Supplemental Digital Content 1: Interview Guide Questions & Probes Motivation to be a CHW:
How long have you been working as a CHW?
Tell me a little bit about your journey to this position
How did you learn about the job?
What did you know about it beforehand?
Why did you want to do it?
Current Work Experience as a CHW:
Could you describe what a typical day looks like for you?
Where [in what settings] do you work?
Who do you interact with?
How do you get patient referrals?
How much time, on average, do you typically spend with a client?
Do you consider yourself to be part of a team?
How do other team members interact with you or other CHWs?
Think about a really good day that you have had at work recently. What made it a good day?
Similarly, What are the factors that make a bad day?
What other barriers make it difficult for you to do your work?
What do you think it means to be effective in your job?
What helps you be effective in your job?
What sort of resources, if any, do you wish you had that you don’t?
How does technology facilitate or frustrate your ability to do your job?
Training and Development:
Think back to when you started as a CHW, Can you describe the initial training you received?
Was the initial training workshop sufficient to begin your role as a community health worker?
What components of the training have been most useful?
Are there any components of the training that were not useful?
Are there additional topics you would like added to the training?
Have you been involved in the Regional CHW collaborative?
How were you involved?
How many hours/week?
What do you think about it?
CHW Career:
So far, how has your position as a CHW been similar or different than you expected?
Can you describe a moment/experience that was extremely satisfying or rewarding?
What are your career plans and goals?
Organizational Dynamics:
How are CHWs treated and viewed in your organization?
What, within your organization, helps you do your job as a CHW?
What, if anything, about your organization gets in the way of your doing your job?
What organizational changes have you noticed, if any?
How have these changes impacted your work?
Additional Questions for Supervisors/Leadership:
How do you recruit CHWs?
What are the most effective strategies?
What do you think makes an effective CHW?
What is the CHW turnover rate at your organization?
What are the barriers to improving their retention?
What are the biggest challenges you face to doing your job effectively?
What do you consider to be your biggest success?
What do you see as the most important factors impacting the work of CHWs in the future?
