Evidence map›Paper›PMID 39374104›Full record

ArticleJournal of primary care & community health

Patient and Community Health Worker (CHW) Perspectives on a CHW-delivered Nutrition Intervention for Low-Income Adults with Hypertension: A Qualitative Study.

Kristine D Gu, Jessica Cheng, Ashlie Malone, Katherine C Faulkner, Oldy Bejarano, Emily Gelsomin, Anne N Thorndike

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kristine D GuMassachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4422-8192
Jessica ChengMassachusetts General Hospital, Boston, MA, USA.
Ashlie MaloneMassachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-7769-4501
Katherine C FaulknerMassachusetts General Hospital, Boston, MA, USA.
Oldy BejaranoMassachusetts General Hospital, Boston, MA, USA.
Emily GelsominMassachusetts General Hospital, Boston, MA, USA.
Anne N ThorndikeMassachusetts General Hospital, Boston, MA, USA.ORCID 0000-0003-1096-9221

Funding

TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Karen K Miller · 1986 to 2026
$18.5M
CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
LiveWell 2: Assessment of a Medicaid ACO program to address food and housing insecurityR01DK124145 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Anne N Thorndike · 2019 to 2026
$5.4M
Mentorship in patient-oriented research on behavioral and social determinants of cardiometabolic healthK24HL163073 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Anne N Thorndike · 2023 to 2026
$504k
NHLBI NIH HHS K24 HL163073NHLBI NIH HHS T32 HL098048NIDDK NIH HHS R01 DK124145NIDDK NIH HHS T32 DK007028
6 · The paper itself

Abstract

INTRODUCTION/

objectivesAdults with food insecurity (FI) face barriers to hypertension management, including difficulty adhering to diet recommendations. Few community health worker (CHW) interventions focus on diet to improve blood pressure. This qualitative study elicited patient and CHW perspectives on healthy eating and a future CHW nutrition intervention for patients with hypertension.

methodsTwenty-five patients with hypertension and FI and 5 CHWs participating in a hypertension health coaching program from 5 Boston-area health centers participated in semi-structured interviews from July to September 2023. Interviews were audio recorded, transcribed, and analyzed using the Framework Method.

resultsThemes included: 1) Variable patient knowledge about dietary patterns for hypertension management and low confidence in interpreting nutrition labels; 2) Culture influenced healthy food perception; and 3) Barriers to healthy eating included cost, limited cooking abilities/supplies, and competing demands. Patients and CHWs favored simple nutrition education materials (e.g., traffic light nutrition ranking, healthy meals on a budget). Patients had mixed opinions about CHW-accompanied supermarket visits.

conclusionsThis study identified culture, knowledge gaps, and budget constraints as factors influencing diet among patients with hypertension and FI. A CHW-delivered intervention could include simplified nutrition education, strategies for healthy eating on a budget, and linkage to community-based food programs.

Indexed as

Community Health WorkersHypertensionPovertyQualitative ResearchAdultAgedBostonDiet, HealthyFemaleFood InsecurityHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle Agedcommunity health worker qualitative researchfood insecurityhypertensionnutrition insecurity

Identifiers

PMID39374104
PMCPMC11462560

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.