FCCC LOGO Faculty Publications
Gu J , Maxwell AE , Ma GX , Qian X , Tan Y , Hsieh HC , Tu SP , Wang JH
Evaluating the Training of Chinese-Speaking Community Health Workers to Implement a Small-Group Intervention Promoting Mammography
J Cancer Educ. 2018 Apr 14
PMID: 29654506    PMCID: PMC6186510    URL: https://www.ncbi.nlm.nih.gov/pubmed/29654506
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Abstract
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-h 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.
Notes
1543-0154 Gu, Jiayan Maxwell, Annette E Ma, Grace X Qian, Xiaokun Tan, Yin Hsieh, Hsing-Chuan Tu, Shin-Ping Wang, Judy Huei-Yu ORCID: http://orcid.org/0000-0001-7341-2637 R01CA142941/National Cancer Institute Journal Article England J Cancer Educ. 2018 Apr 14. pii: 10.1007/s13187-018-1361-5. doi: 10.1007/s13187-018-1361-5.