Lai Agnes Y, Stewart Sunita M, Wan Alice, Fok Helen, Lai Hebe Y W, Lam Tai-Hing, Chan Sophia S
School of Public Health, The University of Hong Kong, Hong Kong, SAR, China.
Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, Dallas, Texas, United States of America.
PLoS One. 2017 Aug 25;12(8):e0183636. doi: 10.1371/journal.pone.0183636. eCollection 2017.
This paper presents the development and evaluation of the train-the-trainer (TTT) workshop for lay resident leaders to be lay health promoters. The TTT workshop aimed to prepare the trainees to implement and/or assist in conducting a series of community-based family well-being activities for the residents in a public low rent housing estate, entitled "Learning Families Project", under the FAMILY project. The four-hour TTT workshop was conducted for 32 trainees (72% women, 43% aged ≥ 60, 41% ≤ elementary school education). The workshop aimed to promote trainees' knowledge, self-efficacy, attitude and practice of incorporating the positive psychology themes into their community activities and engaging the residents to join these activities and learn with their family members. Post-training support was provided. The effectiveness of the TTT was examined by self-administered questionnaires about trainees' reactions to training content, changes in learning and practice at three time points (baseline, and immediately and one year after training), and the difference in residents' survey results before and after participating in the community activities delivered by the trainees. The trainees' learning about the general concepts of family well-being, learning family, leadership skills and planning skills increased significantly with medium to large effect sizes (Cohen's d: 0.5-1.4) immediately after the training. The effects of perceived knowledge and attitude towards practice were sustained to one year (Cohen's d: 0.4-0.6). The application of planning skills to implement community activities was higher at one year (Cohen's d: 0.4), compared with baseline. At one year, the residents' survey results showed significant increases in the practice of positive communication behaviours and better neighbour cohesions after joining the family well-being activities of LFP. Qualitative feedback supported the quantitative results. Our TTT workshop could serve as a practical example of development and evaluation of training programs for lay personnel to be lay health promoters.
ClinicalTrials.gov NCT02844244.
本文介绍了针对非专业居民领袖开展的培训培训师（TTT）工作坊，旨在将他们培养成为非专业健康促进者。TTT工作坊旨在让学员做好准备，以便在“家庭”项目下，为公共廉租屋居民实施和/或协助开展一系列名为“学习家庭项目”的社区家庭幸福活动。为期四小时的TTT工作坊面向32名学员开展（72%为女性，43%年龄≥60岁，41%学历≤小学）。该工作坊旨在提升学员将积极心理学主题融入社区活动的知识、自我效能感、态度和实践能力，并促使居民参与这些活动并与家人一同学习。提供了培训后的支持。通过自我管理问卷来检验TTT的有效性，问卷内容涉及学员对培训内容的反应、三个时间点（基线、培训后即刻和培训后一年）学习和实践的变化，以及学员开展的社区活动前后居民调查结果的差异。培训后即刻，学员对家庭幸福、学习型家庭、领导技能和规划技能等一般概念的学习显著增加，效应量为中到大型（科恩d值：0.5 - 1.4）。感知知识和实践态度的效果持续到一年（科恩d值：0.4 - 0.6）。与基线相比，一年时规划技能在实施社区活动中的应用更高（科恩d值：0.4）。一年时，居民调查结果显示，参与学习家庭项目的家庭幸福活动后，积极沟通行为的实践和邻里凝聚力显著增强。定性反馈支持了定量结果。我们的TTT工作坊可作为培养非专业人员成为非专业健康促进者的培训项目开发和评估的一个实例。
ClinicalTrials.gov NCT02844244。
