Evaluation of Clinically Integrated Community Health Worker Support Interventions for Adults With Cardiovascular Disease: A Literature Review Guided by the PRISM Framework.

IF 1.5 4区医学 Q3 FAMILY STUDIES

Family & Community Health Pub Date : 2025-01-21 DOI:10.1097/FCH.0000000000000422

Cynthia Orofo, Neha P Gothe, Cristina Huebner Torres, Moka Yoo-Jeong, Lichuan Ye

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引用次数: 0

Abstract

Background and purpose: Chronically ill individuals with cardiovascular diseases (CVDs) have been extensively challenged by the complexities of disease management. Although clinically integrated community health worker (cCHW) support interventions have been increasingly implemented to help manage CVDs, a comprehensive analysis of interventions implemented in real-world settings is lacking. Additionally, the influence of contextual factors (eg, patient/organization characteristics) on such interventions is underexplored. Guided by the PRISM framework, the purpose of this review is to understand cCHW interventions supporting individuals with CVDs in the clinical settings.

Methods: PubMed, CINAHL and APA PsycInfo databases were searched using the following primary keywords: (community health worker), (integrat*), (chronic) and (cardiovascular disease). Studies investigating the integration of CHWs in the care of adults with CVD published from inception to 2023 were included.

Results: A total of 25 studies were included in the review. Majority of studies (n = 23) measured intervention effectiveness and often positively impacted outcomes, including blood pressure and chronic disease control. Compared to effectiveness, the rest of the RE-AIM domains were underexplored.

Conclusion and implications: cCHW programs have demonstrated some evidence in improving health outcomes in individuals with CVD. However, less is known about their impact on other relevant multidimensional RE-AIM outcomes.

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评估成人心血管疾病临床综合社区卫生工作者支持干预：棱镜框架指导下的文献综述

背景和目的：慢性心血管疾病（cvd）患者受到疾病管理复杂性的广泛挑战。尽管越来越多地实施临床综合社区卫生工作者（cCHW）支持干预措施来帮助管理心血管疾病，但缺乏对现实环境中实施的干预措施的全面分析。此外，背景因素（如患者/组织特征）对此类干预措施的影响尚未得到充分探讨。在PRISM框架的指导下，本综述的目的是了解cCHW干预措施在临床环境中对cvd患者的支持。方法：检索PubMed、CINAHL和APA PsycInfo数据库，检索关键词为：（社区卫生工作者）、（integrat*）、（慢性）和（心血管疾病）。纳入了从开始到2023年发表的调查CHWs在成人心血管疾病护理中的整合的研究。结果：共纳入25项研究。大多数研究（n = 23）测量了干预的有效性，并经常对结果产生积极影响，包括血压和慢性疾病控制。与有效性相比，RE-AIM的其他领域尚未得到充分探索。结论和意义：cCHW项目在改善心血管疾病患者的健康结果方面已经证明了一些证据。然而，人们对它们对其他相关多维RE-AIM结果的影响知之甚少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.