ArticlePreventing chronic disease2015
Strategies to Improve the Integration of Community Health Workers Into Health Care Teams: "A Little Fish in a Big Pond".
Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Barriers to and facilitators of the implementation of Community Health Worker programmes in high-income countries: a systematic review.BMC health services research · 2026Pooled it
- Integrating Community Health Workers into Safety-Net Primary Care for Diabetes Prevention: Qualitative Analysis of Clinicians' Perspectives.Journal of general internal medicine · 2020Trial
- From Trials to Practice: Implementing a Clinical Intervention in Community Settings.Journal of primary care & community healthTrial
- Job satisfaction, mental health, and workplace well-being of community health workers: a cross-sectional study.BMC public health · 2025Article
- Community health worker roles in intervention delivery: a scoping review of heart disease and stroke prevention trials in the United States.Frontiers in stroke · 2025Review
- Integrating community health workers into HIV care clinics: a qualitative study with health system leaders and clinicians in the Southern United States.BMC health services research · 2024Article
- Advancing social care integration in health systems with community health workers: an implementation evaluation based in Bronx, New York.BMC primary care · 2024Article
- Barriers and Facilitators to Implementing an Evidence-Based Community Health Worker Model.JAMA health forum · 2024Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence.The Cochrane database of systematic reviews · 2023Article
- Community health workers' perspectives on integrating into school settings to support student health.Frontiers in public health · 2023Article
- Understanding the relationship between care team perceptions about CHWs and CHW integration within a US health system, a qualitative descriptive multiple embedded case study.BMC health services research · 2022Article
- Training Providers in Motivational Interviewing to Promote Behavior Change.Pediatric clinics of North America · 2022Review
- Community health worker team integration in Medicaid managed care: Insights from a national study.Frontiers in public health · 2022Article
- Evaluating the impact of community health worker certification in Massachusetts: Design, methods, and anticipated results of the Massachusetts community health worker workforce survey.Frontiers in public health · 2022Article
- Lay health worker as interventionist training: reflective writing in US family health promotion practice.Health promotion international · 2021Article
- Implementation of a multi-level community-clinical linkage intervention to improve glycemic control among south Asian patients with uncontrolled diabetes: study protocol of the DREAM initiative.BMC endocrine disorders · 2021Article
- "Part of getting to where we are is because we have been open to change" integrating community health workers on care teams at ten Ryan White HIV/AIDS program recipient sites.BMC public health · 2021Article
- Creating a community-based comprehensive intervention to improve asthma control in a low-income, low-resourced community.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020Article
- Community-clinic linkages: qualitative provider perspectives on partnering with community health representatives in Navajo Nation.BMJ open · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe Patient Protection and Affordable Care Act acknowledges the value of community health workers (CHWs) as frontline public health workers. Consequently, growing attention has been placed on promoting CHWs as legitimate partners to provide support to health care teams and patients in the prevention, management, and control of chronic disease, particularly among diverse populations and high-need individuals.
methodsUsing a mixed-methods research approach, we investigated the integration of CHWs into health care teams from the CHW perspective. We conducted a survey of 265 CHWs and interviews with 23 CHWs to better understand and describe their experience and their perceived opportunities and challenges regarding their integration within the context of health care reform.
resultsFeelings of organizational support were positively correlated with the number of CHWs in the organization. CHWs reported the following facilitators to integration: having team meetings (73.7%), training inside (70.4%) and outside of the organization (81.6%), access to electronic health records, and ability for CHWs to stay connected to the community.
conclusionThe perspectives of CHWs on their positive and negative experiences offer useful and innovative insight into ways of maximizing their impact on the health care team, patients, and their role as key emissaries between clinical services and community resources.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.