Evidence map›Paper›PMID 29704370›Full record

ArticlePreventing chronic disease2018

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities.

Louis D Brown, Denise Vasquez, Jennifer J Salinas, Xiaohui Tang, Hector Balcázar

Abstract read
In one paragraph

Article in Preventing chronic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Exploring LatinoSSM. Qualitative research in health · 2022
    Article
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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

5 authors.

Louis D BrownDepartment of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston, School of Public Health in El Paso, 1851 Wiggins Way, HSN 486, El Paso, TX 79968. Email: louis.d.brown@uth.tmc.edu.
Denise VasquezThe University of Texas Health Science Center at Houston, School of Public Health, El Paso, Texas.
Jennifer J SalinasTexas Tech University Health Sciences Center El Paso, El Paso, Texas.
Xiaohui TangThe University of Texas Health Science Center at Houston, School of Public Health, El Paso, Texas.
Hector BalcázarCharles R. Drew University of Medicine and Science, Los Angeles, California.

Funding

Training ProgramU54CA153505 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BASEN-ENGQUIST, KAREN M, FERNANDEZ, MARIA EULALIA · 2010 to 2015
$4.7M
NCI NIH HHS U54 CA153505
6 · The paper itself

Abstract

introductionHispanics in the United States have disproportionately high rates of obesity, hypertension, and diabetes and poorer access to preventive health services. Healthy Fit uses community health workers to extend public health department infrastructure and address Hispanic health disparities related to cardiovascular disease and access to preventive health services. We evaluated the effectiveness of Healthy Fit in 1) reaching Hispanic Americans facing health disparities, and 2) helping participants access preventive health services and make behavior changes to improve heart health.

methodsCommunity health workers recruited a sample of predominantly low-income Hispanic immigrant participants (N = 514). Following a health screening, participants received vouchers for breast, cervical, and colorectal cancer screening, and received vaccinations as needed for influenza, pneumonia, and human papillomavirus. Participants who were overweight or had high blood pressure received heart health fotonovelas and referrals to community-based exercise activities. Community health workers completed follow-up phone calls at 1, 3, and 6 months after the health screening to track participant uptake on the referrals and encourage follow-through.

resultsParticipants faced health disparities related to obesity and screening for breast, cervical, and colorectal cancer. Postintervention completion rates for breast, cervical, and colorectal cancer screening were 54%, 43%, and 32%, respectively, among participants who received a voucher and follow-up phone call. Among participants with follow-up data who were overweight or had high blood pressure, 70% read the fotonovela, 66% completed 1 or more heart health activities in the fotonovela, 21% attended 1 or more community-based exercise activities, and 79% took up some other exercise on their own.

conclusionHealthy Fit is a feasible and low-cost strategy for addressing Hispanic health disparities related to cancer and cardiovascular disease.

Indexed as

Community Health WorkersHispanic or LatinoAdolescentAdultAgedAged, 80 and overFemaleHealth Services AccessibilityHumansInsurance, HealthMaleMedicaidMiddle AgedPreventive Health ServicesSocioeconomic FactorsUnited States

Identifiers

PMID29704370
PMCPMC5951157

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.