Study Overview
Patient Intervention
Clinician Intervention
Survey Instruments
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Patients were randomized to either a minimal or intensive intervention.
The intensive patient intervention was based
on a model patient education. Community health workers (CHW)
to administered the intervention and developed a mechanism for
ongoing reinforcement and support. The intervention integrates
cognitive, behavioral, and affective programmatic elements in
two stages. The first stage is comprised of a 20-minute pre-visit
coaching session by a CHW in the clinical site immediately prior
to the patient’s index visit with his/her clinician. The CHWs
used a structured protocol in the pre-visit coaching session
to accomplish the participation (engagement, activation, and
empowerment) goals. The second stage continues contact between
the CHW and the patient through a series 10 to 15 minute check-in
telephone calls at two weeks, three months, six months, nine
months, and twelve months from baseline. Additionally, CHWs
were available to patients by phone on an ‘as needed’ basis
over the one-year follow-up period. |
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