Partners in Health: A Conceptual Framework for the Role of Community Health Workers in Facilitating Patients' Adoption of Healthy Behaviors
Partners in Health: A Conceptual Framework for the Role of Community Health Workers in Facilitating Patients' Adoption of Healthy Behaviors
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DOI：
10.2105/ajph.2014.302411
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发表时间：
2015-05-01
影响因子：
12.7
通讯作者：
Trinh-Shevrin, Chau
中科院分区：
文献类型：
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作者：
Katigbak, Carina;Van Devanter, Nancy;Trinh-Shevrin, Chau
我们制定了一个概念框架，通过解释社区卫生工作者 (CHW) 促进患者采取健康行为的流程，开始响应国家改善医疗保健获取、提供和质量的号召。 2011 年 9 月至 2012 年 1 月，我们进行了一项定性研究，对多个数据源进行了三角测量：26 次深度访谈、培训文档和患者图表。社区卫生工作者是患有高血压的菲律宾移民的健康伙伴，利用他们与干预参与者的文化一致性，采用人际沟通技巧建立信任和融洽关系，提供社会支持，并协助改变健康行为。为了推动该领域向前发展，可以通过可能影响未来社区卫生工作者培训和干预的框架测试来扩展这项工作。
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.