Community health workers as allies in hypertensionself-managementand medication adherence in the United States, 2014

• Type of Material: Article
• Authors: Caitlin G. Allen, Emory University; Josefine Brownstein, Emory University; Anamika Satsangi, Emory University; Ngoc-Cam Escoffery, Emory University
• Language: English
• Date: 2016-12-29
• Publisher: Center for Disease Control and Prevention
• Publication Version: Final Published Version
• Copyright Statement: Copyright 2016 U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention
• Final Published Version (URL): http://dx.doi.org/10.5888/pcd13.160236
• Title of Journal or Parent Work: Preventing Chronic Disease
• Volume: 13
• Issue: 12
• Start Page: E179
• End Page: E179
• Research Categories: Health Sciences, Health Care Management; Health Sciences, Public Health

Abstract

Introduction Rates of hypertension control remain low among underserved populations in the United States; moreover, disparities in hypertension-related cardiovascular disease death are increasing. Community health workers (CHWs) can address barriers to hypertension control among underrepresented and diverse populations. We identify unique roles CHWs play in hypertension self-managementand medication adherence. Methods In 2014, we conducted a mixed methods study with an online survey of 265 CHWs and 23 telephone interviews. The survey and interview guide contained questions about CHWs' roles in hypertensionself-managementand hypertension medication adherence. We used descriptive statistics to analyze survey data and used inductive thematic analysis for the qualitative data. Results CHWs described working in partnership with patients and various health care providers to assist people in hypertensionself-management. Roles were flexible and multifaceted but patient-driven. CHWs used various delivery methods to assist patients in overcoming barriers to medication adherence. CHWs interacted withpatients primarily through individual clinical sessions or home visits. On average, they visit about 8 times per month, about 40 minutes per visit, over 7 months. CHWs often addressed barriers related to medicine-takingand refills and support patient-provider communications. Conclusion Results from this study will help health care professionals, policy makers, and academics better understand the work of CHWs. CHWs are important provider allies for improving hypertension prevention andself-management, especially among underserved and diverse populations in the United States.