首页> 外文期刊>American journal of public health >Public health nursing case management for women receiving temporary assistance for needy families: a randomized controlled trial using community-based participatory research.
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Public health nursing case management for women receiving temporary assistance for needy families: a randomized controlled trial using community-based participatory research.

机译:为有需要的家庭提供临时援助的妇女的公共卫生护理案例管理:一项基于社区参与性研究的随机对照试验。

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摘要

OBJECTIVES: We evaluated the effectiveness of a community-based participatory research-grounded intervention among women receiving Temporary Assistance for Needy Families (TANF) with chronic health conditions in increasing (1) health care visits, (2) Medicaid knowledge and skills, and (3) health and functional status. METHODS: We used a randomized controlled trial design to assign 432 women to a public health nurse case management plus Medicaid intervention or a wait-control group. We assessed Medicaid outcomes pre- and posttraining; other outcomes were assessed at 3, 6, and 9 months. RESULTS: Medicaid knowledge and skills improved (P < .001 for both). Intervention group participants were more likely to have a new mental health visit (odds ratio [OR] = 1.92; P = .007), and this likelihood increased in higher-risk subgroups (OR = 2.03 and 2.83; P = .04 and .006, respectively). Depression and functional status improved in the intervention group over time (P = .016 for both). No differences were found in routine or preventive care, or general health. CONCLUSIONS: Health outcomes among women receiving TANF can be improved with public health interventions. Additional strategies are needed to further reduce health disparities in this population.
机译:目的:我们评估了以社区为基础的参与性研究为基础的干预措施,这些干预措施在接受以下治疗的慢性病患者中获得了临时援助,以增加(1)卫生保健就诊,(2)Medicaid知识和技能,以及( 3)健康和功能状况。方法:我们采用随机对照试验设计,将432名妇女分配到公共​​卫生护士病例管理,医疗补助干预或等待对照组中。我们评估了培训前后的医疗补助结果;在3、6和9个月时评估其他结局。结果:医疗补助知识和技能得到改善(两者均P <.001)。干预组的参与者更有可能进行新的心理健康就诊(优势比[OR] = 1.92; P = .007),而在高风险亚组中这种可能性增加(OR = 2.03和2.83; P = .04和。 006)。随着时间的推移,干预组的抑郁和功能状态得到改善(两者均为P = .016)。在常规或预防保健或总体健康方面未发现差异。结论:采用公共卫生干预措施可以改善接受TANF的妇女的健康状况。需要采取其他策略来进一步减少该人群的健康差异。

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