Partners in health: a conceptual framework for the role of community health workers in facilitating patients' adoption of healthy behaviors

We formulated a conceptual framework that begins to answer the national call to improve health care access, delivery, and quality by explaining the processes through which community health workers (CHWs) facilitate patients' adoption of healthy behaviors. In September 2011 to January 2012, we c...

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Bibliographic Details
Published in:American journal of public health (1971) 2015-05, Vol.105 (5), p.872-880
Main Authors: Katigbak, Carina, Van Devanter, Nancy, Islam, Nadia, Trinh-Shevrin, Chau
Format: Article
Language:English
Subjects:
Adult
Aged
Asian
Asian Americans
Asians
Blood pressure
Cardiovascular Disease
Communication
Community Health
Community health care
Community Health Workers - organization & administration
Coronary vessels
Cultural Competency
Culture
Decision making
Empowerment
Female
Filipino Americans
Framing Health Matters
Grounded theory
Health Behavior
Health care access
Health Knowledge, Attitudes, Practice
Health promotion
Humans
Hypertension
Hypertension - therapy
Interpersonal communication
Intervention
Interviews
Male
Maternal & child health
Medical personnel
Middle Aged
Mortality
Patient Protection & Affordable Care Act 2010-US
Patient safety
Patient satisfaction
Patients
Philippines
Pilot projects
Power
Public health
Public Health Workers
Qualitative Research
Roles
Social support
Socioeconomic Factors
Software
Studies
Training
Vein & artery diseases
Workers
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Description
Summary:We formulated a conceptual framework that begins to answer the national call to improve health care access, delivery, and quality by explaining the processes through which community health workers (CHWs) facilitate patients' adoption of healthy behaviors. In September 2011 to January 2012, we conducted a qualitative study that triangulated multiple data sources: 26 in-depth interviews, training documents, and patient charts. CHWs served as partners in health to immigrant Filipinos with hypertension, leveraging their cultural congruence with intervention participants, employing interpersonal communication techniques to build trust and rapport, providing social support, and assisting with health behavior change. To drive the field forward, this work can be expanded with framework testing that may influence future CHW training and interventions.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2014.302411