2020
Community Outreach for Navajo People Living with Diabetes: Who Benefits Most?
Trevisi L, Orav J, Atwood S, Brown C, Curley C, King C, Muskett O, Sehn H, Nelson A, Begay M, Shin S. Community Outreach for Navajo People Living with Diabetes: Who Benefits Most? Preventing Chronic Disease 2020, 17: e68. PMID: 32701432, PMCID: PMC7380292, DOI: 10.5888/pcd17.200068.Peer-Reviewed Original ResearchConceptsPrimary care providersBaseline HbACommunity Health RepresentativesMental health conditionsCare providersCOPE patientsHealth conditionsGlycated hemoglobin APrimary care physiciansRoutine health recordsPatient empowerment interventionCommunity outreachDe-identified dataPreferred languageCare physiciansCOPE interventionPatientsHealth representativesDiabetesHealth recordsHemoglobin AHbALinear mixed modelsInterventionEmpowerment interventionCommunity–clinic linkages: qualitative provider perspectives on partnering with community health representatives in Navajo Nation
Brown C, Lalla A, Curley C, King C, Muskett O, Salt S, Ray K, Begay M, Nelson A, Shin S. Community–clinic linkages: qualitative provider perspectives on partnering with community health representatives in Navajo Nation. BMJ Open 2020, 10: e031794. PMID: 32054623, PMCID: PMC7044898, DOI: 10.1136/bmjopen-2019-031794.Peer-Reviewed Original ResearchConceptsHealthcare providersClinic-based teamCommunity health workersCommunity Health RepresentativesCommunity health worker programmesHealth worker programmesElectronic health recordsPatient visitsProviders' opinionsHealth workersStudy staffClinical teamHealth representativesStudy designProvider perspectivesHealth recordsHealthcare systemHealthcare programsProgram interventionsDiabetesLarger evaluationReferralCommunity outreachAdvisory PanelNavajo Nation
2019
Integrating community health representatives with health care systems: clinical outcomes among individuals with diabetes in Navajo Nation
Trevisi L, Orav J, Atwood S, Brown C, Curley C, King C, Muskett O, Sehn H, Nelson K, Begay M, Shin S. Integrating community health representatives with health care systems: clinical outcomes among individuals with diabetes in Navajo Nation. International Journal For Equity In Health 2019, 18: 183. PMID: 31771603, PMCID: PMC6880375, DOI: 10.1186/s12939-019-1097-9.Peer-Reviewed Original ResearchConceptsCommunity Health RepresentativesClinical outcomesHealth representativesSystolic blood pressureBody mass indexRoutine clinical dataLow-density lipoproteinIntegrated care teamsPatient empowerment interventionHealth care systemHealth service information systemCOPE groupCOPE patientsClinical characteristicsBlood pressureDiabetes mellitusMass indexCare teamClinical dataLipid levelsHome visitsCOPE interventionNavajo populationPatientsClinical sites
2018
Glycemic control and healthcare utilization following pregnancy among women with pre-existing diabetes in Navajo Nation
Ho J, Bachman-Carter K, Thorkelson S, Anderson K, Jaggi J, Brown C, Nelson A, Curley C, King C, Atwood S, Shin S. Glycemic control and healthcare utilization following pregnancy among women with pre-existing diabetes in Navajo Nation. BMC Health Services Research 2018, 18: 629. PMID: 30097012, PMCID: PMC6086058, DOI: 10.1186/s12913-018-3434-x.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultArizonaBlood GlucoseDiabetes Mellitus, Type 2Facilities and Services UtilizationFemaleGlycated HemoglobinHealth Services, IndigenousHumansIndians, North AmericanLogistic ModelsMiddle AgedNew MexicoPatient Acceptance of Health CarePostnatal CarePregnancyPregnancy in DiabeticsPrenatal CareRetrospective StudiesUnited StatesUtahYoung AdultConceptsPre-existing diabetesGlycemic controlIndian Health Service HospitalSpecialized prenatal careRetrospective chart reviewPatient-level predictorsPrimary care providersImmediate postpartum periodResultsOne hundred twentyType 2 diabetesContinuity of healthcareTribal Health SystemBaseline HbA1cChart reviewPrimary outcomeHealthcare utilizationPrenatal carePostpartum periodPregnancy periodHundred twentyService hospitalsCare providersGeneral populationOnly covariatePregnancyIdentifying risk factors for 30-day readmission events among American Indian patients with diabetes in the Four Corners region of the southwest from 2009 to 2016
