Patients’ Perspectives on the Feasibility, Acceptability, and Impact of a Community Health Worker Program: A Qualitative Study
Abstract Background: Growing evidence suggests that community health workers (CHWs) can play a key role in delivering culturally competent preventive care services, addressing social determinants of health (SDOH), and improving the health outcomes of underserved populations. This study sought to understand the experiences of patients with Type 2 diabetes working with a CHW in a safety net setting.Methods: A convenience sample (n=13) who participated in a six-month CHW pilot program at a federally qualified health center (FQHC) was recruited for in-person or telephone semi-structured interviews that included 17 open-ended questions regarding patients’ experiences with the CHW program. Interview transcripts were analyzed using a traditional text analysis method based on a grounded theory approach to identify themes related to the participants’ perspectives of the CHW program.Results: This study highlights the CHW program can improve satisfaction in accessing health services and community resources, and overall health outcomes of patients in the safety net practices. Moreover, patients discussed the positive impact of the CHW program in terms of improved medical knowledge, access to medical services, and self-efficacy. The CHW’s professionalism also helped to establish rapport and trust that further supported behavior changes related to patients’ health goals.Conclusion: Patients’ overall positive perception regarding the feasibility, acceptability, and impact of the CHW program indicated that the intervention may be a viable solution to address the health and social needs of patients in safety net settings. Additionally, CHW programs can help to bridge the gap between patients and healthcare team by mitigating barriers to care.