Evidence map›Paper›PMID 30024805›Full record

Trial reportAmerican journal of public health2018

Community Health Workers, Access to Care, and Service Utilization Among Florida Latinos: A Randomized Controlled Trial.

Aileen Chang, Elizabeth Patberg, Victor Cueto, Hua Li, Bhavana Singh, Sonjia Kenya, Yisel Alonzo, Olveen Carrasquillo

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of public health, 2018. 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 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 20% of its field
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.

NCT01152957 nacompletednot on this map

Miami Healthy Heart Initiative (MHHI) a Randomized Study of Behavioral Risk Factors for Cardiovascular Disease in Latino and Hispanic Patients With Poorly Controlled Diabetes

TypeinterventionalSponsorUniversity of MiamiRan2010 to 2013Enrolled300ConditionsDiabetes, Heart Disease, HypertensionArmsCARIÑO Project, Enhanced Usual Care
NCT04761016 nacompletednot on this mapstarted 2021, after this paper: background citation

The Role of Community Health Workers to Reduce Health Disparities Using a Multi-Level Integrated Population Health Intervention

TypeinterventionalSponsorBaylor Research InstituteRan2021 to 2025Enrolled202ConditionsDiabetes, Hypertension, Chronic Kidney Diseases, ObesityArmsUsual Care, I-POP + CHW navigation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
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  3. Trial
  4. Review
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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

8 authors at 1 institution in 1 country.

Aileen ChangAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Elizabeth PatbergAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Victor CuetoAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Hua LiAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Bhavana SinghAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Sonjia KenyaAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Yisel AlonzoAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
Olveen CarrasquilloAt the time of the study, all of the authors were with the University of Miami, Miami, FL.
University of Miami · US

Funding

Miami Clinical and Translational Science InstituteUL1TR000460 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$16.9M
NCATS NIH HHS UL1 TR000460
6 · The paper itself

Abstract

objectivesTo determine whether a 1-year community health worker intervention improves access to care and service utilization among Latinos with diabetes.

methodsWe conducted a single-blind randomized trial of 300 adults with poorly controlled diabetes treated in 2 public hospital clinics in Miami, Florida. We began enrollment in 2010 and completed follow-up in 2015. We examined access and utilization using self-reported measures and data from electronic medical records.

resultsParticipants randomized to the community health worker intervention self-reported fewer problems accessing needed care and prescriptions than did those in the usual care group (30% vs 43% and 28% vs 41%, respectively; P < .05 for both). Adjusting for age, gender, education, depression, and comorbidities showed similar results (odds ratio [OR] = 0.52; 95% confidence interval [CI] = 0.29, 0.93 and OR = 0.45; CI = 0.24, 0.82, respectively). We found no significant utilization differences in primary care visits, emergency department utilization, or hospitalization between the 2 groups.

conclusionsAmong Latinos with poorly controlled diabetes, a 1-year community health worker intervention was associated with improvements in self-reported access to care but not service utilization.

Indexed as

Community Health WorkersHealth Services AccessibilityHispanic or LatinoElectronic Health RecordsEmergency Service, HospitalFemaleFloridaHumansMaleMiddle AgedPrimary Health CareSelf ReportSingle-Blind MethodUrban Population

Identifiers

PMID30024805
PMCPMC6085051
OpenAlexW2883672659

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.