Behind Closed Doors: A Thematic Analysis of Diabetes Community Health Worker Home Visit Content.

Behind Closed Doors: A Thematic Analysis of Diabetes Community Health Worker Home Visit Content.
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DOI:
10.1097/fch.0000000000000341
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发表时间:
2022-10-01
影响因子:
2.3
通讯作者:
Rothschild, Steven K.
Rothschild, Steven K.
中科院分区:
医学4区
文献类型:
--
作者:
McClellan, Sean P.;Boyd, Tyler W.;Hendrix, Jacqueline;Pena, Kryztal;Swider, Susan M.;Martin, Molly A.;Rothschild, Steven K.

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The present work studies how 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. Authors 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 four sub-themes. 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.
DOI: 10.1016/j.conctc.2021.100779
发表时间: 2021-06
影响因子: 1.5
作者:
Papajorgji-Taylor D;Francisco M;Schneider JL;Vaughn K;Lindberg N;Smith N;Fitzpatrick SL
通讯作者: Fitzpatrick SL
DOI: 10.1177/0145721709352381
发表时间: 2010-01
期刊: The Diabetes educator
影响因子: --
作者:
Swider SM;Martin M;Lynas C;Rothschild S
通讯作者: Rothschild S