Talk to PAPA: A Systematic Review of Patient/Participant (PAPA) Feedback on Interactions With Community Health...

Area of Science:

• Public Health
• Health Services Research
• Patient Experience

Background:

• Community health workers (CHWs) provide vital services, often assuming patient/program participant (PAPA) acceptance due to shared backgrounds.
• Empirical evaluation of PAPA feedback on CHW care is frequently overlooked.

Purpose of the Study:

• To systematically review and analyze existing literature on patient/program participant (PAPA) feedback regarding community health worker (CHW) care.
• To develop a framework for characterizing the quality and quantity of PAPA feedback.

Main Methods:

• A comprehensive literature search using PRISMA guidelines across 5 databases identified 9560 articles.
• 37 articles were selected for full-text review and analysis.
• A novel 5-dimensional depth analysis (focus, context, meaning, range, voices) was developed to assess PAPA feedback.

Main Results:

• PAPA feedback on CHW care exists on a spectrum, ranging from highly positive to ambivalent, distrustful, and frustrated.
• Identified limitations in CHW care were a source of negative PAPA experiences.
• The 5-dimensional depth analysis provided a nuanced understanding of feedback quality and quantity.

Conclusions:

• Patient/program participant (PAPA) feedback on community health worker (CHW) care is diverse and requires empirical assessment.
• Implementing a 5-dimensional depth analysis can enhance the quality of PAPA feedback.
• Improved feedback mechanisms can lead to more evidence-based, patient-centered CHW care delivery.