Shreya Kangovi|Nandita Mitra|David Grande|Hairong Huo|Robyn Smith|Judith A. Long
Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial
University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
determine whether community health worker chw intervention improved outcomes lowincome population multiple chronic conditionswe conducted singleblind randomized clinical trial philadelphia pennsylvania 20132014 participants n 302 highpoverty neighborhood residents uninsured publicly insured diagnosed 2 chronic diseases diabetes obesity tobacco dependence hypertension patients set diseasemanagement goal patients randomly assigned chws also received 6 months support tailored goals preferencessupport chws vs goalsetting alone led improvements several chronic diseases changes glycosylated hemoglobin 04 vs 00 body mass index 03 vs 01 cigarettes per day 55 vs 13 systolic blood pressure 18 vs 112 overall p 08 selfrated mental health 12item short form survey 23 vs 02 p 008 quality care consumer assessment healthcare providers systems 629 vs 38 p 001 reducing hospitalization 1 year 28 p 11 differences patient activation selfrated physical healtha standardized chw intervention improved chronic disease control mental health quality care hospitalizations could useful population health management tool health care systemsclinicaltrialsgov identifier nct01900470