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Journal of Community Health
Published in: Journal of Community Health 5/2011

01-10-2011 | Original Paper

Healthy Families Brooklyn: Working with Health Advocates to Develop a Health Promotion Program for Residents Living in New York City Housing Authority Developments

Authors: Necole Brown, Nicole A. Vaughn, Alison J. Lin, Ruth Browne, Marilyn White, Paul Smith

Published in: Journal of Community Health | Issue 5/2011

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Abstract

Decreasing health disparities must increase access to care, improve health education and ease navigating the health care system. Community Health Workers (CHW) take on these tasks in professional and culturally competent manners. The Healthy Families Brooklyn (HFB) Program serves residents in two public housing developments in Brooklyn, NY. Healthy Families Advocates (HFA), a type of CHW, are at the core of HFB. Curriculum development for, training of and services provided by the 10 HFA over 19 months are described. Pre and post knowledge assessments of HFAs are analyzed. Data from HFA surveys regarding training were analyzed using grounded theory methods. HFA served 172 unique clients at 222 visits. Services offered include accessing public benefits, health education, and connection to hospitals. There was a significant increase between pre and post assessment knowledge scores (P < 0.01). Taking temperature, building trust, and communicating care and connection emerged as themes related to interpersonal skills used by the HFA. The HFA are committed to moving clients forward in their health knowledge and behaviors. Themes from the HFA survey closely mirrored the HFA training curriculum. Lessons learned pertaining to training needs, data collection, and supervision are explored. The HFB program is a model way of working in communities in New York City and expansion with faith-based groups and other housing development communities is underway. Engaging communities to improve access, screening, prevention and treatment is paramount to the nation’s health and the success of the 2010 Affordable Care Act. CHW’s role in this mission is integral.
Literature
1.
Davis, K. L., O’Toole, M. L., Brownson, C. A., Llanos, P., & Fisher, E. B. (2007). Teaching how, not what—the contributions of community health workers to diabetes self-management. Diabetes Educator, 33, 208S–215S.PubMedCrossRef
2.
Andrulis, D. P. (1998). Access to care is the centerpiece in the elimination of socioeconomic disparities in health. Annals of Internal Medicine, 129(5), 412–416.PubMed
3.
Caulfield, L. E. G., Gross, S. M., Bentley, M. E., et al. (1998). WIC-based Interventions to promote breastfeeding among African-American women in Baltimore: Effects on breastfeeding initiation and continuation. Journal of Human Lactation, 14(1), 15–22.PubMedCrossRef
4.
Andrews, J. O., Felton, G., Wewers, M. E., & Heath, J. (2004). Use of community health workers in research with ethnic minority women. Journal of Nursing Scholarship, 36(4), 358–365.PubMedCrossRef
5.
Menéndez, R. R. (2005). H.R. 1812: patient navigator outreach and chronic disease prevention act of 2005. In: 109th Congress of the United States, ed. 2005.
6.
Levine, D. M., Bone, L. R., Hill, M. N., Stallings, R., Gelber, A. C., Barker, A., et al. (2003). The effectiveness of a community/academic health center partnership in decreasing the level of blood pressure in an urban African-American population. Ethnicity and Disease, 13(3), 354–361.PubMed
7.
Fisher, T. L., Burnet, D. L., Huang, E. S., Chin, M. H., & Cagney, K. A. (2007). Cultural leverage: Interventions using culture to narrow racial disparities in health care. Medical Care Research and Review, 64(5), 243S–282S.PubMedCrossRef
8.
9.
Andrews, J. O., Bentley, G., Crawford, S., Pretlow, L., & Tingen, M. S. (2007). Using community-based participatory research to develop a culturally sensitive smoking cessation intervention with public housing neighborhoods. Ethnicity and Disease, 17(2), 331–337.PubMed
10.
World Health Organization. (2007). Community health workers: What do we know about them?: Evidence and information for policy. Geneva: Department of Human Resources for Health.
11.
Lewin, S. A., Dick, J., Pond, P., Zwarenstein, M., Aja, G., van Wyk, B., et al. (2005). Lay health workers in primary and community health care: Cochrane systematic review. International Journal of Epidemiology, 34(6), 1250–1251.CrossRef
