Patients’ Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Intervention Development
2.3. Training of CHWs
2.4. Recruitment of Patients
2.5. Assessment and Measurements of Acceptability and Effectiveness
2.6. Statistical Analysis
3. Results
3.1. CKD Knowledge Assessment
3.2. Gender Differences in the Impact of Educational Intervention and Risk Perception in Kidney Disease Knowledge
3.3. Patients’ Perspectives on the Acceptability of the CHW-Led Education
3.4. Predictive Capacity of Various Variables for a Patient’s Behavioral Intention to Seek Kidney-HealthCare
3.5. Biochemical Parameters Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Covariate | All (n = 100) |
---|---|
Age (years)–Mean (SD) | 55.6 ± 10.5 |
Female | 68.0% |
Obesity | 33.9% |
Country of Origin | |
| 43.0% |
| 19% |
| 9.0% |
| 5.0% |
| 4.0% |
| 4.0% |
| 16.0% |
Former smoker | 19% |
Alcohol use | |
| 82.0% |
| 16.0% |
| 1.0% |
| 1.0% |
Medical Diagnosis | |
| 27.0% |
| 75.0% |
| 82.0% |
| 52.0% |
| 9.0% |
| 10.0% |
| 13.0% |
| 5.0% |
| 9.0% |
| 36.0% |
Literate | 90.0% |
Semi-literate | 10% |
Home | |
| 43.0% |
| 26.0% |
| 22.0% |
| 1.0% |
| 8.0% |
Household members–Mean (SD) | 2.0 ± 1.1 |
Education | |
| 8.0% |
| 73.0% |
| 6.0% |
| 13.0% |
Unemployed | 53.0% |
Income/year–Mean (SD) | $17,993.2 ± $9955.4 |
Knowledge about the Topic of: | Nothing/Little | A Lot | OR ** | IC95% | p *** | ||
---|---|---|---|---|---|---|---|
Kidney Functions | Before | 79.0% | 21.0% | 25.2 | 11.8 | 53.6 | <0.001 |
After | 12.0% | 88.0% | |||||
What is Kidney Disease | Before | 79.0% | 21.0% | 25.2 | 11.8 | 53.6 | <0.001 |
After | 13.0% | 87.0% | |||||
Who is at Risk | Before | 64.0% | 36.0% | 23.6 | 9.9 | 56.4 | <0.001 |
After | 7.0% | 93.0% | |||||
Tests for Kidney Function | Before | 84.0% | 16.0% | 29.7 | 13.8 | 64.0 | <0.001 |
After | 15.0% | 85.0% | |||||
Progression/Visit Nephrologist | Before | 87.0% | 13.0% | 32.6 | 14.9 | 71.4 | <0.001 |
After | 17.0% | 83.0% | |||||
Diet and Kidney Disease | Before | 84.0% | 16.0% | 29.7 | 13.8 | 64.0 | <0.001 |
After | 15.0% | 85.0% | |||||
Therapeutic Goals to Protect Kidneys * | Before | 77.0% | 23.0% | 17.6 | 8.6 | 35.7 | <0.001 |
After | 16.0% | 84.0% | |||||
Medicines for Kidney and Heart | Before | 91.0% | 9.0% | 27.3 | 12.1 | 61.7 | <0.001 |
After | 27.0% | 73.0% | |||||
Therapies available if Kidney Function Worsens | Before | 83.0% | 17.0% | 20.814 | 10.1 | 42.9 | <0.001 |
After | 19.0% | 81.0% |
Median | Q1 | Q3 | |
---|---|---|---|
1. How useful did you find the education about kidney disease? * | 4 | 4 | 5 |
2. I learned new things about kidney disease ** | 5 | 4 | 5 |
3. The CHWs were well-informed and friendly ** | 5 | 5 | 5 |
4. I felt comfortable discussing my concerns about kidney disease ** | 5 | 5 | 5 |
5. The words and vocabulary used in the flipchart were easy for me to understand ** | 5 | 5 | 5 |
6. The images/photos used in the flipchart helped me understand kidney disease ** | 5 | 5 | 5 |
7. Overall, I was satisfied with the support and guidance provided during the education ** | 5 | 5 | 5 |
8. The education received will help me with my kidney health and making lifestyle changes ** | 5 | 5 | 5 |
9. I will recommend this education to others ** | 5 | 5 | 5 |
Variable | Before | After | p * | Change | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Median | Q1 | Q3 | Median | Q1 | Q3 | Median | Q1 | Q3 | ||
Glycemia | 151.0 | 118.5 | 201.8 | 130.0 | 109.0 | 167.0 | 0.014 | −18.0 | −52.3 | 7.3 |
HbA1c | 7.4 | 6.5 | 8.1 | 7.4 | 6.8 | 8.5 | 0.509 | 0.2 | −0.7 | 0.9 |
Chol-LDL | 75.0 | 56.0 | 113.0 | 71.0 | 48.0 | 104.0 | 0.284 | −2.0 | −31.0 | 13.0 |
Chol-HDL | 47.0 | 40.0 | 55.0 | 47.0 | 38.0 | 53.0 | 0.791 | 0.0 | −4.0 | 4.0 |
Trig. | 149.0 | 109.0 | 201.5 | 140.0 | 107.0 | 211.0 | 0.035 | −29.0 | −85.8 | 30.5 |
eGFR | 94.0 | 65.3 | 107.0 | 85.0 | 60.5 | 103.5 | 0.942 | 0.0 | −6.0 | 5.0 |
uACR | 22.0 | 9.3 | 97.0 | 30.0 | 12.3 | 217.3 | 0.638 | −2.0 | −23.0 | 66.0 |
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Diaz-Martinez, J.; Delgado-Enciso, I.; Duran, C.; Kallus, L.; Jean-Pierre, A.; Lopez, B.; Mancilla, J.; Madruga, Y.; Hernandez-Fuentes, G.A.; Kotzker, W.; et al. Patients’ Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study. Behav. Sci. 2024, 14, 750. https://doi.org/10.3390/bs14090750
Diaz-Martinez J, Delgado-Enciso I, Duran C, Kallus L, Jean-Pierre A, Lopez B, Mancilla J, Madruga Y, Hernandez-Fuentes GA, Kotzker W, et al. Patients’ Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study. Behavioral Sciences. 2024; 14(9):750. https://doi.org/10.3390/bs14090750
Chicago/Turabian StyleDiaz-Martinez, Janet, Ivan Delgado-Enciso, Carlos Duran, Laura Kallus, Aydeivis Jean-Pierre, Brenda Lopez, Jessica Mancilla, Yoel Madruga, Gustavo A. Hernandez-Fuentes, Wayne Kotzker, and et al. 2024. "Patients’ Perspectives on the Acceptability and Effectiveness of a Community Health Worker-Led Intervention to Increase Chronic Kidney Disease Knowledge and Screening among Underserved Latine Adults: The CARE 2.0 Study" Behavioral Sciences 14, no. 9: 750. https://doi.org/10.3390/bs14090750