The role of Community Health Navigators in the creation of plans to support patients with chronic conditions: A sub study of the ENCOMPASS trial

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dc.contributor.advisorMcBrien, Kerry
dc.contributor.authorLeong, Michelle
dc.contributor.committeememberCampbell, David
dc.contributor.committeememberRonksley, Paul
dc.date2022-11
dc.date.accessioned2022-07-27T20:26:13Z
dc.date.available2022-07-27T20:26:13Z
dc.date.issued2022-07-05
dc.description.abstractBackground: Patients with chronic conditions implement care plans in the community but barriers to care, such as financial constraints, may hinder their abilities to do so. Support from patient navigators has been shown to improve health disparities associated with socioeconomic barriers and increase patient adherence with care plans. However, the role of patient navigators in providing individualized support to address unique patient needs is not well defined in the literature. The ENhancing COMmunity health through Patient navigation, Advocacy and Social Support (ENCOMPASS) research program in Calgary is testing a patient navigation program to address patient barriers and build self-efficacy. Non-clinically trained Community Health Navigators (CHNs) are paired with patients diagnosed with two or more (of a set of six) common chronic conditions and provide support by helping patients set and meet priorities. Purpose: To explore if and how CHNs tailor their plans of support to address patient social and/or health-related needs in the ENCOMPASS program of research. Methods: A multimethod qualitative description approach was used. Case notes completed by CHNs documenting information on patient barriers, priorities, and the CHN’s support plan for each patient priority were analyzed. Two reviewers subjectively assessed Priority-CHN plans to determine the appropriateness of the plan. Patient priorities and CHN plans of support were coded separately using thematic codebook analysis, with codes being subsequently linked and quantitized to show percent correlation. Descriptive statistics was used to summarize findings. Results: 86 patients were included in the analysis. A total of 179 patient priorities were evaluated and 157 priorities (88%) were assessed as having CHN support plans that had a reasonable link to addressing the priority. The strongest correlations between a priority and support plan were found for: medication adherence and CHN verifying adherence to care plan (100%); transportation and CHN facilitating transportation (90%); increasing knowledge about medical information and CHN gathering and sharing information (60%). Conclusion: CHNs planned diverse and appropriate supports to help address patient priorities. Future work should consider linking the supports provided by CHNs during the intervention to patient priorities and barriers to further understand how CHNs provide tailored support.en_US
dc.identifier.citationLeong, M. (2022). The role of Community Health Navigators in the creation of plans to support patients with chronic conditions: A sub study of the ENCOMPASS trial (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.urihttp://hdl.handle.net/1880/114888
dc.identifier.urihttps://dx.doi.org/10.11575/PRISM/39947
dc.language.isoengen_US
dc.publisher.facultyCumming School of Medicineen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectPatient navigationen_US
dc.subjectBarriers to careen_US
dc.subjectPatient navigatorsen_US
dc.subjectPrimary careen_US
dc.subjectCommunity Health Navigatorsen_US
dc.subjectMultiple chronic conditionsen_US
dc.subjectChronic disease managementen_US
dc.subject.classificationPublic Healthen_US
dc.titleThe role of Community Health Navigators in the creation of plans to support patients with chronic conditions: A sub study of the ENCOMPASS trialen_US
dc.typemaster thesisen_US
thesis.degree.disciplineMedicine – Community Health Sciencesen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Science (MSc)en_US
ucalgary.item.requestcopytrueen_US
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