Evidence map›Paper›PMID 28337722›Full record

ArticleTranslational behavioral medicine2017

Advancing understanding of the sustainability of lay health advisor (LHA) programs for African-American women in community settings.

Rachel C Shelton, Thana-Ashley Charles, Sheba King Dunston, Lina Jandorf, Deborah O Erwin

Abstract readMulticenter Study
In one paragraph

Article in Translational behavioral medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Regular Mammography Screening Among African American (AA) Women: Qualitative Application of the PEN-3 Framework.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2019
    Article
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  19. Future Directions in Lay Health Worker Involvement in Children's Mental Health Services in the U.S.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rachel C SheltonMailman School of Public Health, Department of Sociomedical Sciences, Columbia University, 722 168th Street, Room 941, New York, NY, 10032, USA. rs3108@cumc.columbia.edu.
Thana-Ashley CharlesMailman School of Public Health, Department of Sociomedical Sciences, Columbia University, 722 168th Street, Room 941, New York, NY, 10032, USA.
Sheba King DunstonMailman School of Public Health, Department of Sociomedical Sciences, Columbia University, 722 168th Street, Room 941, New York, NY, 10032, USA.
Lina JandorfDepartment of Oncological Sciences, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, Box 1130, New York, NY, 10029, USA.
Deborah O ErwinOffice of Cancer Health Disparities Research, Cancer Prevention and Population Sciences, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, NY, 14263, USA.

Funding

Serving as a Lay Health Advisor: The Impact on Self and CommunityR03CA150543 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SHELTON, RACHEL C · 2010 to 2011
$161k
NCI NIH HHS R03 CA150543
6 · The paper itself

Abstract

Lay health advisor (LHA) programs have made strong contributions towards the elimination of health disparities and are increasingly being implemented to promote health and prevent disease. Developed in collaboration with African-American survivors, the National Witness Project (NWP) is an evidence-based, community-led LHA program that improves cancer screening among African-American women. NWP has been successfully disseminated, replicated, and implemented nationally in over 40 sites in 22 states in diverse community settings, reaching over 15,000 women annually. We sought to advance understanding of barriers and facilitators to the long-term implementation and sustainability of LHA programs in community settings from the viewpoint of the LHAs, as well as the broader impact of the program on African-American communities and LHAs. In the context of a mixed-methods study, in-depth telephone interviews were conducted among 76 African-American LHAs at eight NWP sites at baseline and 12-18 months later, between 2010 and 2013. Qualitative data provides insight into inner and outer contextual factors (e.g., community partnerships, site leadership, funding), implementation processes (e.g., training), as well as characteristics of the intervention (e.g., perceived need and fit in African-American community) and LHAs (e.g., motivations, burnout) that are perceived to impact the continued implementation and sustainability of NWP. Factors at the contextual levels and related to motivations of LHAs are critical to the sustainability of LHA programs. We discuss how findings are used to inform (1) the development of the LHA Sustainability Framework and (2) strategies to support the continued implementation and sustainability of evidence-based LHA interventions in community settings.

Indexed as

Black or African AmericanCommunity Health WorkersHealth PromotionAdultAgedCapacity BuildingFemaleFollow-Up StudiesHumansInterviews as TopicLeadershipLongitudinal StudiesMiddle AgedQualitative ResearchVulnerable PopulationsYoung AdultCancer screeningEvidence-based programsImplementationLay health advisorsQualitative researchSustainability

Identifiers

PMID28337722
PMCPMC5645282

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.