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
type: Article
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'