Department of Behavioral and Community Health, School of Public Health, University of Maryland, SPH Building, 4200 Valley Drive, Rm 1234, College Park, MD 20742-2611, USA.
Department of Epidemiology and Biostatistics, University of Maryland, SPH Building, 4200 Valley Drive, Rm 2234, College Park, MD 20742-2611, USA.
Health Educ Res. 2022 Aug 1;37(4):266-277. doi: 10.1093/her/cyac015.
Training lay community members to implement health promotion interventions is an effective method to educate medically underserved populations. Some trainings are designed for individuals who already have a health-related background; however, others are developed for those with no previous health promotion experience. It is unknown whether those with backgrounds in health promotion are more effective in this role than those without. This study assessed the relationship between health promotion experience among trained community health advisors (CHAs) and their self-efficacy to implement an evidence-based cancer control intervention, as well as cancer knowledge and screening behavior outcomes among intervention participants. Data were collected from 66 trained CHAs and 269 participants in CHA-led cancer awareness and early detection workshops. CHAs reported high self-efficacy to implement the intervention independent of their health promotion experience. CHA health promotion experience was neither indicative of differences in participant colorectal or breast cancer knowledge at 12 months, nor of changes in participant-reported cancer screening. However, participant prostate cancer knowledge at 12 months was greater when taught by CHAs with previous health promotion experience (P < 0.01). Prior health promotion experience of trained health advisors may not be pivotal across all contexts, but they may affect specific knowledge outcomes.
培训非专业社区成员实施健康促进干预措施是教育医疗服务不足人群的有效方法。一些培训针对已经具有健康相关背景的个人，而另一些则针对没有健康促进经验的个人。目前尚不清楚具有健康促进背景的人在这一角色中是否比没有背景的人更有效。本研究评估了经过培训的社区卫生顾问 (CHA) 的健康促进经验与其实施基于证据的癌症控制干预措施的自我效能之间的关系，以及干预参与者的癌症知识和筛查行为结果。数据来自 66 名经过培训的 CHA 和 269 名参加 CHA 主导的癌症意识和早期发现研讨会的参与者。CHAs 报告称，无论其健康促进经验如何，他们实施干预措施的自我效能都很高。CHA 的健康促进经验既不能说明参与者在 12 个月时的结直肠癌或乳腺癌知识的差异，也不能说明参与者报告的癌症筛查变化。然而，当由具有先前健康促进经验的 CHA 教授时，参与者的前列腺癌知识在 12 个月时更高（P<0.01）。经过培训的健康顾问的先前健康促进经验在所有情况下可能都不是关键因素，但它们可能会影响特定的知识结果。
