Evidence map›Paper›PMID 40458619›Full record

ArticlePEC innovation2025

The role of community health workers in enhancing home and community-based services in American Indian communities.

Zavera K Basrai, Caroline Y Yoon, Valerie Tsosie, Ronny A Bell, Nathan A Boucher

Abstract read
In one paragraph

Article in PEC innovation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Zavera K BasraiSanford School of Public Policy, Duke University, Durham, USA.
Caroline Y YoonSanford School of Public Policy, Duke University, Durham, USA.
Valerie TsosieSo'Tsoh Foundation, Window Rock, AZ, USA.
Ronny A BellEshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Nathan A BoucherSanford School of Public Policy, Duke University, Durham, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Describe the role and benefit of Community Health Workers in American Indian communities as a novel solution to meeting home and community-based service (HCBS) needs. Methods: Short communication based on extant literature and current policy challenges. Results: Community health workers (CHW) play an essential role in various healthcare settings particularly in American Indian (AI) communities working to close gaps in preventive and comprehensive healthcare accessibility. CHWs close these gaps through providing expertise in culturally oriented and familial support, educating communities on acute and chronic illnesses and wellness, and dispelling misinformation regarding health issues. However, integration and application of CHWs into home- and community-based services has limited recognition and utilization in healthcare systems and healthcare payment. Robust training/credentialing pathways and sustainable funding streams are essential for the integration of CHWs into the formalized healthcare provider team. Barriers that prevent this integration include inconsistencies in documentation, lack of stable funding, and a lack of formal professional recognition. Conclusions: Previously successful models of CHW integration promote formalized training programs, professional development opportunities, earning certifications, and promoting collaboration between CHWs and providers. Innovation: Applying CHW use in HCBS can increase community wellness while mitigating impacts of health disparities in HCBS for an often-under-resourced set of communities - our nation's American Indian communities.

Indexed as

American IndianCommunity health workerHealth promotionIndigenous

Identifiers

PMID40458619
PMCPMC12127582

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.