Evidence map›Paper›PMID 38907308›Full record

ArticleArchives of public health = Archives belges de sante publique2024

Community health worker perspectives: examining current responsibilities and strategies for success.

Monica Kowalczyk, Nicole Yao, LaToya Gregory, Jeannine Cheatham, Tarrah DeClemente, Kenneth Fox, Stacy Ignoffo, Anna Volerman

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

8 authors.

Monica KowalczykDepartment of Medicine, University of Chicago Biological Sciences Division, 5841 S. Maryland Ave, Chicago, IL, USA.
Nicole YaoDepartment of Medicine, University of Chicago Biological Sciences Division, 5841 S. Maryland Ave, Chicago, IL, USA.
LaToya GregoryDepartment of Medicine, University of Chicago Biological Sciences Division, 5841 S. Maryland Ave, Chicago, IL, USA.
Jeannine CheathamDepartment of Pediatrics, University of Chicago Biological Sciences Division, 5841 S. Maryland Ave, Chicago, IL, USA.
Tarrah DeClementeChicago Public Schools Office of Student Health and Wellness, 42 W. Madison St, Chicago, IL, USA.
Kenneth FoxChicago Public Schools Office of Student Health and Wellness, 42 W. Madison St, Chicago, IL, USA.
Stacy IgnoffoSinai Urban Health Institute, 1500 S. Fairfield Ave, Chicago, IL, #1782, USA.
Anna VolermanDepartment of Medicine, University of Chicago Biological Sciences Division, 5841 S. Maryland Ave, Chicago, IL, USA. avolerman@uchicago.edu.

Funding

Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) ProgramK23HL143128 · NHLBI · UNIVERSITY OF CHICAGO · PI VOLERMAN, ANNA · 2020 to 2024
$985k
NHLBI NIH HHS K23 HL143128
6 · The paper itself

Abstract

backgroundCommunity health worker (CHW) interventions have demonstrated positive impacts globally, with the COVID-19 pandemic further highlighting the potential of CHWs at the frontline to support prevention, outreach, and healthcare delivery. As the workforce expands, understanding the work and capabilities of CHWs is key to design successful interventions. This study examines the perspectives of experienced CHWs in Chicago about their current work and strategies for success.

methodsAs part of a community-academic partnership in Chicago, semi-structured interviews were completed with individuals who held positions aligned with CHW. Interviews were conducted between January and April 2022. Questions focused on participants' work and factors contributing to their effectiveness to gain insights into workforce strategies for success to be applied in healthcare and community settings. De-identified transcripts were analyzed using inductive reasoning with codes organized into themes and subthemes under two domains identified a priori. The themes informed a logic model focused on the early stages to support the success of CHWs in their role.

resultsFourteen individuals participated in the study. The two predetermined domains in this study were: current work of CHWs and strategies for CHWs to be successful. Five themes were identified about CHWs' current work: providing services, building alliances with clients, establishing and maintaining collaborations, collecting data, and experiencing challenges in role. From their perspectives, all these responsibilities enhance client care and support workforce sustainability efforts. Five themes emerged about strategies for the success of CHWs: background of CHWs, champions to support work of CHWs, materials to perform work of CHWs, preparation for CHW role, and characteristics of CHWs. Participants described key traits CHWs should possess to be hired, individuals who can champion and advocate for their work, and specific materials needed to fulfill responsibilities. They reported that training and familiarity with the community were integral to developing and refining the qualities and skills necessary to be effective in their role.

conclusionCHWs play an increasingly important role in enhancing healthcare delivery and improving health outcomes. This study offers a framework for policymakers, communities, and organizations to utilize for preparing CHWs to succeed in their roles.

Indexed as

Community health workersHealthcareHealth equityLogic modelWorkforce sustainability

Identifiers

PMID38907308
PMCPMC11191347

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.