Is Theory Guiding Our Work? A Scoping Review on the Use of Implementation Theories, Frameworks, and Models to Bring Community Health Workers into Health Care Settings.

Community health workers (CHWs) are becoming a well-recognized workforce to help reduce health disparities and improve health equity. Although evidence demonstrates the value of engaging CHWs in health care teams, there is a need to describe best practices for integrating CHWs into US health care se...

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Publicado en:Journal of Public Health Management & Practice Vol. 25; no. 6; pp. 571 - 581
Autores principales: Allen, Caitlin G., Barbero, Colleen, Shantharam, Sharada, Moeti, Refilwe
Formato: research systematic review tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Nov/Dec2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2019
      vid: 25
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Is Theory Guiding Our Work? A Scoping Review on the Use of Implementation Theories, Frameworks, and Models to Bring Community Health Workers into Health Care Settings.
      aug:
        au:
          Allen, Caitlin G.
          Barbero, Colleen
          Shantharam, Sharada
          Moeti, Refilwe
        affil: Emory University School of Public Health, Atlanta, Georgia
      sug:
        subj:
          Implementation Science
          Conceptual Framework
          Models, Theoretical
          Community Health Workers
          Health Facilities
          Health Promotion
          Human
          Scoping Review
          PubMed
          Embase
          Diffusion of Innovation
          Culture
          Health Belief Model
      ab: Community health workers (CHWs) are becoming a well-recognized workforce to help reduce health disparities and improve health equity. Although evidence demonstrates the value of engaging CHWs in health care teams, there is a need to describe best practices for integrating CHWs into US health care settings. The use of existing health promotion and implementation theories could guide the research and implementation of health interventions conducted by CHWs. We conducted a standard 5-step scoping review plus stakeholder engagement to provide insight into this topic. Using PubMed, EMBASE, and Web of Science, we identified CHW intervention studies in health care settings published between 2000 and 2017. Studies were abstracted by 2 researchers for characteristics and reported use of theory. Our final review included 50 articles published between January 2000 and April 2017. Few studies used implementation theories to understand the facilitators and barriers to CHW integration. Those studies that incorporated implementation theories used RE-AIM, intervention mapping, cultural tailoring, PRECEDE-PROCEED, and the diffusion of innovation. Although most studies did not report using implementation theories, some constructs of implementation such as fidelity or perceived benefits were assessed. In addition, studies that reported intervention development often cited specific theories, such as the transtheoretical or health belief model, that helped facilitate the development of their program. Our results are consistent with other literature describing poor uptake and use of implementation theory. Further translation of implementation theories for CHW integration is recommended.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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