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Pathways Community Care Coordination in Low Birth Weight Prevention

Bibliographic Data

ID15340592
AuthorsSarah Redding (Access Community Health Network, corresponding author), Elizabeth J Conrey (0000-0003-1376-1362, Ohio Department of Health), Elizabeth Conrey, Kyle Porter (0000-0001-7581-1471, The Ohio State University), John Paulson (Ohio Department of Health), Karen Hughes (0000-0002-3631-6870, Ohio Department of Health), Mark Redding (Access Community Health Network)
Year2014
Volume19
Issue3
Pages643-650
Publication date2014-08-19
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Health Journal (JOURNAL)
Journal identifiersISSN: 1092-7875 • E-ISSN: 1573-6628
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10995-014-1554-4
PMID25138628
PMCIDPMC4326650
OpenAlexW2039706964
LanguageEN
Citations received15
References cited22

The evidence is limited on the effectiveness of home visiting care coordination in addressing poor birth outcome, including low birth weight (LBW). The Community Health Access Project (CHAP) utilizes community health workers (CHWs) to identify women at risk of having poor birth outcomes, connect them to health and social services, and track each identified health or social issue to a measurable completion. CHWs are trained individuals from the same highest risk communities. The CHAP Pathways Model is used to track each maternal health and social service need to resolution and CHWs are paid based upon outcomes. We evaluated the impact of the CHAP Pathways program on LBW in an urban Ohio community. Women participating in CHAP and having a live birth in 2001 through 2004 constituted the intervention group. Using birth certificate records, each CHAP birth was matched through propensity score to a control birth from the same census tract and year. Logistic regression was used to examine the association of CHAP participation with LBW while controlling for risk factors for LBW. We identified 115 CHAP clients and 115 control births. Among the intervention group there were seven LBW births (6.1 %) compared with 15 (13.0 %) among non-CHAP clients. The adjusted odds ratio for LBW was 0.35 (95 % confidence interval, 0.12-0.96) among CHAP clients. This study provides evidence that structured community care coordination coupled with tracking and payment for outcomes may reduce LBW birth among high-risk women

Birth certificate · Birth weight · Environmental health · Logistic regression · Low birth weight · Odds ratio · Population · Pregnancy · Birth, Development, and Health · Demography · Food Security and Health in Diverse Populations · Health disparities and outcomes · Medicine

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Unique citing works15
Citations per year1,67
Citation span2017 - 2025 (9)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 15

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