2023-09-28 14:46:10 +00:00
|
|
|
abstract: 'The present work studies how community health workers (CHWs) perform the
|
|
|
|
|
|
|
|
|
|
role of educator and how this relates to the implementation of other CHW
|
|
|
|
|
|
|
|
|
|
roles, skills, and qualities. Prior studies on this topic have relied on
|
|
|
|
|
|
|
|
|
|
interviews or focus groups rather than analysis of CHW interactions. We
|
|
|
|
|
|
|
|
|
|
conducted a thematic analysis of 24 transcripts of conversations
|
|
|
|
|
|
|
|
|
|
occurring between CHWs and participants during home visits as part of
|
|
|
|
|
|
|
|
|
|
the Mexican American Trial of Community Health Workers, a randomized
|
|
|
|
|
|
|
|
|
|
controlled trial that improved clinical outcomes among low-income
|
|
|
|
|
|
|
|
|
|
Mexican American adults with type 2 diabetes. Three themes describing
|
|
|
|
|
|
|
|
|
|
interactions related to diabetes self-management education accounted for
|
|
|
|
|
|
|
|
|
|
about half of encounter content. The other half of encounter content was
|
|
|
|
|
|
|
|
|
|
dedicated to interactions not explicitly related to diabetes described
|
|
|
|
|
|
|
|
|
|
by 4 subthemes. In a successful CHW intervention, focused educational
|
|
|
|
|
|
|
|
|
|
content was balanced with other interactions. Interactions not
|
|
|
|
|
|
|
|
|
|
explicitly related to diabetes may have provided space for the
|
|
|
|
|
|
|
|
|
|
implementation of core CHW roles, skills, and qualities other than
|
|
|
|
|
|
|
|
|
|
educator, particularly those related to relationship building. It is
|
|
|
|
|
|
|
|
|
|
important that interventions provide CHWs with sufficient time and
|
|
|
|
|
|
|
|
|
|
flexibility to develop strong relationships with participants.'
|
|
|
|
|
affiliation: 'McClellan, SP (Corresponding Author), Univ Illinois, Dept Family \&
|
|
|
|
|
Community Med, 1919 W Taylor St,M-C 663, Chicago, IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
McClellan, Sean P., Univ Illinois, Coll Med, Dept Family \& Community Med, Chicago,
|
|
|
|
|
IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Pena, Kryztal, Univ Illinois, Coll Med, Sch Publ Hlth, Chicago, IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Martin, Molly A., Univ Illinois, Coll Med, Dept Pediat, Chicago, IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Boyd, Tyler W., Rush Univ, Med Ctr, Rush Med Coll, Chicago, IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Rothschild, Steven K., Rush Univ, Med Ctr, Dept Family Med, Chicago, IL 60612 USA.
|
|
|
|
|
|
|
|
|
|
Rothschild, Steven K., Rush Univ, Med Ctr, Dept Preventat Med, Chicago, IL 60612
|
|
|
|
|
USA.
|
|
|
|
|
|
|
|
|
|
Hendrix, Jacqueline, Valley Family Med, Renton, WA USA.
|
|
|
|
|
|
|
|
|
|
Swider, Susan M., Rush Univ, Coll Nursing, Dept Community Syst \& Mental Hlth Nursing,
|
|
|
|
|
Chicago, IL 60612 USA.'
|
|
|
|
|
author: McClellan, Sean P. and Boyd, Tyler W. and Hendrix, Jacqueline and Pena, Kryztal
|
|
|
|
|
and Swider, Susan M. and Martin, Molly A. and Rothschild, Steven K.
|
|
|
|
|
author-email: smccle2@uic.edu
|
|
|
|
|
author_list:
|
|
|
|
|
- family: McClellan
|
|
|
|
|
given: Sean P.
|
|
|
|
|
- family: Boyd
|
|
|
|
|
given: Tyler W.
|
|
|
|
|
- family: Hendrix
|
|
|
|
|
given: Jacqueline
|
|
|
|
|
- family: Pena
|
|
|
|
|
given: Kryztal
|
|
|
|
|
- family: Swider
|
|
|
|
|
given: Susan M.
|
|
|
|
|
- family: Martin
|
|
|
|
|
given: Molly A.
|
|
|
|
|
- family: Rothschild
|
|
|
|
|
given: Steven K.
|
|
|
|
|
da: '2023-09-28'
|
|
|
|
|
doi: 10.1097/FCH.0000000000000341
|
|
|
|
|
eissn: 1550-5057
|
|
|
|
|
files: []
|
|
|
|
|
issn: 0160-6379
|
|
|
|
|
journal: FAMILY \& COMMUNITY HEALTH
|
|
|
|
|
keywords: 'community health workers; diabetes mellitus; health status disparities;
|
|
|
|
|
|
|
|
|
|
Mexican American; qualitative research'
|
|
|
|
|
keywords-plus: SELF-MANAGEMENT; CARE; INTERVENTION; PROMOTORA; TRIAL
|
|
|
|
|
language: English
|
|
|
|
|
month: OCT-DEC
|
|
|
|
|
number: '4'
|
|
|
|
|
number-of-cited-references: '36'
|
|
|
|
|
pages: 299-307
|
|
|
|
|
papis_id: 7dcf95e9de6aa33227542ca952aea377
|
|
|
|
|
ref: Mcclellan2022closeddoors
|
|
|
|
|
researcherid-numbers: 'McClellan, Sean/HDN-6972-2022
|
|
|
|
|
|
|
|
|
|
McClellan, Sean/HDN-6943-2022'
|
|
|
|
|
times-cited: '0'
|
|
|
|
|
title: Behind Closed Doors A Thematic Analysis of Diabetes Community Health Worker
|
|
|
|
|
Home Visit Content
|
2023-10-01 08:15:07 +00:00
|
|
|
type: article
|
2023-09-28 14:46:10 +00:00
|
|
|
unique-id: WOS:000841955400011
|
|
|
|
|
usage-count-last-180-days: '0'
|
|
|
|
|
usage-count-since-2013: '2'
|
|
|
|
|
volume: '45'
|
|
|
|
|
web-of-science-categories: Family Studies; Public, Environmental \& Occupational Health
|
|
|
|
|
year: '2022'
|
