ArticleAmerican journal of public health2017
Community Health Worker Impact on Chronic Disease Outcomes Within Primary Care Examined Using Electronic Health Records.
Article in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03787485 (Linking Individual Needs to Community and Clinical Services), which is not on this map. Cited by 18 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.
Linking Individual Needs to Community and Clinical Services
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Community health workers supporting emerging adults with sickle cell disease.Health care transitions · 2025Article
- St. Louis enhancing engagement and retention (STEER) in HIV/AIDS care: a participatory intersectional needs assessment for intervention and implementation planning.Frontiers in public health · 2025Article
- Community-based participatory research: a lifeline to achieve people-centered care.Frontiers in public health · 2025Review
- An expanded chronic care management approach to multiple chronic conditions in Hispanics using community health workers as community extenders in the Rio Grande Valley of Texas.Preventive medicine · 2024Article
- Community health worker perspectives: examining current responsibilities and strategies for success.Archives of public health = Archives belges de sante publique · 2024Article
- The challenge of adopting a collaborative information system for independent healthcare workers in France: a comprehensive study.Scientific reports · 2024Article
- Community health worker navigation to improve allostatic load: The Integrated Population Health (IPOP) study.Contemporary clinical trials communications · 2023Article
- Addressing Hispanic Obesity Disparities Using a Community Health Worker Model Grounded in Motivational Interviewing.American journal of health promotion : AJHP · 2022Article
- Indiana community health workers: challenges and opportunities for workforce development.BMC health services research · 2022Article
- Non-financial social determinants of diabetes among public assistance recipients in Japan: A cohort study.Journal of diabetes investigation · 2021Article
- Establishing voluntary certification of community health workers in Arizona: a policy case study of building a unified workforce.Human resources for health · 2020Article
- A mixed methods evaluation of the feasibility, acceptability, and impact of a pilot project ECHO for community health workers (CHWs).Pilot and feasibility studies · 2020Article
- Developing a Sustainable Long-Term Ageing Health Care System Using the DANP-mV Model: Empirical Case of Taiwan.International journal of environmental research and public health · 2019Article
- Observational
- "To Get the Patient the Best Care": A Qualitative Analysis of Community Health Worker Integration in North Carolina Federally Qualified Health Centers.The Journal of ambulatory care managementArticle
- Mechanisms for Community Health Worker Action on Patient-, Institutional-, and Community-Level Barriers to Primary Care in a Safety-Net Setting.The Journal of ambulatory care managementArticle
- Is Theory Guiding Our Work? A Scoping Review on the Use of Implementation Theories, Frameworks, and Models to Bring Community Health Workers into Health Care Settings.Journal of public health management and practice : JPHMPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectivesTo investigate community health worker (CHW) effects on chronic disease outcomes using electronic health records (EHRs).
methodsWe examined EHRs of 32 147 patients at risk for chronic disease during 2012 to 2015. Variables included contact with clinic-based CHWs, vitals, and laboratory tests. We estimated a mixed model for all outcomes.
resultsWithin-group findings showed statistically significant improvements in chronic disease indicators after exposure to CHWs. In health center 1, HbA1c (glycated hemoglobin) decreased 0.15 millimoles per mole (95% confidence interval [CI] = -0.24, -0.06), body mass index decreased 0.29 kilograms per meter squared (CI = -0.39, -0.20), and total cholesterol decreased 11.9 milligrams per deciliter (CI = -13.5, -10.2). In health center 2, HbA1c decreased 0.43 millimoles per mole (CI = -0.7, -0.17), body mass index decreased by 0.08 kilograms per meter squared (CI = -0.14, -0.02), and triglycerides decreased by 22.50 milligrams per deciliter (CI = -39.0, -6.0). Total cholesterol of 3.62 milligrams per deciliter (CI = -6.6, -0.6) in health center 1 was the only improvement tied to CHW contact.
conclusionsAlthough patients' chronic disease indicators consistently improved, between-group models provided no additional evidence of impact. EHRs' evolution may elucidate CHW contributions moving forward.
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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.