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A conceptual framework for understanding the mechanism of action of community health workers services : the centrality of social support
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Taylor, Beck, Mathers, Jonathan and Parry, Jayne (2019) A conceptual framework for understanding the mechanism of action of community health workers services : the centrality of social support. Journal of Public Health, 41 (1). pp. 138-148. doi:10.1093/pubmed/fdx161 ISSN 1741-3842.
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Official URL: http://doi.org/10.1093/pubmed/fdx161
Abstract
Objective
To propose an empirically derived and theoretically-informed mechanism to explain how Community Health Workers (CHWs) bring about health gain in clients in England.
Methods
We undertook in-depth interviews (n = 43) with CHWs and service staff working in four case studies selected using maximum variation sampling. Interviewees were encouraged to talk about the service, how they had become involved with the service, the CHW role and relationship with clients.
Findings
We identified the provision of social support to be central to the mechanism of CHW-mediated health gain. Appropriate social support provision comprised three inter-related elements; needs assessment, social support delivery and client engagement. This mechanism is dependent on the personal characteristics of CHWs and of the roles they are employed or volunteer to carry out.
Conclusion
A range of CHW characteristics can influence the social support process, but these are context-dependent and move beyond simple notions of CHW similarity to the client. This finding has important policy implications for the development and implementation of CHW services in high income countries with super-diverse populations.
Item Type: | Journal Article | ||||||
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Journal or Publication Title: | Journal of Public Health | ||||||
Publisher: | Oxford University Press | ||||||
ISSN: | 1741-3842 | ||||||
Official Date: | March 2019 | ||||||
Dates: |
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Volume: | 41 | ||||||
Number: | 1 | ||||||
Page Range: | pp. 138-148 | ||||||
DOI: | 10.1093/pubmed/fdx161 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Free Access (unspecified licence, 'bronze OA') | ||||||
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