Community health workers (CHWs) are becoming a well-recognized workforce to help reduce health disparities and improve health equity. Although evidence demonstrates the value of engaging CHWs in health care teams, there is a need to describe best practices for integrating CHWs into US health care settings. The use of existing health promotion and implementation theories could guide the research and implementation of health interventions conducted by CHWs. We conducted a standard 5-step scoping review plus stakeholder engagement to provide insight into this topic. Using PubMed, EMBASE, and Web of Science, we identified CHW intervention studies in health care settings published between 2000 and 2017. Studies were abstracted by 2 researchers for characteristics and reported use of theory. Our final review included 50 articles published between January 2000 and April 2017. Few studies used implementation theories to understand the facilitators and barriers to CHW integration. Those studies that incorporated implementation theories used RE-AIM, intervention mapping, cultural tailoring, PRECEDE-PROCEED, and the diffusion of innovation. Although most studies did not report using implementation theories, some constructs of implementation such as fidelity or perceived benefits were assessed. In addition, studies that reported intervention development often cited specific theories, such as the transtheoretical or health belief model, that helped facilitate the development of their program. Our results are consistent with other literature describing poor uptake and use of implementation theory. Further translation of implementation theories for CHW integration is recommended.

Te President of the United States Te Speaker of the House Te President of the Senate Dear Sirs:On behalf of the Commission on Evidence-Based Policymaking, and pursuant to Public Law 114-140, we are pleased to submit the following report detailing our fndings and recommendations. We believe that adoption of the recommendations contained in our report will prove transformational, improving both the privacy protections aforded to the American public and the availability of rigorous evidence to inform policymaking.Over the course of its work, the Commission heard from numerous expert witnesses and members of the public, received extensive written public comment, and felded a survey of Federal agencies. Tis fact-fnding phase was followed by several months of deliberations. Te recommendations contained in the report have been agreed to unanimously by the 15 Members of the Commission.Te Commission envisions a future in which rigorous evidence is created efciently, as a routine part of government operations, and used to construct efective public policy. Advances in technology and statistical methodology, coupled with a modern legal framework and a commitment to transparency, make it possible to do this while simultaneously providing stronger protections for the privacy and confdentiality of the people, businesses, and organizations from which the government collects information.We call on the Congress and the President to act to ensure that this vision becomes a reality.