Community Health Worker Support for Disadvantaged Patients with Multiple Chronic Diseases: A Randomized Clinical Trial

Shreya Kangovi
Nandita Mitra
David Grande
Hairong Huo
Robyn A. Smith
Judith A. Long
Journal Article
October 2017

This resource reports on a randomized clinical trial assessing whether CHWs can effectively improve chronic disease outcomes.

  • A large body of literature indicates that CHWs can be effective, but nearly all the interventions have been disease-specific. This study focused on a low-income population with multiple chronic conditions.
  • The study team created IMPaCT (Individualized Management for Patient-Centered Targets), a CHW intervention that can be applied across diseases to address socioeconomic and behavioral factors.
  • A CHW intervention, combined with collaborative goal-setting, led to modest improvements in diabetes, obesity, and smoking when compared with collaborative goal-setting alone. The CHW intervention did not lead to improvements in hypertension.
  • The CHW support also improved mental health and quality of primary care, and appeared to reduce hospital admissions.
Posted to The Playbook on
Population Addressed
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Key Questions Answered
  • Can community health workers (CHWs) improve outcomes for people with multiple chronic diseases?
  • How would such a program work?
  • What are the specific outcomes?
Level of Evidence
What does this mean?