Results From and Preliminary Validation of the Workplace-Related Community Health Worker Common Indicators in a
Noelle Wiggins1, Katie C Stalker1, Tommy English1
1Noelle Wiggins, Victoria Adewumi, Pennie Jewell, and Celeste Sanchez-Lloyd are with the Community Health Worker Center for Research and Evaluation, Boston, MA. Katie C. Stalker is with the School of Social Work, University at Buffalo, Buffalo, NY. Tommy English is with the St. Louis Integrated Health Network, St. Louis, MO. Mary-Ellen Brown is with the School of Social Work, University of Texas at Austin. Susan Mayfield-Johnson is with the Dr. Lynn Cook Hartwig Public Health Program, University of Southern Mississippi, Hattiesburg. Ada M. Wilkinson-Lee is with the Department of Mexican American Studies, University of Arizona, Tucson. Victoria Adewumi, Pennie Jewell, and Celeste Sanchez-Lloyd are Community Health Workers.
Abstract:
Objectives. To evaluate workplace conditions in the Community Health Workers (CHWs) for COVID Response and Resilient Communities initiative using the workplace-related CHW Common Indicators and to conduct a preliminary validation of those indicators. Methods. A CHW survey conducted between February 12, 2024, and March 29, 2024, incorporated all or part of the workplace-related Common Indicators. We produced descriptive statistics to answer evaluation questions and conducted exploratory factor analyses to initially validate scalar portions of the indicators. Results. Our analyses revealed generally positive ratings of workplace conditions for CHWs in diverse sites around the United States. Scalar components of the Common Indicators achieved Cronbach alpha values above 0.8 and loaded on 1 principal factor per scale. Conclusions. Our findings from a definable large-scale sample confirm that the Common Indicators provide a practical, reliable, and valid way to measure workplace conditions that allow CHWs to be optimally effective across settings and jurisdictions. The positive results indicate that a federal CHW program can help to create beneficial workplace conditions for CHWs while making it possible to compare consistent data about the CHW workforce. (Am J Public Health. 2026;116(S4):S276-S284. https://doi.org/10.2105/AJPH.2026.308641).
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