Why Effective Interventions Do Not Work for All Patients: Exploring Variation in Response to a Chronic Disease Management Intervention.

ABSTRACT:

Background

Half of all Americans have a chronic disease. Promoting healthy behaviors to decrease this burden is a national priority. A number of behavioral interventions have proven efficacy; yet even the most effective of these has high levels of nonresponse.

Objectives

In this study, we explore variation in response to an evidence-based community health worker (CHW) intervention for chronic disease management.

Research design

We used a convergent parallel design that combined a randomized controlled trial with a qualitative process evaluation that triangulated chart abstraction, in-depth interviews and participant observation.

Subjects

Eligible patients lived in a high-poverty region and were diagnosed with 2 or more of the following chronic diseases: diabete

SUBMITTER: Edlind M 

PROVIDER: S-EPMC6041152 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature