Author Affiliations: School of Nursing (Drs Masoud, Lesser and White), Department of Population Health Sciences (Dr Choi), University of Texas Health Science Center at San Antonio, San Antonio, Texas; Lower Rio Grande Valley Area Health Education Center (Ms Escareño, Harlingen, Texas); and South Coastal Area Health Education Center (Ms Flores), Corpus Christi, Texas.
Fam Community Health. 2024;47(3):191-201. doi: 10.1097/FCH.0000000000000404. Epub 2024 May 13.
This mixed-methods study sought to examine the impact of the Project ECHO Brain Health program on participating community health workers' (CHWs') self-efficacy to address dementia, promote brain health, and advocate for research among Latinx South Texas communities. Using an explanatory sequential design, quantitative data collected from pre- and post-program surveys were analyzed to inform the collection of qualitative data, followed by an interpretation of all findings to better understand the impact of the program on self-efficacy. Pre- and post-surveys were collected from 25 CHWs, 13 of whom later participated in individual interviews. There was a statistically significant increase in mean self-efficacy scores between the pre- and post-surveys among participants. Three categories reflecting the experiences of participants were identified from the qualitative data: addressing training needs; impact on CHWs and their practice; and community of learning. The findings suggest that Project ECHO Brain Health program is a timely intervention that may facilitate increased self-efficacy among CHWs as they navigate the impacts of dementia in their communities.
这项混合方法研究旨在考察 ECHO 脑健康计划对参与的社区卫生工作者（CHWs）在解决拉丁裔南得克萨斯社区的痴呆症、促进大脑健康和倡导研究方面的自我效能的影响。该研究采用解释性顺序设计，对项目前后调查中收集的定量数据进行了分析，以收集定性数据，并对所有发现进行解释，从而更好地了解该计划对自我效能的影响。从 25 名 CHWs 中收集了项目前后的调查，其中 13 名后来参加了个人访谈。在参与者中，前后调查的平均自我效能得分有统计学意义上的显著增加。从定性数据中确定了反映参与者经验的三个类别：满足培训需求；对 CHWs 及其实践的影响；以及学习社区。研究结果表明，ECHO 脑健康计划是一项及时的干预措施，可能会增加 CHWs 在社区中应对痴呆症影响时的自我效能。
