Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers.
<h4>Objective</h4>Community health worker (CHW)-led education is an important strategy to increase awareness and access to breast cancer screening in medically-underserved communities. This study aimed to develop a context-specific, culturally-appropriate training intervention for South...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2020-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0240827 |
| _version_ | 1819175733276180480 |
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| author | Natalia M Rodriguez Felicia Casanova Gabriela Pages Layla Claure Marian Pedreira Michael Touchton Felicia Knaul |
| author_facet | Natalia M Rodriguez Felicia Casanova Gabriela Pages Layla Claure Marian Pedreira Michael Touchton Felicia Knaul |
| author_sort | Natalia M Rodriguez |
| collection | DOAJ |
| description | <h4>Objective</h4>Community health worker (CHW)-led education is an important strategy to increase awareness and access to breast cancer screening in medically-underserved communities. This study aimed to develop a context-specific, culturally-appropriate training intervention for South Florida CHWs to educate Latinx immigrant farmworkers on breast cancer and early detection.<h4>Methods</h4>A community-based participatory research (CBPR) study, conducted 2017-2019, informed the design of a training curriculum for CHWs and educational dissemination materials. Twenty-two CHWs were trained and knowledge gains were measuring using a one-group pre-and post-test design. Triangulated evaluation consisted of field observations of CHW-client interactions, CHW self-reports, and rapid assessment surveys of community members.<h4>Results</h4>A community stakeholder-informed breast cancer training curriculum resulted in significant, sustained breast cancer knowledge gains among CHWs when comparing pre-, post-, and 4-6 month post-training follow-up test scores. Field observations of educational material dissemination, CHW self-reported evaluations, and community rapid assessment surveys at three health fairs demonstrated this was an effective strategy to engage female Latinx farmworkers in breast cancer education.<h4>Conclusions</h4>Community and key stakeholder participation in the development of a breast cancer educational intervention allowed for tailored design priorities around knowledge-based content, comprehensiveness, relevance, appropriateness, and ease of dissemination to community members. This model of participatory CHW training intervention design can enable future train-the-trainer approaches to disseminate and scale-up evidence-based health education interventions. |
| first_indexed | 2024-12-22T20:59:33Z |
| format | Article |
| id | doaj.art-a4d98ae353f14136bc153f2278cdc9ad |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-22T20:59:33Z |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-a4d98ae353f14136bc153f2278cdc9ad2022-12-21T18:12:52ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011510e024082710.1371/journal.pone.0240827Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers.Natalia M RodriguezFelicia CasanovaGabriela PagesLayla ClaureMarian PedreiraMichael TouchtonFelicia Knaul<h4>Objective</h4>Community health worker (CHW)-led education is an important strategy to increase awareness and access to breast cancer screening in medically-underserved communities. This study aimed to develop a context-specific, culturally-appropriate training intervention for South Florida CHWs to educate Latinx immigrant farmworkers on breast cancer and early detection.<h4>Methods</h4>A community-based participatory research (CBPR) study, conducted 2017-2019, informed the design of a training curriculum for CHWs and educational dissemination materials. Twenty-two CHWs were trained and knowledge gains were measuring using a one-group pre-and post-test design. Triangulated evaluation consisted of field observations of CHW-client interactions, CHW self-reports, and rapid assessment surveys of community members.<h4>Results</h4>A community stakeholder-informed breast cancer training curriculum resulted in significant, sustained breast cancer knowledge gains among CHWs when comparing pre-, post-, and 4-6 month post-training follow-up test scores. Field observations of educational material dissemination, CHW self-reported evaluations, and community rapid assessment surveys at three health fairs demonstrated this was an effective strategy to engage female Latinx farmworkers in breast cancer education.<h4>Conclusions</h4>Community and key stakeholder participation in the development of a breast cancer educational intervention allowed for tailored design priorities around knowledge-based content, comprehensiveness, relevance, appropriateness, and ease of dissemination to community members. This model of participatory CHW training intervention design can enable future train-the-trainer approaches to disseminate and scale-up evidence-based health education interventions.https://doi.org/10.1371/journal.pone.0240827 |
| spellingShingle | Natalia M Rodriguez Felicia Casanova Gabriela Pages Layla Claure Marian Pedreira Michael Touchton Felicia Knaul Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. PLoS ONE |
| title | Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. |
| title_full | Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. |
| title_fullStr | Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. |
| title_full_unstemmed | Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. |
| title_short | Community-based participatory design of a community health worker breast cancer training intervention for South Florida Latinx farmworkers. |
| title_sort | community based participatory design of a community health worker breast cancer training intervention for south florida latinx farmworkers |
| url | https://doi.org/10.1371/journal.pone.0240827 |
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