Talk to PAPA: A Systematic Review of Patient/Participant (PAPA) Feedback on Interactions With Community Health Workers Using a Depth Analysis Approach

Because of their shared backgrounds, community health workers' (CHWs) care of patients/program participants (PAPAs) is assumed to be acceptable, and often not evaluated empirically. Using PRISMA guidelines, we reviewed 9560 articles from 5 databases, selected 37 articles for full-text review, a...

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Bibliographic Details
Published in:The Journal of ambulatory care management Vol. 43; no. 1; pp. 55 - 70
Main Authors: George, Sheba, Dixon, Lydia Zacher, Carrasco, Elsa, Romo, Oscar, Vides, Lucia, Balcazar, Hector
Format: Journal Article
Language:English
Published: United States Wolters Kluwer Health, Inc. All rights reserved 01-01-2020
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Summary:Because of their shared backgrounds, community health workers' (CHWs) care of patients/program participants (PAPAs) is assumed to be acceptable, and often not evaluated empirically. Using PRISMA guidelines, we reviewed 9560 articles from 5 databases, selected 37 articles for full-text review, and developed a 5-dimensional depth analysis (focus, context, meaning, range, and voices) to characterize quality/quantity of PAPA feedback. Depth analyses clarified a spectrum of PAPA responses from extremely positive to ambivalence to outright distrust and frustration with perceived CHW limitations. Designing evaluations with 5-dimensional depth analysis can enhance PAPA feedback quality and improve evidence-based, patient-centered, CHW care delivery.
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ISSN:0148-9917
1550-3267
DOI:10.1097/JAC.0000000000000309