Evidence map›Paper›PMID 34706727›Full record

ArticleBMC health services research2021

"They're very passionate about making sure that women stay healthy": a qualitative examination of women's experiences participating in a community paramedicine program.

Laura M Schwab-Reese, Lynette M Renner, Hannah King, R Paul Miller, Darren Forman, Joshua S Krumenacker, Andrea L DeMaria

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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
  2. Article
  3. Article
  4. The development of community paramedicine; a restricted review.Health & social care in the community · 2022
    Review
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

7 authors.

Laura M Schwab-ReeseDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA. lschwabr@purdue.edu.
Lynette M RennerSchool of Social Work, College of Education and Human Development, University of Minnesota, St. Paul, MN, USA.
Hannah KingDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA.
R Paul MillerCity of Crawfordsville Fire Department, Crawfordsville, IN, USA.
Darren FormanCity of Crawfordsville Fire Department, Crawfordsville, IN, USA.
Joshua S KrumenackerFranciscan Health, Crawfordsville, IN, USA.
Andrea L DeMariaDepartment of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCommunity paramedicine programs (i.e., physician-directed preventive care by emergency medical services personnel embedded in communities) offer a novel approach to community-based health care. Project Swaddle, a community paramedicine program for mothers and their infants, seeks to address (directly or through referrals) the physical, mental, social, and economic needs of its participants. The objective of this process evaluation was to describe women's experiences in Project Swaddle. By understanding their experiences, our work begins to build the foundation for similar programs and future examinations of the efficacy and effectiveness of these approaches.

methodsWe completed 21 interviews with women living in Indiana (July 2019-February 2020) who were currently participating in or had graduated from Project Swaddle. Interviews were audio-recorded, transcribed, and analyzed using a six-phase approach to thematic analysis.

resultsProgram enrollment was influenced by the community paramedics' experience and connections, as well as information received in the community from related clinics or organizations. Participants viewed the community paramedic as a trusted provider who supplied necessary health information and support and served as their advocate. In their role as physician extenders, the community paramedics enhanced patient care through monitoring critical situations, facilitating communication with other providers, and supporting routine healthcare. Women noted how community paramedics connected them to outside resources (i.e., other experts, tangible goods), which aimed to support their holistic health and wellbeing.

conclusionsResults demonstrate Project Swaddle helped women connect with other healthcare providers, including increased access to mental health services. The community paramedics were able to help women establish care with primary care providers and pediatricians, then facilitate communication with these providers. Women were supported through their early motherhood experience, received education on parenting and taking control of their health, and gained access to resources that met their diverse needs.

Indexed as

Emergency Medical ServicesEmergency Medical TechniciansAllied Health PersonnelCommunity Health ServicesFemaleHumansInfantQualitative ResearchCommunity paramedicineHome visiting programPostpartum supportPregnancy supportQualitative

Identifiers

PMID34706727
PMCPMC8550812

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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.