Evidence map›Paper›PMID 33763223›Full record

ArticleJournal of global health2021

Measuring client trust in community health workers: A multi-country validation study.

Pooja Sripad, Tracy L McClair, Alain Casseus, Sharif Hossain, Timothy Abuya, Ann Gottert

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Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–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

28 citing papers in PubMed.

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  2. [Rethinking patient-centered care through an intersectional lens: pathways to health equity].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Pooja SripadPopulation Council, Washington, D.C., USA.
Tracy L McClairPopulation Council, Washington, D.C., USA.
Alain CasseusZanmi Lasante, Mirebalais, Haiti.
Sharif HossainPopulation Council, Dhaka, Bangladesh.
Timothy AbuyaPopulation Council, Nairobi, Kenya.
Ann GottertPopulation Council, Washington, D.C., USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClient trust in community health workers (CHWs) is integral for improving quality and equity of community health systems globally. Despite its recognized conceptual and pragmatic importance across health areas, there are no quantitative measures of trust in the context of community health services. In this multi-country study, we aimed to develop and validate a scale that assesses trust in CHWs.

methodsTo develop the scale, we used a consultative process to conceptualize and adapt items and domains from prior literature to the CHW context. Content validity and comprehension of scale items were validated through 10 focus group discussions with 75 community members in Haiti, and Kenya. We then conducted 1939 surveys with clients who interacted with CHWs recently in Bangladesh (n = 1017), Haiti (n = 616), and Kenya (n = 306). To analyze the 15 candidate scale items we conducted a split sample exploratory/confirmatory factor analysis (EFA/CFA), and then assessed internal consistency reliability of resulting set of items. Finally, we assessed convergent validity via multivariable models examining associations between final scale scores with theoretically related constructs.

resultsFactor analyses resulted in a 10-item Trust in CHWs Scale with two factors (sub-scales):

conclusionsThe Trust in CHWs Scale, which includes

Indexed as

Community Health WorkersTrustFemaleFocus GroupsHumansPregnancyQualitative ResearchReproducibility of Results

Identifiers

PMID33763223
PMCPMC7956104

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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.