PRISM Community Based Organizations

Community based organizations (CBOs) may employ community health workers who speak the native language of patients who have immigrated to the US, and who have the trust of their community.  For example, through a collaboration between one CBO and one UConn pharmacy practice faculty member (and pharmacy students), we have already conducted important pilot work that can support larger project applications.   We envision creating a larger network of health care workers who can reach out to the community and enhance outcomes.  This pharmacy/pharmacist and CBO partnership could dramatically enhance disease prevention measures, promote medication understanding and adherence, and reduce the number of medication adverse events.   This would be truly novel and important to the healthcare system.

In collaboration with Khmer Health Advocates, a Cambodian American healthcare CBO in West Hartford CT, and with faculty from other UConn schools, numerous direct patient delivery service initiatives and health equity projects continue to take place. These include pharmacists partnering with community health workers to provide medication management services face-to-face and through videoconferencing, survey projects to assess health access and health literacy needs, and policy initiatives on the state and federal level to promote health equity for limited English speaking patients. Each of these projects promote the role of the accessible, highly trained pharmacist connecting to marginalized, underserved communities with the least access to care. They have been developed with the specific intention of engaging these initiatives in other communities of need. For more information on joining or proposing a project idea, please Partner with Us.

Publications in this area include:

Wagner, J., Berthold, M., Buckley, T., Kuoch, T., Scully, M. Diabetes and trauma among refugees in the United States: What newly arriving refugees can learn from resettled Cambodian Americans. Current Diabetes Reports. July 2015. DOI 10.1007/s11892-015-0618-1

Buckley TE. Eliminating Barriers to Care: Using Technology to Provide Medication Therapy Management to the Underserved–A Center for Technology and Aging Grant Program..

Buckley TE, et al. The Continuing Health Crisis in the Cambodian American Community, Report 2012. National Cambodian American Health Initiative. January 2013.

Colby JA, Wang F, Chhabra J, Pérez-Escamilla R. Predictors of medication adherence in an urban Latino community with healthcare disparities. J Immigr Minor Health. 2012 14(4):589-95 (IF=1.16) DOI: 10.1007/s10903-011-9545-7.

Reinhart K, Corbo T, Ewen E, White CM. The impact of ethnicity and gender on agreement of severe allergy history between inpatient and outpatient electronic medical records. Pharm Pract (Granada). 2008;6(4):197-200.

Gryskiewicz KA, Gillespie EL, White CM, Kluger J, Gallagher R, Coleman CI. Impact of Hispanic ethnicity on the likelihood of developing postoperative atrial fibrillation. Conn Med. 2006;70(2):77-9.

McBride BF, White CM. Are there ethnic differences in heart failure medication response? Conn Med. 2003;67(10):605-8

Funded grant projects in this area include:

“Peer Learning for US-Cambodia Community Health Workers Managing Diabetes (PLUS CamboDIA)”. Sponsor: UConn Research Excellence Program 2017-18 ($100,000); Co-PIs: Thomas Buckley, Julie Wagner, Megan Berthold

“Diabetes Risk Reduction through Eat, Walk, Sleep, and Medication Therapy Management for Depressed Cambodians (DREAM)”. Sponsor: National Institutes of Health – NIDDK ($343,600); PI: Thomas Buckley, Co-investigator: Charles Caley

Promoting Health in Cambodian Trauma Survivors Using mHealth: A Feasibility Study”. Sponsor: UConn CHIP, UConn School of Social Work ($23,000) PI: Megan Berthold, Co-investigator: Thomas Buckley

“Delivering Culturally Appropriate Care to Optimize Medication Use in the Elderly”. Sponsor: Center for Technology and Aging ($183,000); PI: Thomas Buckley