A randomized controlled trial of a community health worker intervention in a population of patients with multiple chronic diseases: Study design and protocol.

ABSTRACT: Upstream interventions - e.g. housing programs and community health worker interventions- address socioeconomic and behavioral factors that influence health outcomes across diseases. Studying these types of interventions in clinical trials raises a methodological challenge: how should researchers measure the effect of an upstream intervention in a sample of patients with different diseases? This paper addresses this question using an illustrative protocol of a randomized controlled trial of collaborative-goal setting versus goal-setting plus community health worker support among patients multiple chronic diseases: diabetes, obesity, hypertension and tobacco dependence. At study enrollment, patients met with their primary care providers to select one of their chronic diseases to focus on du

SUBMITTER: Kangovi S 

PROVIDER: S-EPMC5455773 | biostudies-literature | 2017 Feb

REPOSITORIES: biostudies-literature