Lu Tianqu, Veluz-Wilkins Anna, Garcia Sierra Andres Mauricio, Konuthula Dedeepya, Tan Marcia
University of Chicago, IL, USA.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251341977. doi: 10.1177/21501319251341977. Epub 2025 May 25.
Disparities in access to tobacco cessation support and resources remain significant issues among community members with low socioeconomic status (SES). Community health workers (CHWs) can connect with community members and have flexibility in delivering treatments to underserved populations. The Community Health Allies Nicotine Guidance Education (C.H.A.N.G.E.) project, designed for CHWs, aimed to address the disparities by implementing a tailored tobacco cessation training program. The current study examined the C.H.A.N.G.E. program's preliminary effectiveness on CHW knowledge gain.
Data were collected from CHWs in Chicago, IL who participated in the training program between October 2022 and December 2023, and CHWs completed a tobacco cessation knowledge questionnaire pre-training, post-training, and at 1- and 6-month follow-up. A paired samples -test was conducted to assess changes in CHWs' pre-post knowledge change. Descriptive analyses were also explored to examine the type of knowledge that was retained and whether that differed by the client population that CHWs served.
CHWs (N = 72) were mostly women (68%) who worked in their current role for an average of 2.34 years (SD = 1.54). The mean age of participants in the study was 38.06 years (SD = 13.09). Baseline knowledge was low ( = 3.75 [1.18] out of 10) but significantly increased post-training ( = 6.64 [1.13]; < .001). There was no difference in change of tobacco cessation knowledge scores for groups based on client population served.
The C.H.A.N.G.E. training effectively improved CHWs' tobacco cessation knowledge. However, knowledge changes had no differences based on client types of CHWs. This study highlighted the importance of continuous adaptation and evaluation of training programs to fit the needs of CHWs and their clients in underserved, community-based settings.
在社会经济地位较低的社区成员中，获得戒烟支持和资源方面的差异仍然是重大问题。社区卫生工作者（CHW）可以与社区成员建立联系，并在为服务不足的人群提供治疗方面具有灵活性。为社区卫生工作者设计的社区健康联盟尼古丁指导教育（C.H.A.N.G.E.）项目旨在通过实施量身定制的戒烟培训计划来解决这些差异。本研究考察了C.H.A.N.G.E.项目对社区卫生工作者知识获取的初步效果。
收集了2022年10月至2023年12月期间在伊利诺伊州芝加哥参加培训项目的社区卫生工作者的数据，这些社区卫生工作者在培训前、培训后以及1个月和6个月随访时完成了一份戒烟知识问卷。进行配对样本检验以评估社区卫生工作者培训前后知识的变化。还进行了描述性分析，以考察保留的知识类型以及这是否因社区卫生工作者服务的客户群体而异。
社区卫生工作者（N = 72）大多为女性（68%），她们担任当前职位的平均时长为2.34年（标准差 = 1.54）。研究参与者的平均年龄为38.06岁（标准差 = 13.09）。基线知识水平较低（满分10分，平均分为3.75 [1.18]），但培训后显著提高（平均分为6.64 [1.13]；P <.001）。根据所服务的客户群体分组，戒烟知识得分的变化没有差异。
C.H.A.N.G.E.培训有效地提高了社区卫生工作者的戒烟知识。然而，知识变化在社区卫生工作者的客户类型方面没有差异。本研究强调了持续调整和评估培训项目以满足社区卫生工作者及其在服务不足的社区环境中的客户需求的重要性。
