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Development and Implementation of a Combined Nurse Care Manager and Community Health Worker Training Curriculum to
Carmen Alvarez1, Chidinma Ibe, Katie Dietz
1Johns Hopkins University School of Nursing, Baltimore, Maryland (Drs Alvarez and Cooper and Ms Turkson-Ocran); Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Drs Ibe and Cooper); Johns Hopkins Center for Health Equity, Baltimore, Maryland (Drs Alvarez, Ibe, and Cooper and Mss Dietz, Carrero, Avornu, and Turkson-Ocran); Department of Physical Medicine and Rehabilitation (Dr Bhattarai) and Division of Nephrology (Dr Crews), Johns Hopkins Center for Health Equity, Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Drs Ibe and Cooper); and Westat, Rockville, Maryland (Dr Lipman).
Abstract:
The use of nurse care managers (CMs) and community health workers (CHWs) has demonstrated effectiveness in supporting improved blood pressure management among racially, ethnically, and socioeconomically minoritized populations. We partnered with a community advisory board (CAB) to develop a CM and CHW training curriculum and team-based collaborative care intervention to address uncontrolled hypertension. The objective of this study was to train CMs and CHWs to implement patient-centered techniques and address social determinants of health related to hypertension control. In partnership with a CAB, we developed and implemented a training curriculum for the CM/CHW collaborative care team. The training improved CM and CHW confidence in their ability to address medical and nonmedical issues that contribute to uncontrolled hypertension in their patients; however, preexisting norms and beliefs among CMs and CHWs created challenges with teamwork. The training curriculum was feasible and well-received. Additionally, the CMs' and CHWs' reactions provided insights to improve future collaborative care training and teamwork.
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