Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Allen, Caitlin G. ; Brownstein, J. Nell ; Satsangi, Anamika ; Escoffery, Cam
Allen, Caitlin G. ; Brownstein, J. Nell ; Satsangi, Anamika ; Escoffery, Cam Less -
Description:
Introduction

Rates of hypertension control remain low among underserved populations in the United States; moreover, disparities in hypertension-related cardiovascular disease death are increasing. Community health workers (CHWs) can address barriers to hypertension control among underrepresented and diverse populations. We identify unique roles CHWs play in hypertension self-management and medication adherence.

Methods

In 2014, we conducted a mixed methods study with an online survey of 265 CHWs and 23 telephone interviews. The survey and interview guide contained questions about CHWs’ roles in hypertension self-management and hypertension medication adherence. We used descriptive statistics to analyze survey data and used inductive thematic analysis for the qualitative data.

Results

CHWs described working in partnership with patients and various health care providers to assist people in hypertension self-management. Roles were flexible and multifaceted but patient-driven. CHWs used various delivery methods to assist patients in overcoming barriers to medication adherence. CHWs interacted with patients primarily through individual clinical sessions or home visits. On average, they visit about 8 times per month, about 40 minutes per visit, over 7 months. CHWs often addressed barriers related to medicine-taking and refills and support patient–provider communications.

Conclusion

Results from this study will help health care professionals, policy makers, and academics better understand the work of CHWs. CHWs are important provider allies for improving hypertension prevention and self-management, especially among underserved and diverse populations in the United States.


Subjects:
[+]
Attitude Of Health Personnel Community Health Workers Female Humans Hypertension Male Medication Adherence Qualitative Research Self Care Surveys And Questionnaires Vulnerable Populations
Source:
Prev Chronic Dis. 13.
Pubmed ID:
28033090
Pubmed Central ID:
PMC5201147
Document Type:
Journal Article
Place as Subject:
United States
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:b14a2cbc1dcf8c9d9d5bd8dc590b268ba791b4ccf2bac34f387afe958f037d51
Download URL:
https://stacks.cdc.gov/view/cdc/43741/cdc_43741_DS1.pdf
File Type:

Supporting Files

• PCD-13-E179.nxml

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