Evidence map›Paper›PMID 28817334›Full record

Trial reportAmerican journal of public health2017

Community Health Worker Support for Disadvantaged Patients With Multiple Chronic Diseases: A Randomized Clinical Trial.

Shreya Kangovi, Nandita Mitra, David Grande, Hairong Huo, Robyn A Smith, Judith A Long

5 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report 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 5 registered trials, which are not on this map. Cited by 148 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT01900470 nacompletednot on this map

Community Health Worker Support to Help Patients Control Chronic Disease

TypeinterventionalSponsorUniversity of PennsylvaniaRan2013 to 2017Enrolled302ConditionsObesity, Diabetes, Hypertension, Asthma/COPD With Tobacco DependenceArmsCHW Goal Support
NCT04790604 nacompletednot on this mapstarted 2021, after this paper: background citation

Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study A, A Randomized Controlled Trial With Waitlist Control

TypeinterventionalSponsorUniversity of CalgaryRan2021 to 2023Enrolled96ConditionsHypertension, Diabetes Mellitus, Type 2, Chronic Kidney Diseases, Ischemic Heart DiseaseArmsCommunity Health Navigator Program
NCT04790617 nacompletednot on this mapstarted 2021, after this paper: background citation

Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study B, A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CalgaryRan2021 to 2023Enrolled183ConditionsHypertension, Diabetes Mellitus, Type 2, Chronic Kidney Diseases, Ischemic Heart DiseaseArmsCommunity Health Navigator Program
NCT04791267 nacompletednot on this mapstarted 2021, after this paper: background citation

Enhancing Community Health Through Patient Navigation, Advocacy and Social Support (ENCOMPASS): Expansion Study C, A Randomized Controlled Trial With Waitlist Control

TypeinterventionalSponsorUniversity of CalgaryRan2021 to 2024Enrolled61ConditionsHypertension, Diabetes Mellitus, Type 2, Chronic Kidney Diseases, Ischemic Heart DiseaseArmsCommunity Health Navigator Program
NCT07587073 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Pragmatic Cluster-Randomized Evaluation of Enhanced Care Management With Community Supports, Transitional Care, and Residential Care Coordination for High-Risk Medi-Cal Members Under CalAIM in California

TypeinterventionalSponsorStratiHealthRan2026 to 2028Enrolled1,200ConditionsComplex Care, Post-Acute Care Utilization, Housing Instability, Residential Care TransitionArmsComprehensive CalAIM Care Bundle, Usual CalAIM Service Delivery
3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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88 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shreya KangoviShreya Kangovi, David Grande, Hairong Huo, Robyn A. Smith, and Judith A. Long are with Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia. Nandita Mitra is with Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology.
Nandita MitraShreya Kangovi, David Grande, Hairong Huo, Robyn A. Smith, and Judith A. Long are with Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia. Nandita Mitra is with Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology.
David GrandeShreya Kangovi, David Grande, Hairong Huo, Robyn A. Smith, and Judith A. Long are with Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia. Nandita Mitra is with Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology.
Hairong HuoShreya Kangovi, David Grande, Hairong Huo, Robyn A. Smith, and Judith A. Long are with Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia. Nandita Mitra is with Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology.
Robyn A SmithShreya Kangovi, David Grande, Hairong Huo, Robyn A. Smith, and Judith A. Long are with Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia. Nandita Mitra is with Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology.
Judith A LongShreya Kangovi, David Grande, Hairong Huo, Robyn A. Smith, and Judith A. Long are with Perelman School of Medicine, University of Pennsylvania, Division of General Internal Medicine, Philadelphia. Nandita Mitra is with Perelman School of Medicine, University of Pennsylvania, Department of Biostatistics and Epidemiology.

Funding

Modifying Behavioral Response to Failure among Patients with Cardiovascular Disease Risk FactorsK23HL128837 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KANGOVI, SHREYA · 2016 to 2019
$695k
NHLBI NIH HHS K23 HL128837
6 · The paper itself

Abstract

objectivesTo determine whether a community health worker (CHW) intervention improved outcomes in a low-income population with multiple chronic conditions.

methodsWe conducted a single-blind, randomized clinical trial in Philadelphia, Pennsylvania (2013-2014). Participants (n = 302) were high-poverty neighborhood residents, uninsured or publicly insured, and diagnosed with 2 or more chronic diseases (diabetes, obesity, tobacco dependence, hypertension). All patients set a disease-management goal. Patients randomly assigned to CHWs also received 6 months of support tailored to their goals and preferences.

resultsSupport from CHWs (vs goal-setting alone) led to improvements in several chronic diseases (changes in glycosylated hemoglobin: -0.4 vs 0.0; body mass index: -0.3 vs -0.1; cigarettes per day: -5.5 vs -1.3; systolic blood pressure: -1.8 vs -11.2; overall P = .08), self-rated mental health (12-item Short Form survey; 2.3 vs -0.2; P = .008), and quality of care (Consumer Assessment of Healthcare Providers and Systems; 62.9% vs 38%; P < .001), while reducing hospitalization at 1 year by 28% (P = .11). There were no differences in patient activation or self-rated physical health.

conclusionsA standardized CHW intervention improved chronic disease control, mental health, quality of care, and hospitalizations and could be a useful population health management tool for health care systems.

trial registrationclinicaltrials.gov identifier: NCT01900470.

Indexed as

Mental HealthPovertyVulnerable PopulationsAdultAgedBlood PressureBody Mass IndexCommunity Health WorkersFemaleGlycated HemoglobinHealth StatusHumansMaleMiddle AgedMultiple Chronic ConditionsPhiladelphiaGlycated Hemoglobin

Identifiers

PMID28817334
PMCPMC5607679

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.