Labile scoring group | Construct | Evidenced participant quotation |
---|---|---|
Monotonic increasing | CHW Feedback Mirrors Physician Messages | “These were changes that I was already carrying out upon recommendation of my doctor.” Male, age 48. Spanish interview |
Monotonic increasing | CHW Feedback Aligned with Participant Effort | “I saw changes in my person. I began to feel better and that motivated me to continue doing [exercise and healthy eating]. I have been following this routine for 3 years and if 1 day I don’t do it, I feel like I am missing something.” Male, age 64, English interview |
“I followed her indications…and I also put great effort into it. I saw everything was going well. I mean, everything started to change because now I feel much lighter.” Female, age 71, Spanish interview | ||
Monotonic increasing | CHW Support Tied To Improved Measureable Health Outcomes | “In fact my glucose level went down thanks to their recommendations about how to cook my food.” Female, age 65, Spanish interview |
“Motivation was the only thing that I needed, and I noticed some changes in that…I lost 15 pounds in 1 year.” Male, age 55, Spanish interview | ||
Monotonic decreasing | Participant Reticence to Engage with CHW | “She would dedicate herself only to the topic…she wouldn’t talk about other things, she was only on the topic that she came to explain.” Female, age 45, Spanish interview |
Interviewer: “Were the changes you made as a result of the promotora?” | ||
Participant: “No, I was already making changes.” Female, age 39, Spanish interview | ||
Monotonic decreasing | Comorbid Depression is Barrier to Relationship with CHW | “When I became unemployed, I got very depressed here in my house.” Female, age 42, Spanish interview |
“I try to get out of that [depressed mood]…but, it was awful.” Female, age 45, Spanish interview | ||
“When [CHWs] came by I was very depressed and so they told me, ‘You need to walk more, if you walk at least 15 min you will reject the anxiety a bit.’” Female, age 41, Spanish interview |