Health Lit Res Pract. 2022 Apr;6(2):e142-e150. doi: 10.3928/24748307-20220518-02. Epub 2022 Jun 6.
Effective provider communication skills are important for patient decision-making and understanding, particularly for those with low health literacy. A gap exists in training methods and curriculum for community health workers (CHWs). Brief description of activity: Through a clinical and academic partnership, pilot training curriculum focused on patient communication skills was developed to align with CHW scope of work.
The curriculum was implemented in three 2-hour training sessions over WebEx with seven state-certified CHWs. The goal was for CHWs to understand the key elements and application of active listening, Teach Back, and action planning in a clinical setting. The sessions included didactic and skills practice modules for each skill.
A survey was distributed to CHWs to evaluate knowledge, skills, and attitudes and reactions to training methods, instructors, and relevance using the Kirkpatrick's evaluation model (Reaction and Learning). Although CHWs agreed that they had actively participated in the training and that the instructors were well-prepared, there was less agreement that the course was relevant. CHWs reported an increase in understanding of active listening and action planning, capability of using Teach Back and providing social support, and ability to teach, whereas a decrease was reported in the capability to use action planning. When probed about training relevance, CHWs felt action listening and Teach Back were relevant, but that action planning was not relevant to their responsibilities. This gap in responsibilities was also acknowledged by the clinical leadership.
The training allowed the CHWs to build on subsequent skills from previous sessions and to discuss struggles. A need for tools for integrating the skills in the clinical workflow were requested by CHWs and clinical leadership. These tools offer the opportunity to tailor future trainings on communication skills or patient scenarios. Future trainings should include CHWs to provide insight into scope of work. [] Plain Language Summary: It is important for community health workers to communicate with patients so that patients can understand information and make their own decisions. There is not enough known about the best way to train CHWs in patient communication. This training was created to help CHWs use three patient communication skills in their clinic.
有效的医患沟通技巧对于患者的决策和理解非常重要，尤其是对于那些健康素养较低的患者。社区卫生工作者（CHWs）的培训方法和课程存在差距。
通过临床和学术合作，开发了以 CHW 工作范围为重点的患者沟通技巧试点培训课程。
该课程通过 WebEx 以三个 2 小时的培训课程的形式向七名州认证的 CHWs 实施。目标是让 CHWs 了解在临床环境中积极倾听、回授教学和行动计划的关键要素和应用。这些课程包括每个技能的教学和技能实践模块。
向 CHWs 分发了一份调查问卷，以根据柯克帕特里克评估模型（反应和学习）评估他们对培训方法、培训师和相关性的知识、技能和态度以及反应。尽管 CHWs 同意他们积极参与了培训，并且培训师准备充分，但他们对课程相关性的认同度较低。CHWs 报告说，他们对积极倾听和行动计划的理解有所提高，能够使用回授教学和提供社会支持，以及教授的能力有所提高，而行动计划的能力则有所下降。当被问及培训相关性时，CHWs 认为倾听和回授教学是相关的，但行动计划与他们的职责不相关。临床领导层也承认了这种职责上的差距。
培训使 CHWs 能够在后续课程中继续使用之前的技能，并讨论困难。CHWs 和临床领导层要求提供用于将技能整合到临床工作流程中的工具。这些工具为定制关于沟通技巧或患者情况的未来培训提供了机会。未来的培训应包括 CHWs，以提供对工作职责的深入了解。
