Name of Student
Name of Supervisor
Prevention Article Review
Title of study- Effectiveness of a Community Health worker Cardiovascular Risk Reduction Program in Public Health and Health Care Settings.
Author of study- Krantz,M.J.,Coronel,S.M.,Whitley,E.M.,Dale,R.,Yost,J.,&Estacio,R.O.
Source of study-American Journal of Public Health.
Date of Publication- January 2013.
The basic issue addressed in this study was to determine the impact of a programme involving community health workers on the incidence and pattern of coronary heart disease in the community.
MAIN RESEARCH IN THE ARTICLE AND KEY QUESTIONS
The study involves the use of Colorado Heart Healthy Solutions and included 34 Colorado counties and 22 community health workers (Krantz et al. 27). The scope of the study included evaluating the participant’s lifestyle, their willingness to make better lifestyle choices, creating a risk based algorithm that can propagate positive health, providing support to the participants and help them in dealing with hospitals and ensuring regular follow up. The entire data collected was evaluated for the period of 2010-1011 and assessment was done on basis of Framingham Risk Score. A software programme in form of Outreach Screening and Referral (OSCAR) was used to provide the technical help to CHW’s.
DATA OR RESULTS
In this study the 10 year risk of developing CHD was determined by studying factors like age, gender, blood cholesterol, systolic blood pressure, family history, past medical history and knowledge about CHD.
Figure 1 – Showing the process of analysis of participants.
Participants Retested With Abnormal Risk Factor
Clinical Values Mean ±SD (No.) PbMean ±SD (No.) Pb
Framingham Risk Score, % −0.8 ±6.2 (691) < .001 −2.0 ±8.5 (326) < .001
Body mass index, kg/m2 −0.1 ±2.0 (626) .12 −0.3 ±2.1 (478) .008
Weight, kg −1.1 ±10.9 (631) .01 −2.0 ±10.3 (479) < .001
Systolic BP, mm Hg −3.8 ±17.2 (652) < .001 −14.7 ±20.6 (196) < .001
Diastolic BP, mm Hg −2.3 ±10.7 (649) < .001 −9.3 ±11.7 (174) < .001
Total cholesterol, mg/dL −7.5 ±34.1 (679) < .001 −15.3 ±34.9 (421) < .001
HDL cholesterol, mg/dL 1.9 ±12.1 (653) < .001 5.4 ±11.2 (358) < .001
LDL cholesterol, mg/dL −7.4 ±33.7 (561) < .001 −18.3 ±34.2 (300) < .001
Figure 2- The changes in risk factors after intervention.
The study shows that there is a niche for community intervention in the management of CHD’s as an improvement in FRS scores and modifiable risk factors was seen in participants.
Modern lifestyle has given rise to an epidemic of chronic diseases and CHD is fast emerging as one of the major killers of the 21st century. This study was chose for discussion as it aims to find the best possible solution to the CHD epidemic as it aims to prevent the occurrence of the disease. Findings obtained from the study impress upon the need to incorporate CHW’s in community based preventive programmes which target both the at risk population and to educate the general population about the disease. The only limitations associated with the study are the question of the representativeness of the sample population and its applicability to general population and the interrelationship between different factors that cause CHD. However, it is the first study of its kind and its findings should form a basis for further research in this field.
Krantz, M. J., Coronel, S. M., Whitley, E. M., Dale, R., Yost, J., & Estacio, R. O. Effectiveness of a community health worker cardiovascular risk reduction program in public health and health care settings. American Journal of Public Health. 2013. Print.