ArticlePreventing chronic disease2014
Knowledge and behavioral effects in cardiovascular health: Community Health Worker Health Disparities Initiative, 2007-2010.
Article in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 37 citations in OpenAlex.
- A Community and Technology-Based Approach for Hypertension Self-Management (COACHMAN) to Improve Blood Pressure Control in African Americans: Results from a Pilot Study.Patient preference and adherence · 2020Trial
- Influencing cardiovascular health habits in the rural, deep south: results of a cluster randomized trial.Health education research · 2019Trial
- Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas.The Journal of cardiovascular nursingTrial
- Community health worker certification as a pathway to workforce development and career advancement: a qualitative study.Frontiers in health services · 2026Article
- Health Inequalities at the Intersection of Race and Poverty in Southern Appalachia: A Community Health Needs Assessment Panel Survey 2012-2024.North Carolina medical journal · 2025Article
- Promoting Cardiovascular Health Equity: Association of Black Cardiologists Practical Model for Community-Engaged Partnerships.Journal of the American College of Cardiology · 2024Article
- Mind the osteoporosis care gap with timely diagnosis: an executive summary of nationwide osteoporosis Campaigns 2019-2021.Journal of diabetes and metabolic disorders · 2023Article
- Lay health worker as interventionist training: reflective writing in US family health promotion practice.Health promotion international · 2021Article
- Review
- Article
- The Design and Rationale of a Pilot Study: A COmmunity and Tech-Based ApproaCh for Hypertension Self-MANagement (COACHMAN).Journal of National Black Nurses' Association : JNBNA · 2020Article
- Improving Cardiovascular Disease Knowledge among Rural Participants: The Results of a Cluster Randomized Trial.Healthcare (Basel, Switzerland) · 2018Article
- A retrospective cohort study on the risk of stroke in relation to a priori health knowledge level among people with type 2 diabetes mellitus in Taiwan.BMC cardiovascular disorders · 2017Article
- Review: Increasing Awareness and Education on Health Disparities for Health Care Providers.Ethnicity & disease · 2016Review
- What is the scope of improving immigrant and ethnic minority healthcare using community navigators: A systematic scoping review.International journal for equity in health · 2016Article
- Jagged-2 enhances immunomodulatory activity in adipose derived mesenchymal stem cells.Scientific reports · 2015Article
- Evaluation of the community-based chronic disease prevention program Meta Salud in Northern Mexico, 2011-2012.Preventing chronic disease · 2014Article
- Long-Term Follow-Up of a Lifestyle Intervention for Late-Midlife, Rural-Dwelling Latinos in Primary Care.The American journal of occupational therapy : official publication of the American Occupational Therapy AssociationArticle
- Non-Randomized Pre-Post Testing to Evaluate Knowledge of Community Health Workers on Chronic Diseases After Asynchronous Online Training.Journal of primary care & community healthArticle
- Community Health Worker Initiatives: An Approach to Design and Measurement.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
introductionCardiovascular disease is the leading cause of death in the United States, and disparities in cardiovascular health exist among African Americans, American Indians, Hispanics, and Filipinos. The Community Health Worker Health Disparities Initiative of the National Heart, Lung, and Blood Institute (NHLBI) includes culturally tailored curricula taught by community health workers (CHWs) to improve knowledge and heart-healthy behaviors in these racial/ethnic groups.
methodsWe used data from 1,004 community participants in a 10-session curriculum taught by CHWs at 15 sites to evaluate the NHLBI's health disparities initiative by using a 1-group pretest-posttest design. The curriculum addressed identification and management of cardiovascular disease risk factors. We used linear mixed effects and generalized linear mixed effects models to examine results.
resultsAverage participant age was 48; 75% were female, 50% were Hispanic, 35% were African American, 8% were Filipino, and 7% were American Indian. Twenty-three percent reported a history of diabetes, and 37% reported a family history of heart disease. Correct pretest to posttest knowledge scores increased from 48% to 74% for heart healthy knowledge. The percentage of participants at the action or maintenance stage of behavior change increased from 41% to 85%.
conclusionUsing the CHW model to implement community education with culturally tailored curricula may improve heart health knowledge and behaviors among minorities. Further studies should examine the influence of such programs on clinical risk factors for cardiovascular disease.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.