Palliative Care Curriculum and Training Plan for community health workers.
Palliative Care Curriculum and Training Plan for community health workers.
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社区卫生工作者姑息治疗课程和培训计划。
DOI：
10.1136/spcare-2023-004527
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发表时间：
2023
影响因子：
2.7
通讯作者：
Johnston,FabianM
中科院分区：
文献类型：
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作者：
Monton,Olivia;Abou-Zamzam,Aida;Fuller,Shannon;Barnes-Malone,Tracy;Siddiqi,Amn;Woods,Alison;Patton,Jae;Ibe,ChidinmaA;Johnston,FabianM
非裔美国患者比白色患者更不可能获得姑息治疗。社区卫生工作者（CHW）是非临床公共卫生工作者，他们可以解决这一差距。我们为CHW制定了姑息治疗课程和培训计划，作为正在进行的随机对照试验的一部分，该试验评估了CHW姑息治疗干预对非洲裔美国晚期癌症患者的有效性。本研究的目的是确定姑息治疗课程和培训计划是否会导致知识的增益，感知能力的CHW研究为基础的任务，和满意度之间的CHW。该课程使用同步，异步和体验式培训组件在3个月内交付。CHW通过调查问卷和半结构化访谈进行评估。我们总共培训了三名CHW，分别来自我们的招募地点：约翰霍普金斯医院、TidalHealth半岛地区和亚拉巴马大学伯明翰医院。CHW表现出知识的增加，平均训练前测试得分为85%（SD 10.49），训练后测试得分为96%（SD 4.17）。培训导致CHW之间的感知能力的增加。确定了今后培训的领域。该课程作为CHW培训的模板，重点是姑息治疗，肿瘤学和健康差异。
African American patients are less likely than White patients to access palliative care. Community health workers (CHWs) are non-clinical public health workers who may address this gap. We developed a Palliative Care Curriculum and Training Plan for CHWs as part of an ongoing randomised controlled trial evaluating the effectiveness of a CHW palliative care intervention for African American patients with advanced cancer. This study aimed to determine whether the Palliative Care Curriculum and Training Plan leads to gains in knowledge, perceived competence on CHW study-based tasks, and satisfaction among CHWs. The curriculum was delivered over 3 months using synchronous, asynchronous and experiential training components. CHWs were assessed through survey questionnaires and semistructured interviews. We trained a total of three CHWs, one from each of our enrolment sites: Johns Hopkins Hospital, TidalHealth Peninsula Regional and University of Alabama at Birmingham Hospital. CHWs demonstrated an increase in knowledge, with a mean pre-training test score of 85% (SD 10.49) and post-training test score of 96% (SD 4.17). The training led to increases in perceived competence among CHWs. Areas for future training were identified. This curriculum serves as a template for CHW training focused on palliative care, oncology and health disparities.