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Talk to PAPA: A Systematic Review of Patient/Participant (PAPA) Feedback on Interactions With Community Health
Sheba George1, Lydia Zacher Dixon, Elsa Carrasco
1Department of Preventive and Social Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California (Dr George); Department of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, California (Dr George and Ms Carrasco); Health Science Program, California State University, Channel Islands, Camarillo (Dr Dixon); Anteater Instruction and Research Offices, University of California, Irvine (Mr Romo); Providence Health & Services, Southern California, San Pedro (Ms Vides); and College of Science and Health, Charles R. Drew University of Medicine and Science, Los Angeles, California (Dr Balcazar).
Abstract:
Because of their shared backgrounds, community health workers' (CHWs) care of patients/program participants (PAPAs) is assumed to be acceptable, and often not evaluated empirically. Using PRISMA guidelines, we reviewed 9560 articles from 5 databases, selected 37 articles for full-text review, and developed a 5-dimensional depth analysis (focus, context, meaning, range, and voices) to characterize quality/quantity of PAPA feedback. Depth analyses clarified a spectrum of PAPA responses from extremely positive to ambivalence to outright distrust and frustration with perceived CHW limitations. Designing evaluations with 5-dimensional depth analysis can enhance PAPA feedback quality and improve evidence-based, patient-centered, CHW care delivery.
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