Trial reportContemporary clinical trials2017
A randomized controlled trial of a community health worker intervention in a population of patients with multiple chronic diseases: Study design and protocol.
Trial report in Contemporary clinical trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Community Health Worker Support to Help Patients Control Chronic Disease
Activate Tennessee: A CHW-Supported Program for Patient Activation
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Effectiveness of self-management interventions for long-term conditions in people experiencing socio-economic deprivation in high-income countries: a systematic review and meta-analysis.Journal of public health (Oxford, England) · 2023Pooled it
- Effect of Community Health Worker Support on Clinical Outcomes of Low-Income Patients Across Primary Care Facilities: A Randomized Clinical Trial.JAMA internal medicine · 2018Trial
- Why Effective Interventions Do Not Work for All Patients: Exploring Variation in Response to a Chronic Disease Management Intervention.Medical care · 2018Trial
- Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial.JAMA internal medicine · 2018Trial
- Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial.American journal of public health · 2017Trial
- Community health worker roles in intervention delivery: a scoping review of heart disease and stroke prevention trials in the United States.Frontiers in stroke · 2025Review
- Food Security Challenges and Resilience during the COVID-19 Pandemic: Corner Store Communities in Washington, D.C.Nutrients · 2022Article
- Implementation and evaluation of the peer-training program for village health volunteers to improve chronic disease management among older adults in rural Thailand.International journal of nursing sciences · 2022Article
- Connecting Provider to home: A home-based social intervention program for older adults.Journal of the American Geriatrics Society · 2021Article
- Collaborative care in the treatment of opioid use disorder and mental health conditions in primary care: A clinical study protocol.Contemporary clinical trials · 2021Article
- Scaling a Community-Wide Campaign Intervention to Manage Hypertension and Weight Loss.Frontiers in medicine · 2021Article
- Integrating Social Needs Screening and Community Health Workers in Primary Care: The Community Linkage to Care Program.Clinical pediatrics · 2020Article
- Evidence-Based Community Health Worker Program Addresses Unmet Social Needs And Generates Positive Return On Investment.Health affairs (Project Hope) · 2020Article
- LIGHT: A Church-Based Curriculum for Training African American Lay Health Workers to Support Advance Care Planning and End-of-Life Decision-Making.Health equity · 2020Article
- Bringing Social Context into Diabetes Care: Intervening on Social Risks versus Providing Contextualized Care.Current diabetes reports · 2019Review
- Estimating scaled treatment effects with multiple outcomes.Statistical methods in medical research · 2019Article
- Effectiveness of link workers providing social prescribing on health outcomes and costs for adult patients in primary care and community settings. A protocol for a systematic review of the literature.HRB open research · 2019Article
- Rideshare-Based Medical Transportation for Medicaid Patients and Primary Care Show Rates: A Difference-in-Difference Analysis of a Pilot Program.Journal of general internal medicine · 2018Article
- Health Equity Considerations in State Bills Related to Doula Care (2015-2020).Women's health issues : official publication of the Jacobs Institute of Women's HealthReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
Upstream interventions - e.g. housing programs and community health worker interventions- address socioeconomic and behavioral factors that influence health outcomes across diseases. Studying these types of interventions in clinical trials raises a methodological challenge: how should researchers measure the effect of an upstream intervention in a sample of patients with different diseases? This paper addresses this question using an illustrative protocol of a randomized controlled trial of collaborative-goal setting versus goal-setting plus community health worker support among patients multiple chronic diseases: diabetes, obesity, hypertension and tobacco dependence. At study enrollment, patients met with their primary care providers to select one of their chronic diseases to focus on during the study, and to collaboratively set a goal for that disease. Patients randomly assigned to a community health worker also received six months of support to address socioeconomic and behavioral barriers to chronic disease control. The primary hypothesis was that there would be differences in patients' selected chronic disease control as measured by HbA1c, body mass index, systolic blood pressure and cigarettes per day, between the goal-setting alone and community health worker support arms. To test this hypothesis, we will conduct a stratum specific multivariate analysis of variance which allows all patients (regardless of their selected chronic disease) to be included in a single model for the primary outcome. Population health researchers can use this approach to measure clinical outcomes across diseases. CLINICAL TRIALS REGISTRATION: ClinicalTrials.gov Identifier: NCT01900470.
Indexed as
Identifiers
What OpenQuestion holds
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.