Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review

Community health workers (CHWs) are increasingly involved as members of health intervention research teams. Given that CHWs are engaged in a variety of research roles, there is a need for better understanding of the ways in which CHWs are incorporated in research and the potential benefits. This sco...

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Main Authors: Kiera Coulter, Maia Ingram, Deborah Jean McClelland, Abby Lohr
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-06-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpubh.2020.00208/full
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author Kiera Coulter
Maia Ingram
Deborah Jean McClelland
Abby Lohr
author_facet Kiera Coulter
Maia Ingram
Deborah Jean McClelland
Abby Lohr
author_sort Kiera Coulter
collection DOAJ
description Community health workers (CHWs) are increasingly involved as members of health intervention research teams. Given that CHWs are engaged in a variety of research roles, there is a need for better understanding of the ways in which CHWs are incorporated in research and the potential benefits. This scoping review synthesizes evidence regarding the kinds of health research studies involving CHWs, CHWs' roles in implementing health intervention research, their positionality on research teams, and how their involvement benefits health intervention research. The scoping review includes peer-reviewed health intervention articles published between 2008–2018 in the U.S. A search of PubMed, Embase and CINAHL identified a total of 3,129 titles and abstracts, 266 of which met the inclusion criteria and underwent full text review. A total of 130 articles were identified for a primary analysis of the research and the level of CHWs involvement, and of these 23 articles were included in a secondary analysis in which CHWs participated in 5 or more intervention research phases. The scoping review found that CHWs are involved across the spectrum of research, including developing research questions, intervention design, participant recruitment, intervention implementation, data collection, data analysis, and results dissemination. CHW positionality as research partners varied greatly across studies, and they are not uniformly integrated within all stages of research. The majority of these studies employed a community based participatory research (CBPR) approach, and CBPR studies included CHWs as research partners in more phases of research relative to non-CBPR studies. This scoping review documents specific benefits from the inclusion of CHWs as partners in health intervention research and identifies strategies to engage CHWs as research partners and to ensure that CHW contributions to research are well-documented.
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spelling doaj.art-1c2b0d3fdf4c4e93982510a48effbae22022-12-21T20:32:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-06-01810.3389/fpubh.2020.00208536187Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping ReviewKiera Coulter0Maia Ingram1Deborah Jean McClelland2Abby Lohr3Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United StatesMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United StatesUniversity of Arizona Health Sciences Library, University of Arizona, Tucson, AZ, United StatesMel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United StatesCommunity health workers (CHWs) are increasingly involved as members of health intervention research teams. Given that CHWs are engaged in a variety of research roles, there is a need for better understanding of the ways in which CHWs are incorporated in research and the potential benefits. This scoping review synthesizes evidence regarding the kinds of health research studies involving CHWs, CHWs' roles in implementing health intervention research, their positionality on research teams, and how their involvement benefits health intervention research. The scoping review includes peer-reviewed health intervention articles published between 2008–2018 in the U.S. A search of PubMed, Embase and CINAHL identified a total of 3,129 titles and abstracts, 266 of which met the inclusion criteria and underwent full text review. A total of 130 articles were identified for a primary analysis of the research and the level of CHWs involvement, and of these 23 articles were included in a secondary analysis in which CHWs participated in 5 or more intervention research phases. The scoping review found that CHWs are involved across the spectrum of research, including developing research questions, intervention design, participant recruitment, intervention implementation, data collection, data analysis, and results dissemination. CHW positionality as research partners varied greatly across studies, and they are not uniformly integrated within all stages of research. The majority of these studies employed a community based participatory research (CBPR) approach, and CBPR studies included CHWs as research partners in more phases of research relative to non-CBPR studies. This scoping review documents specific benefits from the inclusion of CHWs as partners in health intervention research and identifies strategies to engage CHWs as research partners and to ensure that CHW contributions to research are well-documented.https://www.frontiersin.org/article/10.3389/fpubh.2020.00208/fullcommunity health workersintervention researchparticipatory researchhealth interventionacademic-community partnerships
spellingShingle Kiera Coulter
Maia Ingram
Deborah Jean McClelland
Abby Lohr
Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review
Frontiers in Public Health
community health workers
intervention research
participatory research
health intervention
academic-community partnerships
title Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review
title_full Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review
title_fullStr Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review
title_full_unstemmed Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review
title_short Positionality of Community Health Workers on Health Intervention Research Teams: A Scoping Review
title_sort positionality of community health workers on health intervention research teams a scoping review
topic community health workers
intervention research
participatory research
health intervention
academic-community partnerships
url https://www.frontiersin.org/article/10.3389/fpubh.2020.00208/full
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AT abbylohr positionalityofcommunityhealthworkersonhealthinterventionresearchteamsascopingreview