217686 Home Based Primary Care (HBPC) Community Health Workers (CHW) as Promotors of Health in Aging

Monday, November 8, 2010

Marcella Scaccia, MD , Department of Family Medicine, Bronx Lebanon Hospital Center, Astoria, NY
Paul Beach, MD , Department of Family Medicine, Bronx Lebanon Hospital Center, Bronx, NY
Jose A. Lopez Jr., MD , Department of Family Medicine, Bronx Lebanon Hospital Center, Bronx, NY
Romelia Rodriguez , Department of Family Medicine, Bronx Lebanon Hospital Center, Bronx, NY
Douglas Reich, MD , Department of Family Medicine, Bronx Lebanon Hospital Center, Bronx, NY
Objective To expand geriatric knowledge of Community Health Workers in the areas of primary, secondary prevention in care delivery to high-risk vulnerable elders (VE)

Methods: 6 Community Health Workers (CHW) were trained in screening VE for dementia, depression, function and functional decline using validated screening tools. Each Training session was followed by a small group discussion and written reflections. Post-training self-reflections questionnaire structured to identify domains of interactive, reflective and integrative reasoning. Each CHW was then instructed to apply the use of the tools to 10 of the panel VEs enrolled in a HBPC and present screening results to the GIT.

Results A total 30 hours training time integrated into GIT. Attendance rate was 85%. Post-training self-reflection questionnaires revealed overall enhancement of interactive, reflective and integrative reasoning. Pre-Test Estimated time for completion of screening tools ranged from 45-60 minutes. At the completion of 3-month period, mean time of completion ranged from MMSE 10 minutes, Mini-Cog 3 minutes, ADLS & IADLS 5 minutes each, CGS 5 10 minutes depending on patient.

Conclusion This study shows the feasibility of expanding enhancing the skill set of CHWs in primary and secondary intervention in the care of VE. Extending the role of the CHW in a Geriatric Team Model of Home Care delivery carries potential of alleviating health disparities in our aging community.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education

Learning Objectives:
To develop and expand geriatric knowledge to Community Health Workers in the areas of primary, secondary and tertiary prevention in care delivery to high-risk vulnerable elders who would benefit from HBPC

Keywords: Aging, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am board certified geriatrician/Clinical Associate Professor at AECOM and PI of grant funded project from which this research has stemmed
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.