follow-up. We estimated changes in emotional well-being outcomes.
  
  Results
  
  Scores for social support, perceived hopefulness, and quality-of-life measures among 189 LINKS participants increased significantly during the study period, especially among men and participants with low baseline scores. For each of the 3 outcomes, the standardized change was approximately 0.28 per 3 months of intervention, a decrease of more than half an SD (0.56) during 6 months of follow-up.
  
  Conclusion
  
  A CHW-led community–clinical linkage intervention can result in positive emotional well-being outcomes. We encourage policy makers, funders, and public health practitioners to further investigate such interventions as a solution to reduce disparities in emotional well-being.
  
  
• Subjects:
  Community Health Workers Hispanic Or Latino Humans Male Mexico Original Research Referral And Consultation Social Support
• Source:
  Prev Chronic Dis. 2021; 18
• DOI:
  http://dx.doi.org/10.5888/pcd18.210080
• ISSN:
  1545-1151
• Pubmed ID:
  34351845
• Pubmed Central ID:
  PMC8388205
• Document Type:
  Journal Article
• Funding:
  U48 DP005002/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  18
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:cab699f5ce33d9fe4935b0831f3326c79958f83657efa7bc26edbf53a769814ddcd8b30c150b589ea34ca2f4386c670a8296270b243ffed0a796aef36f95eebf
• Download URL:
  https://stacks.cdc.gov/view/cdc/109776/cdc_109776_DS1.pdf
• File Type:
  [PDF - 430.28 KB ]