ReviewHawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health2019
Community Health Workers in Action: Community-Clinical Linkages for Diabetes Prevention and Hypertension Management at 3 Community Health Centers.
Review in Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Barriers to and facilitators of the implementation of Community Health Worker programmes in high-income countries: a systematic review.BMC health services research · 2026Pooled it
- Improvements in physical activity and some dietary behaviors in a community health worker-led diabetes self-management intervention for adults with low incomes: results from a randomized controlled trial.Translational behavioral medicine · 2021Trial
- The role of community health workers in enhancing home and community-based services in American Indian communities.PEC innovation · 2025Article
- Neighborhood Poverty and Clinic Attendance in the Michigan Screening and Intervention for Glaucoma and Eye Health Through Telemedicine Program.Journal of glaucoma · 2025Article
- Key informants' perspectives on integrating community health workers into palliative care teams.Journal of clinical and translational science · 2025Article
- Patience is a virtue: lessons from a participatory approach to contextually tailor and co-create an employee wellness intervention for community health educators.Frontiers in public health · 2025Article
- The role of community health workers in the management of hypertension in Nigeria.BMC primary care · 2024Article
- "Hypertension is such a difficult disease to manage": federally qualified health center staff- and leadership-perceived readiness to implement a technology-facilitated team-based hypertension model.Implementation science communications · 2024Article
- A Review of Community Health Worker Integration in Health Departments.Journal of community health · 2024Review
- Engaging with peers to integrate community care: Knowledge synthesis and conceptual map.Health expectations : an international journal of public participation in health care and health policy · 2024Review
- Effectiveness of A Culturally Adapted Family Model of Diabetes Self-Management Education and Support among Marshallese Pacific Islanders Delivered in a Group Format in Churches.Journal of health care for the poor and underserved · 2024Article
- Burnout Related to Diabetes Mellitus: A Critical Analysis.Clinical practice and epidemiology in mental health : CP & EMH · 2022Review
- Development and Feasibility Testing of the Clinical-Community Linkage Self-Assessment Survey for Community Organizations.Frontiers in public health · 2022Review
- Community Health Worker-Led Community Clinical on the U.S. / Mexico Border: Lessons Learned.Progress in community health partnerships : research, education, and action · 2022Article
- Health Literate Hawai'i: A Blueprint to Empower Health and Wellbeing.Hawai'i journal of health & social welfare · 2021Article
- The Critical Role Hawai'i's Community Health Workers Are Playing in COVID-19 Response Efforts.Hawai'i journal of health & social welfare · 2021Article
- Self-Measured Blood Pressure Monitoring: Program Planning, Implementation, and Lessons Learned From 5 Federally Qualified Health Centers in Hawai'i.Preventing chronic disease · 2020Article
- Community Health Workers in Hawai'i: A Scoping Review and Framework Analysis of Existing Evidence.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2019Article
- An Intervention Study for Impact Assessment of Health Education by Empowered Community Health Workers in Improving Treatment and Diet Adherence in Hypertension.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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 at 6 institutions in 1 country.
Funding
Abstract
In 2014, the Hawai'i State Department of Health (HDOH) received funding from the Centers for Disease Control and Prevention (CDC), via the 1422 Cooperative Agreement, to conduct diabetes prevention and hypertension management. To implement one grant-required strategy-the engagement of community health workers (CHWs) to promote community-clinical linkages-the HDOH partnered with the Hawai'i Primary Care Association and 9 federally qualified health centers (FQHCs). This qualitative evaluation case study sought to understand how 3 of the funded FQHCs engaged CHWs, the types of community-clinical linkages the CHWs promoted, and the facilitators of and barriers to those linkages. Evaluators conducted 2 semi-structured group interviews with 6 administrators/clinicians and 7 CHWs in April 2018. The transcribed interviews were deductively and inductively analyzed to identify major themes. First, CHWs made multiple internal and external linkages using resources provided by the grant as well as other resources. Second, CHWs faced barriers in making community-clinical linkages due to individual patient, geographic, and economic constraints. Third, CHWs have unmet professional needs related to building community-clinical linkages including professional development, networking, and burnout. Reimbursement and payment mechanisms are an all-encompassing challenge to the sustainability of CHW positions, as disease-specific funding and a complete lack of reimbursement structures make CHW positions unstable. Thus, CHWs fulfill a number of grant-specific roles at FQHCs due to this patchwork of funding sources, and this relates to CHWs' experiences of burnout. Policy implications of this study include funding and reimbursement stabilization so FQHCs may consistently engage and support the CHW workforce to meet their patients' complex, diverse needs. More professional development opportunities for CHWs are necessary to build sustainable networks of resources.
Indexed as
Identifiers
31285963PMC6603891W3024571580What 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.