Evidence map›Paper›PMID 41723587›Full record

ArticleJournal of primary care & community health

Community Health Worker Perspectives on Building Patient-Provider Trust in Rural Communities of the San Joaquin Valley, California: A Qualitative Study.

Kimberly D Sánchez, Micaela Velasco Sandoval, Rosa D Manzo

Abstract read
In one paragraph

Article in Journal of primary care & community health. 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

3 authors.

Kimberly D SánchezUniversity of California, Merced, USA.ORCID 0000-0001-7658-2367
Micaela Velasco SandovalUniversity of California, Merced, USA.ORCID 0009-0004-1323-1075
Rosa D ManzoUniversity of California, Merced, USA.ORCID 0000-0003-3117-0793

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatient-provider trust is essential for effective healthcare delivery, influencing care engagement, disclosure, and adherence. Mistrust can delay diagnoses, reduce care utilization, and worsen outcomes. While cultural competence trainings aim to improve provider awareness, few studies examine how community health workers (CHWs) perceive and support trust-building in clinical care. PURPOSE: To explore strategies for building and maintaining patient-provider trust from the perspectives of CHWs.

methodsUsing a Community-Based Participatory Research approach, 39 CHWs from 3 rural-serving health centers in California participated in semi-structured focus groups. English and Spanish sessions were co-led by University researchers and trained CHW partners. Deductive thematic analysis was conducted in Dedoose, and descriptive statistics were generated using Stata 17.

resultsCHWs identified 3 factors that shape patient-provider trust: (1) Power dynamics, such as provider-dominated conversations and time constraints, limit trust-building; (2) Communication that fosters emotional safety, including provider attentiveness and respectful verbal and nonverbal behaviors; and (3) Cultural respect and competence, emphasizing the importance of recognizing patients' beliefs and providing language-concordant care. DISCUSSION: CHWs offer community-informed insights on trust-building that can inform culturally responsive and equity-oriented interventions, particularly in rural and underserved regions. Future efforts should explore co-developing training modules with CHWs to strengthen patient-provider trust.

Indexed as

Attitude of Health PersonnelCommunity Health WorkersProfessional-Patient RelationsRural Health ServicesTrustAdultCaliforniaCommunicationCommunity-Based Participatory ResearchCultural CompetencyFemaleFocus GroupsHumansMaleMiddle AgedQualitative Researchcommunication barrierscommunity-based participatory researchcommunity health workerscultural competencetrust

Identifiers

PMID41723587
PMCPMC12926528

What OpenQuestion holds

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LicenceCC BY-NC
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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.