282661
Navigating public housing residents into cardiovascular prevention programs: A multi-site intervention study
326 eligible residents (72%) enrolled (152 intervention, 174 control): mean age 50; 75% female; 28% Black, 51% Hispanic; 84% public health insurance, 10% no health insurance, nearly half never graduated high school (44%) and were foreign born (47%). Overall, 79% were overweight or obese, 78% had hypertension, 66% had diabetes, 47% had high cholesterol, and 32% reported current tobacco smoking. McNemar's tests showed that navigated residents reported a significant increase in outcome utilization pre-post intervention: attending a primary care visit (53% to 71%, p<0.01), participating in community programs (29% to 54%, p<0.01), and either attending a community program or a primary care visit (66% to 87%, p<0.01). Residents at the control sites recorded no significant changes. This multi-site navigation intervention study documents the impact of navigation on improving healthcare delivery among a vulnerable population living in public housing.
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research
Learning Objectives:
Evaluate the efficacy of patient navigation to increase healthcare utilization among a vulnerable population living in public housing
Keywords: Community-Based Health Promotion, Vulnerable Populations
Organization/institution whose products or services will be discussed: Project HHEART, the intervention reported in this abstract, was conducted as part of The Boston University Partners in Health and Housing Prevention Research Center, a community-public health partnership.
Qualified on the content I am responsible for because: I have a track record of designing, implementing, and evaluating Patient Navigator (PN) programs. I have received grants from the Avon Foundation, the Susan G. Komen Breast Cancer Foundation and the National Cancer Institute Patient Navigation Research Program (PNRP) to explore the efficacy and cost effectiveness of the PN intervention model.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.