A community health worker home visit program: Facilitators and barriers of program implementation

Research output: Contribution to journalArticle

Terri Menser, Christine Swoboda, Cynthia Sieck, Jennifer Hefner, Timothy Huerta, Ann Scheck McAlearney

Home visit programs have long been used as a means of intervention specifically among vulnerable, at-risk populations including: chronically ill, impoverished, rural, or homebound individuals. Understanding barriers and facilitators to the implementation of home visit programs is essential to inform these efforts. Home visit programs led by community health workers (CHWs) are becoming more common and pose specific challenges. The Ohio Infant Mortality Reduction Initiative is a home visit program led by CHWs with the purpose of reducing infant mortality among high-risk populations. The intervention included health education, referrals to health services, and provision of supplies and social support to expectant mothers. This study examined qualitative interviews with program managers and administrators to describe facilitators and barriers associated with this home visit program from a managerial perspective. Findings highlight the importance of initial and ongoing CHW training, appropriate caseloads, effective communication, and adequate funding, which can inform future CHW programs.

Original languageEnglish (US)
Pages (from-to)370-381
Number of pages12
JournalJournal of Health Care for the Poor and Underserved
Volume31
Issue number1
DOIs
StatePublished - Feb 1 2020

PMID: 32037337

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Standard

A community health worker home visit program : Facilitators and barriers of program implementation. / Menser, Terri; Swoboda, Christine; Sieck, Cynthia; Hefner, Jennifer; Huerta, Timothy; McAlearney, Ann Scheck.

In: Journal of Health Care for the Poor and Underserved, Vol. 31, No. 1, 01.02.2020, p. 370-381.

Research output: Contribution to journalArticle

Harvard

Menser, T, Swoboda, C, Sieck, C, Hefner, J, Huerta, T & McAlearney, AS 2020, 'A community health worker home visit program: Facilitators and barriers of program implementation' Journal of Health Care for the Poor and Underserved, vol. 31, no. 1, pp. 370-381. https://doi.org/10.1353/hpu.2020.0028

APA

Menser, T., Swoboda, C., Sieck, C., Hefner, J., Huerta, T., & McAlearney, A. S. (2020). A community health worker home visit program: Facilitators and barriers of program implementation. Journal of Health Care for the Poor and Underserved, 31(1), 370-381. https://doi.org/10.1353/hpu.2020.0028

Vancouver

Menser T, Swoboda C, Sieck C, Hefner J, Huerta T, McAlearney AS. A community health worker home visit program: Facilitators and barriers of program implementation. Journal of Health Care for the Poor and Underserved. 2020 Feb 1;31(1):370-381. https://doi.org/10.1353/hpu.2020.0028

Author

Menser, Terri ; Swoboda, Christine ; Sieck, Cynthia ; Hefner, Jennifer ; Huerta, Timothy ; McAlearney, Ann Scheck. / A community health worker home visit program : Facilitators and barriers of program implementation. In: Journal of Health Care for the Poor and Underserved. 2020 ; Vol. 31, No. 1. pp. 370-381.

BibTeX

@article{9420a852d88d4b7aa912e84cc3527ddc,
title = "A community health worker home visit program: Facilitators and barriers of program implementation",
abstract = "Home visit programs have long been used as a means of intervention specifically among vulnerable, at-risk populations including: chronically ill, impoverished, rural, or homebound individuals. Understanding barriers and facilitators to the implementation of home visit programs is essential to inform these efforts. Home visit programs led by community health workers (CHWs) are becoming more common and pose specific challenges. The Ohio Infant Mortality Reduction Initiative is a home visit program led by CHWs with the purpose of reducing infant mortality among high-risk populations. The intervention included health education, referrals to health services, and provision of supplies and social support to expectant mothers. This study examined qualitative interviews with program managers and administrators to describe facilitators and barriers associated with this home visit program from a managerial perspective. Findings highlight the importance of initial and ongoing CHW training, appropriate caseloads, effective communication, and adequate funding, which can inform future CHW programs.",
keywords = "Community health workers, Implementation barriers, Implementation facilitators, Implementation science",
author = "Terri Menser and Christine Swoboda and Cynthia Sieck and Jennifer Hefner and Timothy Huerta and McAlearney, {Ann Scheck}",
year = "2020",
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doi = "10.1353/hpu.2020.0028",
language = "English (US)",
volume = "31",
pages = "370--381",
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issn = "1049-2089",
publisher = "Johns Hopkins University Press",
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RIS

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T1 - A community health worker home visit program

T2 - Journal of Health Care for the Poor and Underserved

AU - Menser, Terri

AU - Swoboda, Christine

AU - Sieck, Cynthia

AU - Hefner, Jennifer

AU - Huerta, Timothy

AU - McAlearney, Ann Scheck

PY - 2020/2/1

Y1 - 2020/2/1

N2 - Home visit programs have long been used as a means of intervention specifically among vulnerable, at-risk populations including: chronically ill, impoverished, rural, or homebound individuals. Understanding barriers and facilitators to the implementation of home visit programs is essential to inform these efforts. Home visit programs led by community health workers (CHWs) are becoming more common and pose specific challenges. The Ohio Infant Mortality Reduction Initiative is a home visit program led by CHWs with the purpose of reducing infant mortality among high-risk populations. The intervention included health education, referrals to health services, and provision of supplies and social support to expectant mothers. This study examined qualitative interviews with program managers and administrators to describe facilitators and barriers associated with this home visit program from a managerial perspective. Findings highlight the importance of initial and ongoing CHW training, appropriate caseloads, effective communication, and adequate funding, which can inform future CHW programs.

AB - Home visit programs have long been used as a means of intervention specifically among vulnerable, at-risk populations including: chronically ill, impoverished, rural, or homebound individuals. Understanding barriers and facilitators to the implementation of home visit programs is essential to inform these efforts. Home visit programs led by community health workers (CHWs) are becoming more common and pose specific challenges. The Ohio Infant Mortality Reduction Initiative is a home visit program led by CHWs with the purpose of reducing infant mortality among high-risk populations. The intervention included health education, referrals to health services, and provision of supplies and social support to expectant mothers. This study examined qualitative interviews with program managers and administrators to describe facilitators and barriers associated with this home visit program from a managerial perspective. Findings highlight the importance of initial and ongoing CHW training, appropriate caseloads, effective communication, and adequate funding, which can inform future CHW programs.

KW - Community health workers

KW - Implementation barriers

KW - Implementation facilitators

KW - Implementation science

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U2 - 10.1353/hpu.2020.0028

DO - 10.1353/hpu.2020.0028

M3 - Article

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JF - Journal of Health Care for the Poor and Underserved

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