TY - JOUR
T1 - A cohort review approach evaluating community health worker programs in New York City, 2015-2017
AU - Feinberg, Alexis
AU - Seidl, Lois
AU - Dannefer, Rachel
AU - Wyka, Katarzyna
AU - Drackett, Elizabeth
AU - Brown-Dudley, La'Shawn
AU - Islam, Nadia
AU - Thorpe, Lorna E.
N1 - Funding Information:
Research was supported by Harlem Health Advocacy Partners, a project funded and administered by the New York City Department of Health and Mental Hygiene. The efforts of Drs. Thorpe and Islam are supported in part by the Centers for Disease Control and Prevention (CDC) Grant U48DP001904. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the New York City Department of Health and Mental Hygiene or CDC. The authors declare no conflicts of interest. No copyrighted materials were used.
Publisher Copyright:
© 2019 Centers for Disease Control and Prevention (CDC).
PY - 2019/7/1
Y1 - 2019/7/1
N2 - The objective of this study was to describe how a cohort review approach was applied as an evaluation framework for a community health worker intervention among adult residents in 5 public housing developments in New York City in 2015-2017. The cohort review approach involved systematically monitoring participants engaged in the Harlem Health Advocacy Partners program during a given time period ("cohort") to assess individual outcomes and program performance. We monitored participation status (completed, still active, disengaged, on leave, or died) and health outcomes. In this example of a cohort review, levels of enrollment and program disengagement were higher in cohort 1 than in cohort 2. For 6-month health outcomes, the percentage of participants with hypertension who had controlled blood pressure was static in cohort 1 and improved significantly in cohort 2. The percentage of participants with diabetes who self-reported controlled hemoglobin A1c increased significantly in cohort 1 at 6-month follow- up. The cohort approach highlighted important outcome successes and identified workload challenges affecting recruitment and retention.
AB - The objective of this study was to describe how a cohort review approach was applied as an evaluation framework for a community health worker intervention among adult residents in 5 public housing developments in New York City in 2015-2017. The cohort review approach involved systematically monitoring participants engaged in the Harlem Health Advocacy Partners program during a given time period ("cohort") to assess individual outcomes and program performance. We monitored participation status (completed, still active, disengaged, on leave, or died) and health outcomes. In this example of a cohort review, levels of enrollment and program disengagement were higher in cohort 1 than in cohort 2. For 6-month health outcomes, the percentage of participants with hypertension who had controlled blood pressure was static in cohort 1 and improved significantly in cohort 2. The percentage of participants with diabetes who self-reported controlled hemoglobin A1c increased significantly in cohort 1 at 6-month follow- up. The cohort approach highlighted important outcome successes and identified workload challenges affecting recruitment and retention.
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U2 - 10.5888/pcd16.180623
DO - 10.5888/pcd16.180623
M3 - Article
C2 - 31298212
AN - SCOPUS:85069788960
SN - 1545-1151
VL - 16
JO - Preventing chronic disease
JF - Preventing chronic disease
IS - 7
M1 - 180623
ER -