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. 2025 Jan 22;9(1):e48.
doi: 10.1017/cts.2024.660. eCollection 2025.

Key informants' perspectives on integrating community health workers into palliative care teams

Taleaa Masroor  1 , Shannon Fuller  2 , Olivia Monton  1   3   4 , Mahtab Vasigh  1 , Alison P Woods  1   5 , Amn Siddiqi  1 , Tracy B Malone  1 , Robert Joyner  6 , Ronit Elk  7 , Jill Owczarzak  2 , Fabian M Johnston  8
Affiliations

Key informants' perspectives on integrating community health workers into palliative care teams

Taleaa Masroor et al. J Clin Transl Sci. .

Abstract

Introduction: Disparities in access to palliative care persist, particularly among underserved populations. We elicited recommendations for integrating community health workers (CHWs) into clinical care teams, by exploring perspectives on potential barriers and facilitators, ultimately aiming to facilitate equitable access to palliative care.

Materials and methods: Twenty-five stakeholders were recruited for semi-structured interviews through purposive snowball sampling at three enrollment sites in the USA. Interviews were conducted to understand perspectives on the implementation of a CHW palliative care intervention for African American patients with advanced cancer. After transcription, primary and secondary coding were conducted. Framework analysis was utilized to refine the data, clarify themes, and generate recommendations for integrating CHWs into palliative care teams.

Results: Our sample comprised 25 key informants, including 6 palliative care providers, 6 oncologists, 5 cancer center leaders, 2 cancer care navigators, and 6 CHWs. Thematic analysis revealed five domains of recommendations: (1) increasing awareness and understanding of the CHW role, (2) improving communication and collaboration, (3) ensuring access to resources, (4) enhancing CHW training, and (5) ensuring leadership support for integration. Informants shared barriers, facilitators, and recommendations within each domain based on their experiences.

Conclusion: Barriers to CHW integration within palliative care teams included limited awareness of the CHW role and inadequate training opportunities, alongside practical and logistical challenges. Conversely, promoting CHW engagement, providing adequate training, and ensuring support from leadership have the potential to aid integration.

Keywords: Palliative care; community health workers; end-of-life care; health disparities; patient-centered care.

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Conflict of interest statement

No competing interests to disclose.

Figures

Figure 1.
Figure 1.
Results summary. CHW = community health worker.
See this image and copyright information in PMC

References

    1. Smith CB, Phillips T, Smith TJ. Using the new ASCO clinical practice guideline for palliative care concurrent with oncology care using the TEAM approach. Am Soc Clin Oncol Educ Book. 2017;37:714–723. - PubMed
    1. Bazargan M, Bazargan-Hejazi S. Disparities in palliative and hospice care and completion of advance care planning and directives among non-Hispanic blacks: a scoping review of recent literature. Am J Hosp Palliat Med. 2021;38(6):688–718. - PMC - PubMed
    1. Lee KT, George M, Lowry S, Ashing KT. A review and considerations on palliative care improvements for African Americans with cancer. Am J Hosp Palliat Med. 2021;38(6):671–677. - PubMed
    1. Boucher NA, Raghavan M, Smith A, Arnold R, Johnson KS. Palliative care in the African American community #204. J Palliat Med. 2016;19(2):228–230. - PubMed
    1. Improving Palliative Care for Cancer [Internet].Washington, D.C.: National Academies Press, 2001. [cited 2024 Mar 4]. Available from: http://www.nap.edu/catalog/10149.

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