Department of Community Nutrition, Institute of Nutrition, Mahidol University, 25 Phuttamonthon 4, Salaya, Phuttamonthon, Nakhon Pathom 73170, Thailand.
J Community Health. 2012 Jun;37(3):610-8. doi: 10.1007/s10900-011-9491-2.
To evaluate the effects of a 4-month training program on the knowledge of CHCWs. CHCWs from 69 communities in Chiang Mai province in Thailand were assigned to the intervention group (IG, n=35) or control group (CG, n=34). All CHCWs were assessed for knowledge at baseline and at 4-months. The intervention group received a training program of 16 sessions of 2.5 h each within a 4-month period. A mix of classroom and E-learning approaches was used. All CHCWs were assessed for knowledge at baseline, 4-month, and follow-up at 8-month. Assessment was based on a pretested examination addressing understanding of nutritional terms and recommendations, knowledge of food sources related to diabetes prevention and diet-disease associations. Overall, the knowledge at baseline of both groups was not significantly different and all CHCWs scored lower than the 70% (mean (SD), 56.5% (6.26) for IG and 54.9% (6.98) for CG). After 4-month, CHCWs in the IG demonstrated improvement in total scores from baseline to 75.5% (6.01), P< .001 and relative to the CG 57.4% (5.59), P< .001. The follow up phase at 8-month, IG were higher in total scores than CG (71.3% (7.36) and 62.4% (6.81), P< .001). The diabetes prevention education program was effective in improving CHCWs' health knowledge relevant to diabetes prevention. The innovative learning model has potential to expand chronic disease prevention training of CHCWs to other parts of Thailand.
评估为期 4 个月的培训计划对 CHCW 知识的影响。将来自泰国清迈省 69 个社区的 CHCW 分配到干预组（IG，n=35）或对照组（CG，n=34）。所有 CHCW 在基线和 4 个月时均进行知识评估。干预组在 4 个月内接受了 16 次每次 2.5 小时的培训课程。采用了课堂和电子学习相结合的方法。所有 CHCW 在基线、4 个月和 8 个月的随访时均进行知识评估。评估基于预先测试的考试，涉及对营养术语和建议的理解、与糖尿病预防和饮食疾病关联相关的食物来源的知识。总体而言，两组基线时的知识没有显著差异，所有 CHCW 的得分均低于 70%（平均值（SD），IG 为 56.5%（6.26），CG 为 54.9%（6.98））。4 个月后，IG 的 CHCW 总分从基线提高到 75.5%（6.01），P<.001，与 CG 的 57.4%（5.59）相比，P<.001。8 个月的随访阶段，IG 的总分高于 CG（71.3%（7.36）和 62.4%（6.81），P<.001）。糖尿病预防教育计划有效提高了 CHCW 与糖尿病预防相关的健康知识。创新的学习模式有可能将 CHCW 的慢性病预防培训扩展到泰国的其他地区。
