School of Rural Public Health, Texas A&M Health Science Center, 2101 South McColl Road, McAllen, TX 78503, USA.
J Community Health. 2012 Oct;37(5):1026-31. doi: 10.1007/s10900-011-9526-8.
Promotoras (community health workers) play an important health promotion role and must be continuously trained, but little is known about how much of their learning they actually put into practice. This non-randomized, longitudinal study examined knowledge and home environmental outcomes of an asthma and healthy homes training offered to promotoras using a train-the-trainer model. Eighty-five promotoras received the training and pre- and post-test surveys were used to measure training outcomes. Results showed a statistically significant increase in asthma and healthy home-related knowledge (P < .001). At 12-months post-intervention, a majority of the promotoras (69%) reported they made household changes to improve their indoor environment as a result of the training. This study suggests that effective trainings can improve promotoras knowledge and behaviors for the promotion of healthy homes in the community. Further evaluation is needed to investigate whether these trainings allow promotoras to serve as role models within their communities "by educating through example" and thereby enhance their credibility as health educators.
（社区卫生工作者）在促进健康方面发挥着重要作用，必须不断接受培训，但对于他们实际将所学知识应用于实践的程度了解甚少。本非随机、纵向研究采用培训员培训模式，调查了哮喘和健康家园培训对（社区卫生工作者）的知识和家庭环境结果的影响。85 名（社区卫生工作者）接受了培训，并使用预测试和后测试调查来衡量培训结果。结果表明，哮喘和健康家园相关知识呈统计学显著增长（P<.001）。在干预后 12 个月，大多数（社区卫生工作者）（69%）报告称，他们因培训而对家庭进行了改善室内环境的改变。本研究表明，有效的培训可以提高（社区卫生工作者）促进社区健康家园的知识和行为。需要进一步评估这些培训是否允许（社区卫生工作者）在社区中充当榜样，“通过以身作则进行教育”，从而提高他们作为健康教育者的可信度。
