ArticlePreventive medicine2017
Evaluating community health workers' attributes, roles, and pathways of action in immigrant communities.
Article in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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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.
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Who cites it
34 citing papers in PubMed.
- Promoting Physical Activity Among Immigrant Asian Americans: Results from Four Community Health Worker Studies.Journal of immigrant and minority health · 2023Trial
- Integrating Community Health Workers into Community-Based Primary Care Practice Settings to Improve Blood Pressure Control Among South Asian Immigrants in New York City: Results from a Randomized Control Trial.Circulation. Cardiovascular quality and outcomes · 2023Trial
- Creation of a Collaborative Model for Community Health Promotion Through Empowerment Among Community Health Workers in Japan: A Descriptive Qualitative Study.Nursing & health sciences · 2026Article
- Building and sustaining trust across communities: Lessons from a large-scale, community-based cancer needs assessment in New York City.medRxiv : the preprint server for health sciences · 2025Article
- Pandemic Communities of Fate and Care Penalties Among Community Outreach Workers in California's Central Valley.Sociology of health & illness · 2025Article
- The Pre-Medical Health Coach (PHC) program: pre-medical students as volunteer health coaches at a safety-net hospital in California, 2016-2020.BMC medical education · 2025Article
- School participation in a health behavior program: qualitative perspectives from schools that did and did not adopt the iAmHealthy program.Translational behavioral medicine · 2025Article
- Mental health priorities and cultural-responsiveness of the Mental Health First Aid (MHFA) training for Asian immigrant populations in Greater Boston, Massachusetts.BMC psychiatry · 2024Article
- Mental Health and Care Utilization Among Ethiopian-Israeli Immigrants During the Period of COVID-19.Journal of racial and ethnic health disparities · 2024Article
- Integrating Community Health Workers' Dual Clinic-Community Role in Safety-Net Primary Care: Implementation Lessons from a Pragmatic Diabetes-Prevention Trial.Journal of general internal medicine · 2024Article
- Capacity building and community of practice for women community health workers in low-resource settings: long-term evaluation of the Mobile University For Health (MUH).Frontiers in global women's health · 2024Article
- Cultural-Responsiveness of the Mental Health First Aid Training for Asian Immigrant Populations in Greater Boston, Massachusetts.Research square · 2023Article
- Healthcare workers' perspectives on barriers and facilitators to referral and recruitment to diabetes prevention programmes: a systematic review protocol.HRB open research · 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
- Cultural adaptation of the savvy caregiver program for Korean Americans with limited English proficiency: a feasibility and acceptability study.BMC geriatrics · 2022Article
- Conditions for the success and the feasibility of health mediation for healthcare use by underserved populations: a scoping review.BMJ open · 2022Article
- Cancer Screening Program Delivered by Community Health Workers for Chinese Married Immigrant Women in Korea.International journal of environmental research and public health · 2022Article
- Empowering communities with health promotion labs: result from a CBPR programme in Malmö, Sweden.Health promotion international · 2022Article
- Unpacking the root causes of gambling in the Asian community: Contesting the myth of the Asian gambling culture.Frontiers in public health · 2022Article
- Lay Health Promoters Empower Neighbourhoods-Results From a Community-Based Research Programme in Southern Sweden.Frontiers in public health · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Community health workers (CHWs) are uniquely positioned to improve health outcomes in immigrant communities; however, research on appropriate metrics for evaluating CHW attributes and mechanisms of effectiveness are limited. The objective of this paper is to characterize CHW attributes and pathways of action using adapted measures, develop a scale using these measures, and explore how findings can inform future CHW research and practice. The study analyzed pre- and post-intervention group data from one quasi-experimental and three randomized controlled-design parent trials assessing the impact of CHW-led group and individual health coaching on various health outcomes in four New York City immigrant communities. We conducted descriptive, bi-variate and principal components analysis to develop a 13-item scale assessing CHW attributes, roles, and pathways of action. The sample included 437 individuals completing the intervention arm of a CHW study. We found CHWs were reported to affect change through a number of mechanisms and participants expressed substantial communal concordance with the CHWs in terms of country of birth, language, and culture. Principal components analysis with promax rotation identified 13 items with three factors and high Cronbach's alphas: 1) valued interpersonal attributes of the CHW (alpha=0.784); 2) CHW as a bridge to health and non-health resources (alpha=0.857); and 3) providing accessibility beyond health providers (alpha=0.904). Socio-demographic characteristics and differences in CHW pathways of action were identified by community. Study findings can guide improved selection and training of CHWs. Further, measures identified in the principal components analysis can be used to guide future CHW evaluation efforts.
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