Evaluating the Training of Chinese-Speaking Community Health Workers to Implement a Small-Group Intervention Promoting Mammography.
Evaluating the Training of Chinese-Speaking Community Health Workers to Implement a Small-Group Intervention Promoting Mammography.
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DOI：
10.1007/s13187-018-1361-5
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发表时间：
2019-08
期刊：
影响因子：
--
通讯作者：
Wang JH
中科院分区：
文献类型：
--
作者：
Gu J;Maxwell AE;Ma GX;Qian X;Tan Y;Hsieh HC;Tu SP;Wang JH
本研究评估了美籍华人社区卫生工作者（CHW）的培训，以实施小组乳腺X线摄影视频和讨论计划，作为随机对照试验的一部分，其目标是提高美籍华人妇女对乳腺X线摄影筛查指南的依从性。来自大都会华盛顿特区、南加州和纽约市的26名华裔美国CHW参加了4小时的培训研讨会，并在研讨会前后完成了调查，以评估他们对乳腺X线摄影筛查指南和人类受试者保护规则的了解。结果表明，培训后，乳腺摄影筛查指南和人类受试者保护规则的知识显着增加（均P<0.01）。社区卫生工作者还接受了培训，以领导对视频的讨论，包括筛选的好处和误解。四十三个录音的讨论，由13个活跃的CHW进行转录和定性分析，以评估实施保真度。13名活跃的社区卫生工作者中有10名完全解决了5项福利中的3项，13名社区卫生工作者中有11名完全解决了9项误解中的5项以上。中国的社区卫生工作者可以接受培训，以实施基于研究的干预计划。然而，一次性培训导致对讨论方案的适度遵守。可能需要在整个干预期间进行持续或重复培训，以提高实施的准确性。
This study evaluated the training of Chinese American Community Health Workers (CHWs) to implement a small-group mammography video and discussion program as part of a randomized controlled trial that had the goal to increase adherence to mammography screening guidelines among Chinese American women. A total of 26 Chinese American CHWs in the metropolitan Washington DC area, Southern California, and New York City participated in a 4-hour training workshop and completed surveys before and after the workshop to assess their knowledge regarding mammography screening guidelines and human subjects protection rules. The results showed significantly increased knowledge of mammography screening guidelines and human subjects protection rules (both p<0.01) after the training. CHWs were also trained to lead a discussion of the video, including screening benefits and misconceptions. Forty-three audio-recordings of discussions led by 13 active CHWs were transcribed and qualitatively analyzed to assess implementation fidelity. Ten out of 13 active CHWs fully addressed about 3 of the 5 benefit items, and 11 out of 13 CHWs fully addressed more than 5 of the 9 misconception items. Chinese CHWs can be trained to implement research-based intervention programs. However, a one-time training resulted in moderate adherence to the discussion protocol. Ongoing or repeat trainings throughout the intervention period may be needed to enhance implementation fidelity.
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