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Preparing for Community Health Worker Integration Into Clinical Care Teams Through an Understanding of Patient and Community Health Worker Readiness and Intent

Lewis, Charlotte M., DrPH, MPH; Gamboa-Maldonado, Thelma, DrPH, MPH; Belliard, Juan Carlos, PhD, MPH; Nelson, Anna, DrPH, MPH; Montgomery, Susanne, PhD, MPH, MS

The Journal of Ambulatory Care Management: January/March 2019 - Volume 42 - Issue 1 - p 37–46
doi: 10.1097/JAC.0000000000000261
Original Articles

There is a rising demand to expand the successful roles community health workers (CHWs) offer into clinical settings (clinic-based community health worker [cCHW]) to support patient services. Using survey data, we evaluated patient and CHW readiness and intent to adopt cCHW clinical care integration. We found CHW and patient readiness to become or utilize a cCHW significantly predicted CHW and patient intent to become or utilize a cCHW; however, in our study, CHWs experienced greater readiness to serve as cCHWs than did patients to utilize cCHWs.

Schools of Public Health (Drs Lewis, Gamboa-Maldonado, Belliard, and Nelson) and Behavioral Health (Dr Montgomery), Loma Linda University, Loma Linda, California.

Correspondence: Charlotte M. Lewis, DrPH, MPH, School of Public Health, Loma Linda University, 24951 North Circle Dr, Nichol Hall #1323, Loma Linda, CA 92350 (

Research reported in this publication was supported by the National Institute of Minority Health and Health Disparities of the National Institutes of Health under award number P20MD006988. Support for data collection in this article was provided by Marisol Lara, Sarah Snyder, and Jonathan Carrillo, graduate students in the Loma Linda University School of Public Health, and Lily Lee, Director of Academic Programs at the Promotores Academy. Support for data validation and analysis was provided by Walshe Izumigawa, a research analyst at Loma Linda University Research Consulting Group.

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

No conflicts of interest declared.

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