Addressing Training Gaps: A Competency-Based, Telehealth Training Initiative for Community Health Workers

Background: To overcome vast variations in Community Health Worker (CHW) training, investigators for the CHW Core Consensus Project (CCCP) derived three types of CHW (Category 1, 2, 3) and established competencies for each category. However, studies are needed that implement these competencies in re...

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Bibliographic Details
Main Authors: Laura Porterfield, Victoria Warren, Vanessa Schick, Shannon Gulliot-Wright, Jeff R. Temple, Elizabeth M. Vaughan
Format: Article
Language:English
Published: Mary Ann Liebert 2023-06-01
Series:Telemedicine Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/TMR.2023.0007
Description
Summary:Background: To overcome vast variations in Community Health Worker (CHW) training, investigators for the CHW Core Consensus Project (CCCP) derived three types of CHW (Category 1, 2, 3) and established competencies for each category. However, studies are needed that implement these competencies in real-world settings. Objective: Using the six competency domains of the CCCP as a theoretical backbone, we developed and evaluated a training for Category 1 CHWs, individuals whose focus is on community outreach and advocacy. Methods: We developed five telehealth-based, bilingual (Spanish/English) training sessions and implemented them among Category 1 Latino(a) CHWs. We measured the number of CHWs who achieved ?70% correct on a domain-based posttest, attendance, and qualitative feedback. Results: All (18/18) CHWs achieved at least 70% on the posttest (mean: 93.7%; range 73.3?100%). Training attendance was 98.9%. Using a six-point scale, CHWs reported high levels of satisfaction overall (5.72???0.57/6.0), with telehealth (5.72???0.58/6.0), effectiveness of teaching strategies/methods (5.89???0.32/6.0), achieving training objectives (5.96???0.15/6.0), knowledge improvement (5.72???0.57/6.0), and interest (5.78???0.43/6.0). Conclusion: We successfully developed and evaluated a bilingual training program for Category 1 CHWs to address core competency gaps. High CHW attendance reinforces the value of telehealth modalities and their potential to increase the reach for CHW training. To overcome gaps in chronic disease training, investigations are needed to address additional CHW trainings. Trial Registration: NCT04835493.
ISSN:2692-4366