Evidence map›Paper›PMID 34380482›Full record

ArticleBMC health services research2021

An integrated mixed methods approach to clarifying delivery, receipt and potential benefits of CHW-facilitated social support in a health promotion intervention.

Maia Ingram, Kiera Coulter, Kevin Doubleday, Cynthia Espinoza, Floribella Redondo, Ada M Wilkinson-Lee, Abby M Lohr, Scott C Carvajal

Abstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
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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

8 authors.

Maia IngramHealth Promotion Sciences College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724, USA. maiai@email.arizona.edu.ORCID http://orcid.org/0000-0002-6517-7697
Kiera CoulterHealth Promotion Sciences College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724, USA.
Kevin DoubledayHealth Promotion Sciences College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724, USA.
Cynthia EspinozaYuma County Health Services District, 2200 W 28th St #137, Yuma, AZ, 85364, USA.
Floribella RedondoArizona Community Health Workers Association, 424 N Christine Ave, Douglas, AZ, 85607-354, USA.
Ada M Wilkinson-LeeMexican American Studies, University of Arizona, 1110 James E. Rogers Way, Tucson, AZ, 85721, USA.
Abby M LohrHealth Promotion Sciences College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724, USA.
Scott C CarvajalHealth Promotion Sciences College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ, 85724, USA.

Funding

Health Promotion and Disease Prevention Research CentersU48DP005002 · DP · UNIVERSITY OF ARIZONA · PI CARVAJAL, SCOTT CARTER · 2014 to 2018
$5.7M
NCCDPHP CDC HHS DP005002NCCDPHP CDC HHS U48 DP005002NCCDPHP CDC HHS U48 DP006413
6 · The paper itself

Abstract

backgroundSocial support plays a critical role in physical and emotional health, making it an important component of community health worker (CHW) health promotion interventions. Different types of support operate in different ways, however, and the relationship between the nature of CHW support and the subsequent health benefit for their clients is not well understood.

methodsThis paper describes an integrated mixed methods study of the emotional, informational, appraisal and tangible support CHWs provided to Latinx community members residing in three US-Mexico border communities. Using a cohort (n = 159) from a CHW community-based intervention, we identify and describe four clusters of social support in which participants are characterized by life situations that informed the types of social support provided by the CHW. We examine the association between each cluster and client perceptions of social support over the 6-month intervention.

resultsCHWs provided emotional, appraisal, informational and tangible support depending on the needs of participants. Participants who received higher levels of emotional support from the CHW experienced the greatest post intervention increase in perceived social support.

conclusionsStudy findings suggest that CHWs may be adept at providing non-directive social support based on their interaction with a client rather than a health outcome objective. Health promotion interventions should allow CHWs the flexibility to tailor provision of social support based on their assessment of client needs.

Indexed as

Community Health ServicesCommunity Health WorkersHealth PromotionHumansMexicoSocial SupportCommunity health workerHealth promotionHierarchical cluster analysisMixed methodsNarrative analysisSocial support

Identifiers

PMID34380482
PMCPMC8359608

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LicenceCC BY
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Registered trials

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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.