ArticleAnnals of family medicine
Community Health Workers as Trust Builders and Healers: A Cohort Study in Primary Care.
Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Trial
- Measuring community engagement and trust in community health workers in Haiti, Malawi, and Rwanda: a cross-sectional study.Journal of global health · 2026Article
- Feasibility of Technology-Assisted Lifestyle Self-Monitoring in Older Adults With Type 2 Diabetes: Mixed Methods Pilot Study.JMIR formative research · 2026Article
- A pragmatic plan to develop community health workers as researchers and strengthen Black clinical trial enrollment.Journal of clinical and translational science · 2026Article
- Community Hypertension Patients' Preferences for Family Doctor Service Packages in China: A Discrete Choice Experiment.Risk management and healthcare policy · 2026Article
- Characterizing 'Atmosphere': exploring determinants of regular service attendance amongst integrated supervised consumption site clients in Vancouver's Downtown Eastside.Harm reduction journal · 2025Article
- Self-management of patients with type 2 diabetes in Chaoyang District, Beijing, and challenges in utilizing family and community resources: a mixed-methods study.BMC primary care · 2025Article
- Geriatric-focused education for community health workers: a dementia training that effectively provides knowledge and skills to address dementia within the scope of practice of this public health workforce.Frontiers in public health · 2025Article
- Patience is a virtue: lessons from a participatory approach to contextually tailor and co-create an employee wellness intervention for community health educators.Frontiers in public health · 2025Article
- Community health navigator-assisted transition of care from hospital to community: protocol for a randomised controlled trial.BMJ open · 2024Article
- Outpatient care of adults with congenital heart disease in the UK: a qualitative appraisal of the clinician perspective.Open heart · 2024Article
- Formative research to adapt the 'Diabetes Prevention Program- Power to Prevent' for implementation in Bamako, Mali.BMC health services research · 2024Article
- Recruitment and selection of community health workers in Iran; a thematic analysis.BMC public health · 2023Article
- Advancing Health Equity in Diabetes: Tools to Help Remove Barriers to Health.Journal of the Academy of Nutrition and Dietetics · 2023Article
- Clinicians andAnnals of family medicineArticle
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeImproving patients' self-care for chronic disease is often elusive in the context of social deprivation. We evaluated whether a practice-integrated community health worker (CHW) intervention could encourage effective long-term self-management of type 2 diabetes mellitus (T2DM).
methodsThis cohort study, in a safety-net primary care practice, enrolled patients with uncontrolled T2DM and psychosocial risk factors. Patients were identified through a practice diabetes registry or by clinicians' referrals. The CHWs engaged patients in trust building and sensemaking to understand their social context, identify goals, navigate health care, and connect to community resources. Primary outcome was progress through 3 prospectively defined stages of self-care: outreach (meeting face-to-face); stabilization (collaborating to address patients' life circumstances); and self-care generativity (achieving self-care competencies). Secondary outcomes were change in hemoglobin A
resultsOf 986 participating patients, 27% remained in outreach, 41% progressed to stabilization, and 33% achieved self-care generativity. Repeated measures ANOVA demonstrates an overall decline in HbA
conclusionsPractice-linked CHWs can sustainably engage vulnerable patients, helping them advance self-management goals in the context of formidable social disadvantage.
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Registered trials
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.