Cueva Melany, Hicks Teresa, Kuhnley Regina, Cueva Katie
Alaska Native Tribal Health Consortium, Community Health Aide Program, Anchorage, AK, USA.
Int J Circumpolar Health. 2012 Aug 10;71:19125. doi: 10.3402/ijch.v71i0.19125.
To develop, implement, and evaluate a culturally respectful Wellness Course with and for Alaska's village-based Community Health Workers (CHWs) to support community health promotion and disease prevention.
This article describes Wellness Course development, implementation, and evaluation.
Five 5-day Wellness Courses were provided for 55 CHWs from communities throughout Alaska. Fifty-two of 55 participants completed a post-course written evaluation. Post-course telephone interviews were conducted with participants (11/32) from the first 3 courses.
On written post-course evaluations, all participants wrote detailed descriptions of what they learned and 98% (51/52) felt more confident in their knowledge and ability to present community wellness information. As a result of course participation, 88% (46/52) of CHWs wrote ways they would support family and community wellness, and 85% (44/52) wrote ways they planned to take better care of their health. During the in-depth post-course interviews, all 11 CHWs interviewed described ways the Wellness Course increased their health knowledge, helped them in their work, and prepared them to effectively engage with their communities to promote health.
Learning wellness information with hands-on activities and practising health presentation and community engagement skills within the course design increased participants' wellness knowledge and skills, confidence, and motivation to provide community wellness activities. Techniques for active listening, engaging community, and using the arts and storytelling as culturally respectful health promotion are tools that when used by CHWs within their own community have potential to empower community wellness.
开发、实施并评估一门尊重文化差异的健康课程，该课程面向阿拉斯加以村庄为基础的社区卫生工作者（CHWs），并由他们参与，以支持社区健康促进和疾病预防工作。
本文描述了健康课程的开发、实施和评估过程。
为来自阿拉斯加各地社区的55名社区卫生工作者提供了五期为期5天的健康课程。55名参与者中有52名完成了课程后的书面评估。对前三期课程的参与者（11/32）进行了课程后的电话访谈。
在课程后的书面评估中，所有参与者都详细描述了他们所学的内容，98%（51/52）的人对自己在展示社区健康信息方面的知识和能力更有信心。由于参与了课程，88%（46/52）的社区卫生工作者写下了他们将支持家庭和社区健康的方式，85%（44/52）的人写下了他们计划更好地照顾自己健康的方式。在深入的课程后访谈中，所有接受访谈的11名社区卫生工作者都描述了健康课程如何增加了他们的健康知识，帮助他们开展工作，并使他们做好准备，有效地与社区互动以促进健康。
通过实践活动学习健康信息，并在课程设计中练习健康展示和社区参与技能，提高了参与者的健康知识和技能、信心以及开展社区健康活动的积极性。积极倾听、参与社区以及将艺术和讲故事作为尊重文化差异的健康促进手段，这些技巧由社区卫生工作者在自己的社区中使用时，有可能增强社区的健康能力。
