Evidence map›Paper›PMID 41331640›Full record

ArticleArchives of public health = Archives belges de sante publique2025

Strengthening community voices: implementing Local Health Equity Action Teams (LHEATs) to address health disparities.

Christina M Pacheco, Kristina Bridges, Elizabeth Ablah, Vicki Collie-Akers, Edward Ellerbeck, Emily Morrow, Allison Honn, Nadine Long, Jody Love, Clarissa Carrillo Martinez and 4 more

Abstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Christina M PachecoUniversity of Kansas Medical Center, Family Medicine and Community Health, 3901 Rainbow Blvd., MS 1030, Kansas City, KS, 66160, USA. cpacheco@kumc.edu.ORCID http://orcid.org/0000-0002-6288-0221
Kristina BridgesUniversity of Kansas Medical Center, Family Medicine and Community Health, 3901 Rainbow Blvd., MS 1030, Kansas City, KS, 66160, USA.
Elizabeth AblahUniversity of Kansas School of Medicine, Population Health, Wichita, KS, USA.
Vicki Collie-AkersUniversity of Kansas Medical Center, Population Health, Kansas City, KS, USA.
Edward EllerbeckUniversity of Kansas Medical Center, Population Health, Kansas City, KS, USA.
Emily MorrowUniversity of Kansas Medical Center, Population Health, Kansas City, KS, USA.
Allison HonnUniversity of Kansas School of Medicine, Population Health, Wichita, KS, USA.
Nadine LongSauerwein-Long Consulting, Wichita, KS, USA.
Jody LoveRural Community Partners, Fort Scott, KS, USA.
Clarissa Carrillo MartinezUniversity of Kansas Medical Center, Population Health, Kansas City, KS, USA.
Kara KnappUniversity of Kansas Medical Center, Family Medicine and Community Health, 3901 Rainbow Blvd., MS 1030, Kansas City, KS, 66160, USA.
Ton Miras NeiraUniversity of Kansas Medical Center, Family Medicine and Community Health, 3901 Rainbow Blvd., MS 1030, Kansas City, KS, 66160, USA.
Angela ScottUniversity of Kansas Medical Center, Family Medicine and Community Health, 3901 Rainbow Blvd., MS 1030, Kansas City, KS, 66160, USA.
Sarah Finocchario KesslerUniversity of Kansas Medical Center, Family Medicine and Community Health, 3901 Rainbow Blvd., MS 1030, Kansas City, KS, 66160, USA.

Funding

SAFE Futures: Supporting American Indian and Alaska Native (AIAN) Maternal Health through Virtual Engagement and Community EmpowermentP20GM139733 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Christina Marie Pacheco · 2023 to 2026
$11.5M
NIGMS NIH HHS P20 GM139733
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic intensified existing health and social inequities, disproportionately impacting rural and under-resourced urban communities. Community-led coalitions that leverage the experiences and strengths of diverse stakeholders can play a crucial role in addressing these disparities.

methodsThe Communities Organizing to Promote Equity (COPE) project, implemented across 20 Kansas counties, utilized community coalitions known as Local Health Equity Action Teams (LHEATs) as the primary intervention strategy. Comprising community residents, social service representatives, and community health workers (CHWs), LHEATs identified and prioritized local inequities to guide their activities. To examine the development and implementation of LHEATs and to identify factors influencing their effectiveness, we conducted a mixed-methods study.

resultsBetween March and September 2022, 216 members completed surveys that captured demographics, social identities, and participation motivations. Semi-structured interviews (N = 117) were conducted between August 2022 and September 2023, guided by the Consolidated Framework for Implementation Research. Most (82.4%) identified as female, with over half participating due to job-related roles. Members reported diverse social identities and a shared commitment to their communities. Thematic analysis highlighted contributors to LHEAT effectiveness, including involving individuals with firsthand experience of inequities, the involvement of individuals connected to local services, and the presence of CHWs with dedicated, paid time. CHWs played a key role in recruiting and retaining LHEAT members with lived experience. Participants emphasized the importance of strong academic support, organized meetings, inclusive dialogue, and shared decision-making.

conclusionsFindings underscore the need for structured support, inclusive leadership, and clearly defined roles to sustain effective, community-driven responses to health inequities. This model holds promise for large-scale, locally driven change with meaningful community engagement and sustained outcomes.

Identifiers

PMID41331640
PMCPMC12673764

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.