Exploring the Role of Community Health Workers in Improving the Collection of Family Health History: A Pilot Study

Community health workers (CHWs) have been successful partners in addressing public health and health care challenges but have yet to be engaged in efforts to promote family health history (FHH) collection. FHH information is a key factor in determining disease risk and supporting screening and preve...

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Bibliographic Details
Published in:Health promotion practice 2022-05, Vol.23 (3), p.504-517
Main Authors: Allen, Caitlin G., Bethea, Brittaney J., McKinney, Lawrence P., Escoffery, Cam, Akintobi, Tabia Henry, McCray, Gail G., McBride, Colleen M.
Format: Article
Language:English
Subjects:
Clients
Collection
Community health care
Community health workers
Disease prevention
Families & family life
Family medical history
Health care
Medical screening
Public health
Qualitative research
Roles
Teams
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Summary:Community health workers (CHWs) have been successful partners in addressing public health and health care challenges but have yet to be engaged in efforts to promote family health history (FHH) collection. FHH information is a key factor in determining disease risk and supporting screening and prevention across multiple diseases. The collection of FHH information could be facilitated by the existing cadre of CHWs already working alongside clients and families. In this qualitative study, we interviewed 30 CHWs from Georgia to better understand the current level of knowledge about FHH, perceptions of how FHH collection aligns with their role, and barriers and facilitators in order to support more active involvement of CHWs in FHH collection. Interviews were completed, transcribed, and double coded by three study team members. More than half of CHWs reported knowing their own FHH information. CHWs showed a strong interest and support for collecting FHH in their job, despite limited current engagement in this role. CHWs acknowledged the collection of FHH as being an opportunity to empower clients to have conversations with their providers. To better support this work, CHWs requested training in using and integrating FHH tools into their workflow and support in communicating about FHH with their clients. Our findings suggest that with support and training, CHWs are uniquely positioned to improve FHH collection among their client base. Ultimately, improving FHH collection skills among the population could allow for better integration of risk-stratified approaches that are informed by FHH information for the prevention, management, and treatment of disease.
ISSN:1524-8399
1552-6372
DOI:10.1177/15248399211019980