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Community Health Workers in Rural Settings – Resources

Selected recent or important resources focusing on Community Health Workers in Rural Settings.

Physical Activity Change after a Promotora-Led Intervention in Low-Income Mexican American Women Residing in South Texas
Examines the physical activity preferences and changes after a community health worker (CHW) led intervention to decrease sedentary time in 620 Mexican American women from mostly rural colonias settlements in Hidalgo County, South Texas on the U.S.-Mexico border. The Community Health Activities Model Program for Seniors Physical Activity (CHAMPS) instrument was used to predict an increase in moderate to vigorous physical activity.
Author(s): Jennifer J. Salinas, Deborah Parra-Medina
Citation: BMC Public Health. 2019,(19), 782.
Date: 06/2019
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Protocol for Links (Linking Individual Needs to Community and Clinical Services): A Prospective Matched Observational Study of a Community Health Worker Community Clinical Linkage Intervention on the U.S.-Mexico Border
Describes Linking Individual Needs to Community and Clinical Services (LINKS), a 3-year observational tool developed to examine the impact of CHW-led interventions using electronic health records and other applications to reduce chronic disease risk and promote well-being among Latinos residing in the U.S. Mexico border region of Arizona.
Author(s): Abby M. Lohr, Maia Ingram, Scott C. Carvajal, Kevin Doubleday, Benjamin Aceves, et al.
Citation: BMC Public Health,19, 399
Date: 04/2019
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Una Mano Amiga: Pilot Test of a Patient Navigator Program for Southwest New Mexico
Reports on a pilot study of utilizing bilingual promotoras as patient navigators to help cancer patients and their families in 3 rural counties of southwest New Mexico navigate the healthcare system from cancer diagnosis to treatment.
Author(s): Hugo Vilchis, Lynn E. Onstad, Rachel Benavidez, et al.
Citation: Journal of Cancer Education, 34(1), 173-179
Date: 02/2019
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Evaluating Home-Based Health Coaching from Community Health Representatives for Navajo Adults with Type 2 Diabetes
Reports on the Community Outreach and Patient Empowerment (COPE) program that utilizes community health representatives (CHRs) in the home setting to assist Navajo adults with diabetes management. Discusses CHRs' community-wide health promotion strategies and individualized in-home patient care. Includes results of the program on participant health.
Author(s): Sonya S. Shin, A. Katrina Nelson, Letizia Trevisi, et al.
Date: 2019
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Salud es Vida: A Cervical Cancer Screening Intervention for Rural Latina Immigrant Women
Investigates the feasibility and effectiveness of Salud Es Vida, an educational group session led by promotoras focused on cervical cancer screening and increased cervical cancer knowledge among immigrant Hispanic/Latina women from farmworker environments. The intervention was conducted in four rural counties of Southeast Georgia and included the development of a toolkit offering a curriculum guide and class activities created in partnership with promotoras.
Author(s): John S. Luque, Yelena N. Tarasenko, Claudia Reyes-Garcia, et al.
Citation: Journal of Cancer Education, 32(4), 690-699
Date: 12/2018
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The Role of Social Support and the Neighborhood Environment on Physical Activity in Low-income, Mexican-American Women in South Texas
Presents a study on the effectiveness of a promotora-led intervention aimed at improving the rates of physical activity among low-income Mexican-American women in rural South Texas.
Author(s): Jennifer J. Salinas, Marisol McDaniel, Deborah Parra-Medina
Citation: Journal of Preventive Medicine and Public Health, 51(5), 234-241
Date: 09/2018
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Culturally-Relevant Online Education Improves Health Workers' Capacity and Intent to Address Cancer
Discusses the findings of a survey of Community Health Aides/Practitioners (CHA/Ps) in rural Alaska regarding their participation in culturally-relevant online learning modules developed to increase their knowledge about cancer and improve their capacity to interact with patients about cancer.
Author(s): Katie Cueva, Melany Cueva, Laura Revels, Mark Dignan
Citation: Journal of Community Health, 43(4), 660–666
Date: 08/2018
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Supervision Manual for Promotor(a) de Salud Programs
Provides basic guidelines for personnel management to supervisors of Promotor(a) de Salud programs. Covered topics include recruiting and hiring, orientation and training, supervision, and challenges.
Date: 07/2017
Sponsoring organization: MHP Salud
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Living in Limbo: Latinas' Assessment of Lower Rio Grande Valley Colonias Communities
Highlights the activities conducted by promotoras during an intervention study using community asset mapping (CAM) to identify factors that may facilitate or create barriers to physical activity among Latina residents in the U.S.-Mexico border region of Texas.
Author(s): DeAnne K. Hilfinger Messias, Patricia A. Sharpe, Lulis del Castilo-Gonzalez, Laura Treviño, Deborah Parra-Medina
Citation: Public Health Nursing, 34(3), 267-275
Date: 05/2017
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Integrating Community Health Workers into Complex Care Teams: Key Considerations
Examines effective strategies for integrating community health workers (CHWs) into complex care teams. Discusses factors to consider, such as recruiting and hiring, training and career progression, team integration, support and retention, and more. Includes a brief description of characteristics that are particularly important for CHWs working in rural areas.
Author(s): Jim Lloyd, Caitlin Thomas-Henkel
Date: 05/2017
Sponsoring organization: Center for Health Care Strategies
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Last Updated: 3/24/2025