Farmworkers living in U.S.-Border communities experience numerous stressors in their daily lives that place them at risk for behavioral health problems, particularly anxiety and depression. Given challenges to accessing care, farmworkers are most likely to receive services in the primary care setting.
[Photo: Ms. Maia Ingram]
Ms. Maia Ingram, deputy director of the University of Arizona Prevention Research Center at the Mel and Enid Zuckerman College of Public Health, and colleagues used a participatory action research (PAR) approach in which community health workers (CHWs) use focus groups to engage the patient population in discussing behavioral health issues and identifying preferences for care within a Federally Qualified Health Center. The article is published in Action Research Journal.
The CHWs were trusted members of the community who participated in the articulation of research questions, development and implementation of protocols, participant recruitment, and data collection. CHWs encouraged focus group members to represent their community in the co-construction of knowledge regarding perceptions of behavioral health and priorities for care.
This research illustrates that CHWs, as representatives for patients’ needs and a bridge between the health care system and communities, can play a vital role as intermediate partners in generating patient participation in PAR.