King C, Atwood S, Lozada M, Nelson A, Brown C, Sabo S, Curley C, Muskett O, Orav E, Shin S. Identifying risk factors for 30-day readmission events among American Indian patients with diabetes in the Four Corners region of the southwest from 2009 to 2016. PLOS ONE 2018, 13: e0195476. PMID: 30070989, PMCID: PMC6071952, DOI: 10.1371/journal.pone.0195476.Peer-Reviewed Original Research
2017
Primary care and survival among American Indian patients with diabetes in the Southwest United States: Evaluation of a cohort study at Gallup Indian Medical Center, 2009–2016
King C, Atwood S, Brown C, Nelson A, Lozada M, Wei J, Merino M, Curley C, Muskett O, Sabo S, Gampa V, Orav J, Shin S. Primary care and survival among American Indian patients with diabetes in the Southwest United States: Evaluation of a cohort study at Gallup Indian Medical Center, 2009–2016. Primary Care Diabetes 2017, 12: 212-217. PMID: 29229284, DOI: 10.1016/j.pcd.2017.11.003.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAge FactorsAgedAged, 80 and overCause of DeathChildCohort StudiesDatabases, FactualDiabetes MellitusFemaleHospitalizationHumansIndians, North AmericanKaplan-Meier EstimateMaleMiddle AgedPrimary Health CareProportional Hazards ModelsRetrospective StudiesRisk AssessmentSex FactorsSouthwestern United StatesStatistics, NonparametricSurvival AnalysisYoung AdultConceptsPrimary care providersLog-rank testAmerican Indian patientsCare providersIndian patientsCox proportional hazards analysisStudy periodProportional hazards analysisMedian survival timeCause mortalityCohort studyOverall survivalImproved survivalFirst admissionUnadjusted analysesPrimary careMedical CenterSurvival timePatientsAdmissionDiabetesSurvivalHealthcare deliverySignificant differencesHazard analysisStrengthening the role of Community Health Representatives in the Navajo Nation
King C, Goldman A, Gampa V, Smith C, Muskett O, Brown C, Malone J, Sehn H, Curley C, Begay M, Nelson A, Shin S. Strengthening the role of Community Health Representatives in the Navajo Nation. BMC Public Health 2017, 17: 348. PMID: 28431541, PMCID: PMC5399395, DOI: 10.1186/s12889-017-4263-2.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelCommunity Health WorkersCommunity-Institutional RelationsCross-Sectional StudiesFemaleFocus GroupsHealth Services, IndigenousHumansIndians, North AmericanLongitudinal StudiesMaleOrganizations, NonprofitPatient ParticipationProfessional RoleProgram EvaluationSouthwestern United StatesConceptsCommunity health worker systemLongitudinal cohort studyCommunity health workersPublic health nursesCommunity Health RepresentativesHigh-risk individualsHospital-based providersHome-based interventionLocal health care systemHealth promotion materialsHealth care systemElectronic health recordsCohort studyHealth nursesLow-resource communitiesCare coordinationHealth workersSectional evaluationCOPE programHealth representativesHealth outcomesDisease preventionProgrammatic supportCare systemHealth recordsCultural elements underlying the community health representative – client relationship on Navajo Nation
Gampa V, Smith C, Muskett O, King C, Sehn H, Malone J, Curley C, Brown C, Begay M, Shin S, Nelson A. Cultural elements underlying the community health representative – client relationship on Navajo Nation. BMC Health Services Research 2017, 17: 19. PMID: 28069014, PMCID: PMC5223387, DOI: 10.1186/s12913-016-1956-7.Peer-Reviewed Original ResearchMeSH KeywordsCommunity Health WorkersCulturally Competent CareFemaleHumansIndians, North AmericanInterviews as TopicMaleProfessional-Patient RelationsTrustUnited StatesConceptsCommunity Health RepresentativesCultural elementsCommunity health workersNavajo NationMethodsIn-depth interviewsMarginalized communitiesSocial practicesIndigenous communitiesClient familiesCommunity partnersRelevant themesHealth representativesNationsCommunityCrucial servicesInterviewsPositive health outcomesQuality servicesTrustHealth workersNarrativesClientsTraditionCHR programsServices