12.
Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003). Racial/ethnic discrimination and health: Findings from community studies. American Journal of Public Health, 93(2), 200–208.PubMedCrossRef
13.
Olson, E. C. V. W. G., Kerker, B., Thorpe, L., & Frieden, T. R. (2006). T take care Northwest Brooklyn. NYC community health profiles, 2nd Edn 9(42), 1–16.
14.
Kobetz, E., Vatalaro, K., Moore, A., & Earp, J. A. (2005). Taking the transtheoretical model into the field: A curriculum for lay health advisors. Health Promotion Practice, 6(3), 329–337.PubMedCrossRef
15.
Karwalajtys, T., McDonough, B., Hall, H., Guirguis-Younger, M., Chambers, L. W., Kaczorowski, J., et al. (2009). Development of the volunteer peer educator role in a community cardiovascular health awareness program (CHAP): A process evaluation in two communities. Journal of Community Health, 34(4), 336–345.PubMedCrossRef
16.
Office of Institutional Advancement and the Office of Planning. (2007). Brooklyn community health. Brooklyn: SUNY Downstate Medical Center.
17.
18.
Keyserling, T. C., Samuel-Hodge, C. D., Ammerman, A. S., Ainsworth, B. E., Henriquez-Roldan, C. F., Elasy, T. A., et al. (2002). A randomized trial of an intervention to improve self-care behaviors of African-American women with type 2 diabetes—impact on physical activity. Diabetes Care, 25(9), 1576–1583.PubMedCrossRef
19.
Quinn, M. T. (2001). Training lay health educators to conduct a church-based weight-loss program for African American women. Diabetes Educator, 27(2), 231–238.PubMedCrossRef
20.
Brennan Ramirez, L., Baker, E., & Metzler, M. (2008). Promoting health equity: A resource to help communities address social determinants of health. Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention.
21.
Batts-Turner, M. L, Gary, T. L., Bone, L., Hill, M., McGuire, M., & Wang, N. Y. et al. (2001). Project sugar 2: Recruitment of urban African Americans with type 2 diabetes. Diabetes 50, A196–A.
22.
Glaser, B., & Strauss, A. (1967). The discovery of grounded theory. New York: Aldine.
23.
Fleury, J., Keller, C., Perez, A., & Lee, S. M. (2009). The role of lay health advisors in cardiovascular risk reduction: A review. American Journal of Community Psychology, 44(1–2), 28–42.PubMedCrossRef
24.
Smedley, B., Stith, A. Y., & Nelson, A. R. (Eds.). (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press-Institute of Medicine.
25.
26.
27.
Karpati, A. K. B., Mostashari, F., Singh, T., Hajat, A., Thorpe, L., Bassett, M., et al. (2004). Health disparities in New York City. New York: New York City Department of Health and Mental Hygiene.
28.
Perez, L. M., & Martinez, J. (2008). Community health workers: Social justice and policy advocates for community health and well-being. American Journal of Public Health, 98(1), 11–14.PubMedCrossRef
29.
Cooper, L. A., Hill, M. N., & Powe, N. R. (2002). Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. Journal of General Internal Medicine, 17(6), 477–486.PubMedCrossRef
30.
Findley, S., Irigoyen, M., Sanchez, M., Guzman, L., Mejia, M., & Sajous, M. et al. (2004). Community empowerment to reduce childhood immunization disparities in New York City. Ethnicity and Disease 14(3 Suppl 1), S134–S141.
31.
Brach, C., & Fraserirector, I. (2005). Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Medical Care Research and Review 57(4), suppl 181–217.
32.
Watkins, E., Harlan, C., Eng, E., Gansky, S., Gehan, D., & Larson, K. (1994). Assessing the effectiveness of lay health advisors. Journal of Community Health, 16(4), 72–87.
33.
34.
Catalani, C., Findley, S., Matos, S., & Rodriguez, R. (2009). Community health worker insights on their training and certification. Progress Community Health Partnership: Research, Education, Action, 3(3), 227–235.CrossRef
35.
Swider, S. M. (2002). Outcome effectiveness of community health workers: An integrative literature review. Public Health Nursing, 19(1), 11–20.PubMedCrossRef
Metadata
Title
Healthy Families Brooklyn: Working with Health Advocates to Develop a Health Promotion Program for Residents Living in New York City Housing Authority Developments
Authors
Necole Brown
Nicole A. Vaughn
Alison J. Lin
Ruth Browne
Marilyn White
Paul Smith
Publication date
01-10-2011
Publisher
Springer US
Published in
Journal of Community Health / Issue 5/2011
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-011-9388-0

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