University of California Los Angeles Fielding School of Public Health and Jonsson Comprehensive Cancer Center, UCLA Kaiser Permanente Center for Health Equity, 650 Charles Young Drive South, Los Angeles, CA, 90095-6900, United States.
Division of Cancer Research and Training, Charles R. Drew University of Medicine and Science, 1721 East 120th Street, Los Angeles, CA, 90059, USA.
J Cancer Educ. 2020 Apr;35(2):395-402. doi: 10.1007/s13187-019-1478-1.
Programs that utilize Community Health Advisors (CHAs) to promote cancer screening are effective in community settings. However, predictors of CHA performance are not well understood. From 2016 to 2018, we partnered with 9 African American churches in South Los Angeles and trained 49 CHAs to promote cancer screening in an effort to build capacity for health promotion in a low-resource community. This paper examines CHA characteristics and training outcomes in African American faith-based settings and explores the relationship of these variables to successful recruitment of participants by CHAs. Pre- and post-tests showed statistically significant increases in knowledge of colorectal cancer screening guidelines (4 items) and human subjects protection rules (5 items) and CHAs' perceived self-efficacy to perform specific tasks for the study (13 items, Cronbach's alpha > 0.90). There were no significant differences between active CHAs who recruited at least 10 participants (N = 29) and inactive/less active CHAs (N = 20) with respect to demographic characteristics and training outcomes. We report challenges and facilitators to recruitment from CHA debriefings at 12 months follow-up. Based on our findings, we make recommendations for future studies to move this field forward.
利用社区卫生顾问（CHAs）促进癌症筛查的项目在社区环境中是有效的。然而，CHAs 表现的预测因素尚不清楚。2016 年至 2018 年，我们与南洛杉矶的 9 家非裔美国教堂合作，培训了 49 名 CHAs，以促进癌症筛查，努力为资源匮乏的社区建立健康促进能力。本文研究了非裔美国信仰环境中的 CHA 特征和培训结果，并探讨了这些变量与 CHAs 成功招募参与者之间的关系。预测试和后测试显示，关于结直肠癌筛查指南（4 项）和人体研究保护规则（5 项）的知识以及 CHAs 对完成研究特定任务的自我效能感（13 项，Cronbach's alpha > 0.90）有统计学显著提高。在招募至少 10 名参与者的活跃 CHAs（N = 29）和不活跃/不太活跃的 CHAs（N = 20）之间，无论在人口统计学特征还是培训结果方面，均无显著差异。我们报告了 12 个月随访时 CHA 情况汇报中招募的挑战和促进因素。根据我们的发现，我们为未来的研究提出了建议，以推动该领域的发展。
