Cohen Emily Y, Kavishe Bazil B, Urry Megan, Okello Elialilia, Kapiga Saidi, Mwakisole Agrey H, Kalokola Fredrick, Malibwa Donati, Peck Robert N, Downs Jennifer A
Weill Cornell Medicine, New York, NY, USA.
National Institute for Medical Research TZ, Dar-es-Salaam, Tanzania.
BMC Med Educ. 2025 Feb 19;25(1):265. doi: 10.1186/s12909-025-06836-1.
Hypertension is a leading cause of premature mortality in Tanzania, but low trust and awareness of biomedical healthcare and prioritization of spiritual over physical health hinders uptake of care. Religious leaders are highly respected community members and are eager to collaborate with health professionals. Few community health worker training programs utilize evidence-based pedagogical recommendations in combination with theology specific to their students' backgrounds. Our team of health research professionals and religious leaders developed a curriculum to teach local religious leaders to address and screen their communities for hypertension.We use a Community Based Participatory Research framework and evidence-based educational strategies (Kern's framework for medical education, Bloom's learning domains, and Knowles adult learning principles) to build a curriculum optimized to partner with religious leaders. Previously assessed attitudes toward and knowledge of hypertension in the community determined objectives and content, and religious leaders on the team determined appropriate religious aspects to incorporate. Through an evidence-based process, we hope to maximize efficacy of the intervention.Recognizing religious leaders as unique learners, we utilize well-tested educational theory and strategies to create a comprehensive curriculum prioritizing student input. The curriculum aligns with adult learning theories, is culturally tailored to meet the needs of the communities involved and equips religious leaders to promote blood pressure management through screening and lifestyle interventions. The curriculum addresses healthcare through a religious lens, fostering trust between healthcare professionals, patients, and religious leaders through interdisciplinary collaboration.
高血压是坦桑尼亚过早死亡的主要原因,但对生物医学医疗保健的低信任度和认知度,以及将精神健康置于身体健康之上的优先级,阻碍了人们接受治疗。宗教领袖是备受尊敬的社区成员,并且渴望与卫生专业人员合作。很少有社区卫生工作者培训项目将基于证据的教学建议与针对学生背景的特定神学相结合。我们的健康研究专业人员和宗教领袖团队开发了一门课程,以教导当地宗教领袖对其社区进行高血压问题处理和筛查。我们使用基于社区的参与性研究框架和基于证据的教育策略(克恩医学教育框架、布鲁姆学习领域和诺尔斯成人学习原则)来构建一门经过优化的课程,以便与宗教领袖合作。此前对社区中高血压的态度和知识进行的评估确定了目标和内容,团队中的宗教领袖确定了要纳入的适当宗教方面内容。通过一个基于证据的过程,我们希望使干预效果最大化。认识到宗教领袖是独特的学习者,我们利用经过充分测试的教育理论和策略来创建一门以学生意见为优先的综合课程。该课程符合成人学习理论,在文化上进行了调整以满足相关社区的需求,并使宗教领袖有能力通过筛查和生活方式干预来促进血压管理。该课程从宗教角度探讨医疗保健问题,通过跨学科合作促进医疗保健专业人员与患者及宗教领袖之间的信任。