Cruz-Correa Marcia, Cordero Frances, Betancourt Jean Pierre, Diaz-Algorri Yaritza, Lopez Sofia M, Rivera Mirza, Mosquera Rafael, Carlo-Chevere Victor, Rodriguez-Quilichini Segundo
University of Puerto Rico Comprehensive Cancer Center, USA.
University of Puerto Rico School of Medicine, USA.
J Fam Med Dis Prev. 2016;2(3). doi: 10.23937/2469-5793/1510042. Epub 2016 Aug 25.
Colorectal cancer (CRC) is the 2 most diagnosed cancer and leading cause of cancer death in Puerto Rico. However, CRC screening rates remain low. The aim of this study was to test the effectiveness of a Train-the-Trainers' (TTT) program to develop trainers capable of educating others within their communities about CRC prevention.
The TTT program consisted of didactics and seminars to capacitate participants to become trainers in CRC prevention. This project was evaluated using three components: (1) training workshops; (2) community educational sessions; and (3) the participant's experience as a trainer. Pre - and post-tests on CRC screening knowledge were given to TTT participants. Program effectiveness was determined by the pre- and post-tests, number of workshop participants completing a community educational session within three months of training and the number of community members reached.
Among the 115 total participants, 97 participants took the pre- and post-test. There was a significant difference in the scores for the pre-test (M = 10.56, SD = 2.57) and the post-test (M = 11.43, SD = 1.83) given; t (96) = -4.68, p < 0.001. A total of 955 community members were reached. Participants from the community educational sessions (n = 680) evaluated the program. 77.7% of those participants expressed intent to undergo colonoscopy screening in the future.
TTT was effective in preparing trainers in CRC prevention. Participants increased their knowledge about CRC prevention and successfully reached members of their community. Utilization of community trainers is an effective alternative to increase CRC education and awareness in Hispanic communities, which may positively impact CRC screening rates in this population.
在波多黎各，结直肠癌（CRC）是第二大最常被诊断出的癌症，也是癌症死亡的主要原因。然而，CRC筛查率仍然很低。本研究的目的是测试“培训培训师”（TTT）项目的有效性，该项目旨在培养能够在其社区内教育他人预防CRC的培训师。
TTT项目包括教学和研讨会，以使参与者有能力成为CRC预防方面的培训师。该项目使用三个组成部分进行评估：（1）培训工作坊；（2）社区教育课程；（3）参与者作为培训师的经验。对TTT参与者进行了CRC筛查知识的前后测试。项目有效性由前后测试、在培训后三个月内完成社区教育课程的工作坊参与者数量以及所接触到的社区成员数量来确定。
在总共115名参与者中，97名参与者参加了前后测试。前后测试的分数存在显著差异；前测（M = 10.56，SD = 2.57），后测（M = 11.43，SD = 1.83）；t（96）= -4.68，p < 0.001。总共接触到了955名社区成员。来自社区教育课程的参与者（n = 680）对该项目进行了评估。77.7%的参与者表示未来打算接受结肠镜检查筛查。
TTT在培养CRC预防培训师方面是有效的。参与者增加了他们对CRC预防的知识，并成功接触到了他们社区的成员。利用社区培训师是提高西班牙裔社区CRC教育和意识的有效替代方法，这可能会对该人群的CRC筛查率产生积极影响。
