Crawford Kevin, Cordero Sarah Febres, Brasher Susan, Kaligotla Lalita, Phan Quyen, Steiger Laika, Chicas Roxana, Spaulding Anne, Swan Beth Ann
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
J Health Popul Nutr. 2025 Jul 15;44(1):256. doi: 10.1186/s41043-025-01011-0.
The Atlanta Region Community Health Workforce Advancement (ARCHWAy) program is designed to train and empower Community Health Workers (CHWs) by centering marginalized voices and integrating theoretical knowledge with hands-on experience. Through a combination of online and in person didactic training, and experiential learning, the program prepares CHWs to address social determinants of health (SDOH) and advocate for health equity.
This program evaluation examined the program's impact on participants' knowledge skills, and competencies. Feedback from course evaluations and encounter logs highlighted the program's effectiveness in equipping CHWs with practical tools to support individuals facing mental health crises, chronic disease management challenges, and barriers to healthcare access.
Participants rated the in-person and online didactic curriculum 4.5 or higher on a scale of 1-5. Experiential learning had a positive impact on their abilities to provide services such as individual and community assessment and education, and care coordination and to address the SDOH. Participants reported that they learned how to navigate systems, build trust, and empower individuals to advocate for their own health and well-being.
Findings suggested that ARCHWAy successfully fostered critical skills and strengthened the CHW workforce, reinforcing the importance of experiential learning and community-centered training. Participants expressed a strong sense of preparedness and commitment to their roles, emphasizing the need for sustained investment in CHW development, including long-term support and recognition. While challenges remain in securing sustainable funding and measuring long-term community health outcomes, the evaluation demonstrated the impact of one CHW training program.
亚特兰大地区社区卫生人力提升（ARCHWAy）项目旨在通过以边缘化声音为核心，并将理论知识与实践经验相结合，来培训和赋能社区卫生工作者（CHW）。通过在线和面对面的理论培训以及体验式学习相结合的方式，该项目使社区卫生工作者做好准备，以应对健康的社会决定因素（SDOH）并倡导健康公平。
本项目评估考察了该项目对参与者知识、技能和能力的影响。课程评估和接触记录的反馈突出了该项目在为社区卫生工作者配备实用工具方面的有效性，这些工具可用于支持面临心理健康危机、慢性病管理挑战以及医疗保健获取障碍的个人。
参与者对面对面和在线理论课程的评分在1 - 5分制中为4.5或更高。体验式学习对他们提供诸如个人和社区评估与教育、护理协调等服务以及应对健康的社会决定因素的能力产生了积极影响。参与者报告说，他们学会了如何在系统中运作、建立信任以及赋能个人为自己的健康和福祉进行倡导。
研究结果表明，ARCHWAy项目成功培养了关键技能并加强了社区卫生工作者队伍，强化了体验式学习和以社区为中心的培训的重要性。参与者表达了强烈的准备感和对其角色的承诺，强调需要对社区卫生工作者的发展进行持续投资，包括长期支持和认可。虽然在确保可持续资金和衡量长期社区健康成果方面仍存在挑战，但该评估展示了一个社区卫生工作者培训项目的影响。
