Using community-based research methods to design cancer patient navigation training.
Using community-based research methods to design cancer patient navigation training.
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DOI：
10.1353/cpr.0.0037
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发表时间：
2008-01-01
期刊：
影响因子：
--
通讯作者：
Tsark, Joann U
中科院分区：
文献类型：
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作者：
Braun, Kathryn L;Allison, Amanda;Tsark, Joann U
背景：夏威夷原住民的癌症死亡率仍然高于白人，研究已经确定了许多获得良好癌症治疗的障碍。癌症导航项目为患者和家庭成员提供个性化的帮助，以克服障碍，促进早期诊断和及时彻底的治疗。目的：我们的目的是设计一个培训课程，为社区外展工作人员提供服务，为夏威夷原住民提供癌症患者导航技能。方法：Ho'okele i ke Ola（健康导航）课程的数据来自夏威夷土著癌症患者及其家庭成员、夏威夷土著社区的外展工作者和癌症护理提供者。根据调查结果，48小时的课程侧重于癌症知识、癌症资源和癌症交流。拟定了三个版本：(1)在檀香山市区进行为期六天的培训和实地参观；(2)在邻近岛屿进行为期四天的培训，并在檀香山进行为期两天的实地考察；(3) 3学分的社区大学自主学习课程。每期课程结束后和毕业后3个月对毕业生进行导航技能应用面试。结果：在18个月的时间里，来自社区、临床和社区大学的62名卫生工作者接受了培训，其中31人在檀香山接受培训，29人在邻近岛屿接受培训，其中早期毕业生在那里担任共同教员，2人在毛伊岛社区学院接受培训。后续数据显示受训人员的知识、技能、能力和胜任感都有所提高。结论：Ho'okele i ke Ola课程的三个版本都是在社区投入的情况下开发的，在提高受训人员的癌症患者导航技能方面取得了成功。
BACKGROUND: Cancer mortality continues to be higher in Native Hawaiians than whites, and research has identified numerous barriers to good cancer care. Cancer navigator programs provide individualized assistance to patients and family members to overcome barriers, promoting early diagnosis and timely and complete treatment.OBJECTIVES: Our purpose was to design a training curriculum to provide community-based outreach workers serving Native Hawaiians with cancer patient navigator skills.METHODS: The Ho'okele i ke Ola (Navigating to Health) curriculum was informed by data gathered from Native Hawaiian cancer patients and their family members, outreach workers in Native Hawaiian communities, and cancer care providers. Based on findings, the 48-hour curriculum focused on cancer knowledge, cancer resources, and cancer communications. Three versions were developed: (1) six days of training and on-site tours in urban Honolulu; (2) four days of training on a neighbor island, with 2 days of on-site tours in Honolulu; and (3) a 3-credit community college independent study course. Graduates were interviewed after each session and 3 months after graduation about application of navigation skills.RESULTS: In 18 months, 62 health workers from community-based, clinical, and community college settings were trained -31 in Honolulu-based trainings, 29 in neighbor island trainings where earlier graduates served as co-faculty, and 2 through Maui Community College (MCC). Follow-up data suggest increased knowledge, skills, capacity, and feelings of competence among trainees.CONCLUSIONS: All three versions of the Ho'okele i ke Ola curriculum, developed with community input, have proven successful in increasing cancer patient navigation skills of trainees.