2023-09-28 14:46:10 +00:00
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abstract: 'This article examines how Community Health Workers (CHWs) build trust
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with low-income women of color who have a historical distrust of the
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healthcare system, and are at risk for maternal-child health
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disparities. This qualitative study used a grounded theory methodology
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guided by Charmaz''s inductive social constructivist approach. Data were
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collected using open-ended semi-structured interviews and focus groups
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with CHWs who worked in community-based and hospital-based programs in
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California, Oregon, Illinois, Texas, South Carolina, New York, and
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Maine. Thirty-two CHWs participated, with 95\% of participants being of
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Latinx and African American ethnicity. They served women from Latinx,
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African American, and Migrant communities. The CHW communication
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strategies represent aspects of respect and client-centered care and are
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applied in the development of a theoretical framework. CHWs were able to
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build and sustain trust at the initial encounter through these specific
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strategies: 1) addressing immediate needs related to social determinants
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of health; 2) embodying mannerisms and dress; 3) speaking appropriately
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to the client''s age, culture, and knowledge; 4) easing client''s fears
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through locus of control, and 5) allowing for time flexibility. These
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findings have implications for practice through interventions to train
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healthcare providers to build trust with low-income women of color who
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have a historical distrust of the healthcare system and who are at risk
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for maternal-child health disparities. Future research is recommended to
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explore how the communication trust-building constructs also benefit all
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other groups at similar risk, including those with mental health
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disorders and infectious diseases. The findings indicate specific
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communication strategies through which trust can be built, beginning at
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the initial encounter with low-income women at risk for maternal-child
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health disparities and who have a historical distrust of the healthcare
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system.'
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affiliation: 'Rafizadeh, EB (Corresponding Author), Mission Coll, Hlth Occupat Dept,
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Mission Coll Blvd, Santa Clara, CA 95054 USA.
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Rafizadeh, Elbina Batala, Mission Coll, Dept Hlth Occupat, Santa Clara, CA USA.
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Rice, Elizabeth; Bell, Janice; Harvath, Theresa A., Univ Calif Davis, Sch Nursing,
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Davis, CA USA.
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Smith, James, Univ Calif Davis, Dept Anthropol, Davis, CA USA.
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Rafizadeh, Elbina Batala, Mission Coll, Hlth Occupat Dept, Mission Coll Blvd, Santa
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Clara, CA 95054 USA.'
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author: Rafizadeh, Elbina Batala and Rice, Elizabeth and Smith, James and Bell, Janice
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and Harvath, Theresa A.
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author-email: elbina.rafizadeh@wvm.edu
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author_list:
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- family: Rafizadeh
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given: Elbina Batala
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- family: Rice
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given: Elizabeth
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- family: Smith
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given: James
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- family: Bell
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given: Janice
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- family: Harvath
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given: Theresa A.
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da: '2023-09-28'
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doi: 10.1080/07370016.2023.2168124
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earlyaccessdate: JAN 2023
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eissn: 1532-7655
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files: []
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issn: 0737-0016
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journal: JOURNAL OF COMMUNITY HEALTH NURSING
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keywords-plus: 'RACIAL/ETHNIC DISPARITIES; AFRICAN-AMERICAN; PRENATAL-CARE;
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UNITED-STATES; EXPERIENCES; PREGNANCY; RACISM'
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language: English
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month: JUL 3
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number: '3'
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number-of-cited-references: '39'
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pages: 219-231
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papis_id: b795e1355e19a0e059c243dac3c51c41
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ref: Rafizadeh2023understandinghow
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times-cited: '1'
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title: 'Understanding How Community Health Workers Build Trust with Low-Income Women
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of Color At-Risk for Maternal Child Health Disparities: A Grounded Theory Study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000960864100001
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usage-count-last-180-days: '5'
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usage-count-since-2013: '5'
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volume: '40'
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web-of-science-categories: Nursing
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year: '2023'
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