Evidence map›Paper›PMID 40223635›Full record

ArticleProgress in community health partnerships : research, education, and action2025

Carrying the Weight of a Broken System: Community Health Worker and Peer Recovery Specialist roles transformed.

Arryn A Guy, Shivani Nishar, Sara Alavi, Alexis Morales, Rahul Vanjani, Jon Soske

Abstract read
In one paragraph

Article in Progress in community health partnerships : research, education, and action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

6 authors.

Arryn A Guy
Shivani Nishar
Sara Alavi
Alexis Morales
Rahul Vanjani
Jon Soske

Funding

Project 4: Neonatal Abstinence Syndrome (NAS): Fetus to First YearsP20GM125507 · NIGMS · RHODE ISLAND HOSPITAL · PI Brandon David Lewis Marshall · 2018 to 2026
$23.4M
A Gender-Affirming Stigma Intervention to Improve Substance Misuse and HIV Risk among Transgender WomenK99DA055508 · NIDA · BROWN UNIVERSITY · PI GUY, ARRYN ALEIA · 2022 to 2023
$360k
NIDA NIH HHS K99 DA055508NIGMS NIH HHS P20 GM125507
6 · The paper itself

Abstract

the problemRecognizing the scale of challenges faced by the behavioral health care industry, there is a growing call to expand the utilization of community-based health workers (CBHWs). However, neglecting to fully understand the complex realities of working in these roles risks undermining the true costs and sacrifices made by CBHWs as we strive to reshape health care policies and systems. PURPOSE OF ARTICLE: Drawing on 21 interviews we conducted with CBHWs in Rhode Island, we describe the evolving role of CBHWs within traditional health care settings and identify policy and practice implications. KEY POINTS: CBHWs have been taking on the burden of a broken health care system while experiencing role transformation.

conclusionsCBHW roles were designed in terms of a desired vision of the health care system-rather than the fragmented, overburdened institutional landscape that presently exists. Efforts to support CBHWs, without addressing the scale of role transformation, will continue to push much of the day-to-day labor underground.

Indexed as

Community Health WorkersPeer GroupProfessional RoleCommunity-Based Participatory ResearchHumansInterviews as TopicRhode Island

Identifiers

PMID40223635
PMCPMC11999244

What OpenQuestion holds

Textmetadata
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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.