Shelton Rachel C, Thompson Hayley S, Jandorf Lina, Varela Alejandro, Oliveri Bridget, Villagra Cristina, Valdimarsdottir Heiddis B, Redd William H
Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, 722 West 168th Street, Room 548, New York, NY, 10032, USA,
J Cancer Educ. 2011 Jun;26(2):277-84. doi: 10.1007/s13187-010-0185-8.
Patient navigation (PN) is increasingly used in cancer care, but little is known about the identification and training of patient navigators. PN may be implemented by professional health care providers, paraprofessionals, or lay health workers and, therefore, presents an opportunity to compare professional and lay interventionist experiences. The goal of the current report is to compare the training experiences of four professional (Pro) and five lay (LHW) patient navigators enlisted to increase colonoscopy adherence among African American primary care patients. The results of early assessments showed that LHWs' intervention-related knowledge was significantly lower than that of Pros. However, there were no significant differences in knowledge scores between LHWs and Pros for most subsets of knowledge items in later assessments. Furthermore, there were no significant differences in LHWs' and Pros' reported self-efficacy and satisfaction with training. Findings support the use of diverse strategies to train and prepare LHWs as patient navigators.
患者导航（PN）在癌症护理中越来越常用，但对于患者导航员的识别和培训却知之甚少。PN 可由专业医护人员、辅助专业人员或非专业卫生工作者实施，因此，这为比较专业和非专业干预者的经验提供了机会。本报告的目的是比较四名专业（Pro）患者导航员和五名非专业（LHW）患者导航员的培训经历，这些导航员被招募来提高非裔美国初级保健患者的结肠镜检查依从性。早期评估结果显示，非专业卫生工作者与干预相关的知识明显低于专业人员。然而，在后期评估中，对于大多数知识项目子集，非专业卫生工作者和专业人员的知识得分没有显著差异。此外，非专业卫生工作者和专业人员报告的自我效能感以及对培训的满意度也没有显著差异。研究结果支持采用多种策略来培训和准备非专业卫生工作者成为患者导航员。
