A statewide smoking cessation program tailored to the lesbian, gay, bisexual, and transgender community enhances access to culturally tailored services, increases knowledge and understanding among tobacco cessation coaches, and generates high levels of satisfaction among participants.
Culturally competent parent mentors helped families better understand and care for their children's asthma through home visits, monthly telephone calls, and inperson meetings, leading to reductions in wheezing, exacerbations, missed school and parental work days, and emergency department visits.
A comprehensive, customizable corporate health and wellness program has attracted high levels of participation among employees, leading to significant reductions in risk factors, substantial cost savings, and a positive return on investment.
A large, self-insured employer revamped its employee wellness program to incorporate financial incentives, onsite biometrics that feed into a health risk assessment, and periodic meetings with health coaches, leading to greater employee participation and a reduction in risk factors.
Reduced or waived drug copayments and pharmacist coaches cut costs and improve outcomes for employees with diabetes.
A motivational health promotion and physical fitness program for adults with serious mental illnesses produced meaningful improvements in physical fitness and mental well-being.
Transitions coaches encourage recently hospitalized Medicare patients with complex care needs to assert a more active role in their posthospital care, leading to fewer readmissions and lower costs.
A nurse-guided, patient-centered approach combines ongoing peer support from a trained elder with home visits and followup phone calls from an advanced practice nurse for unpartnered, elderly patients who are discharged from the hospital after a heart attack or bypass surgery. The program is intended to encourage compliance with medication regimens and recommended lifestyle changes, with the goal of reducing hospital readmissions. A 247-patient randomized controlled trial found that the program improved adherence to medical recommendations and reduced hospitalizations due to cardiac-related complications but failed to reduce overall hospital readmissions.
A health plan-led program that encourages patients with chronic low back pain to increase exercise, use appropriate medications, and reduce stresses on the back led to reduced pain levels and absenteeism.
Dartmouth-Hitchcock Clinic assigned health coaches to high-risk chronic disease patients to provide instruction regarding health care needs over the phone, during office visits, and in group classes; the program reduced readmission rates and costs among elderly patients.