An integrated mixed methods approach to clarifying delivery, receipt and potential benefits of CHW-facilitated social support in a health promotion intervention
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Author
Ingram, M.Coulter, K.
Doubleday, K.
Espinoza, C.
Redondo, F.
Wilkinson-Lee, A.M.
Lohr, A.M.
Carvajal, S.C.
Affiliation
Health Promotion Sciences College of Public Health, University of ArizonaIssue Date
2021Keywords
Community health workerHealth promotion
Hierarchical cluster analysis
Mixed methods
Narrative analysis
Social support
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BioMed Central LtdCitation
Ingram, M., Coulter, K., Doubleday, K., Espinoza, C., Redondo, F., Wilkinson-Lee, A. M., Lohr, A. M., & Carvajal, S. C. (2021). An integrated mixed methods approach to clarifying delivery, receipt and potential benefits of CHW-facilitated social support in a health promotion intervention. BMC Health Services Research, 21(1).Journal
BMC Health Services ResearchRights
Copyright © The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Background: Social support plays a critical role in physical and emotional health, making it an important component of community health worker (CHW) health promotion interventions. Different types of support operate in different ways, however, and the relationship between the nature of CHW support and the subsequent health benefit for their clients is not well understood. Methods: This paper describes an integrated mixed methods study of the emotional, informational, appraisal and tangible support CHWs provided to Latinx community members residing in three US-Mexico border communities. Using a cohort (n = 159) from a CHW community-based intervention, we identify and describe four clusters of social support in which participants are characterized by life situations that informed the types of social support provided by the CHW. We examine the association between each cluster and client perceptions of social support over the 6-month intervention. Results: CHWs provided emotional, appraisal, informational and tangible support depending on the needs of participants. Participants who received higher levels of emotional support from the CHW experienced the greatest post intervention increase in perceived social support. Conclusions: Study findings suggest that CHWs may be adept at providing non-directive social support based on their interaction with a client rather than a health outcome objective. Health promotion interventions should allow CHWs the flexibility to tailor provision of social support based on their assessment of client needs. © 2021, The Author(s).Note
Open access journalISSN
1472-6963Version
Final published versionae974a485f413a2113503eed53cd6c53
10.1186/s12913-021-06778-6
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Except where otherwise noted, this item's license is described as Copyright © The Author(s) 2021. This article is licensed under a Creative Commons Attribution 4.0 International License.