scholarly journals 3125 Acceptability of a Narrative Video to Enhance the Use of Genetic Counseling in Latina Women at-risk of Hereditary Breast and Ovarian Cancer: Community Health Worker’s Perspective

2019 ◽  
Vol 3 (s1) ◽  
pp. 80-81
Author(s):  
Alejandra Hurtado de Mendoza ◽  
Kristi Graves ◽  
Sara Gómez-Trillos ◽  
Minna Song ◽  
Lyndsay Anderson ◽  
...  
Keyword(s):  
At Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Underserved Populations ◽  
Community Outreach ◽  
The United States ◽  
Low Literacy ◽  
Patient Navigators ◽  
Latino Community

OBJECTIVES/SPECIFIC AIMS: The goal of the study was to assess the acceptability of a culturally targeted narrative video and identify potential avenues for dissemination in a sample of bilingual community health workers who provide services to the Latino community in the United States. METHODS/STUDY POPULATION: We piloted the video in a sample of bilingual community health workers who provide services to Latinos (n=31). After watching the video, participants filled out a survey. The survey captured sociodemographic data (e.g. education), their role and experience working with Latinos (e.g. patient navigators), acceptability of the video (e.g. general satisfaction, length of the video, amount of information), and potential dissemination (e.g., dissemination channels, preferred settings to watch the video, and preferred context). Three open ended questions captured information about how the video could be useful for the Latino community, what they liked the most from the video, and suggestions for improvement. Data was entered in SPSS version 25. We used descriptive statistics to analyze the survey, and content analysis to summarize the feedback from the open-ended questions. RESULTS/ANTICIPATED RESULTS: Participants (n = 31) had an average age of 46 years (SD=16.99), all self-identified as Hispanic or Latinos, most were female (90.3%), and worked as patient navigators (29%) or community outreach workers (25.8%). The video’s general acceptability was very high. Participants reported high ratings for overall satisfaction, how much they liked the video, enjoyed it, and considered it to be interesting (all means >9.6, range 1-10). Most participants strongly agreed or agreed that the length was adequate (80.7%), that the information presented was very helpful (100%), that the video could be useful for the Latina community (96.8%), and that they would share the video with women at-risk of HBOC (100%). The highest endorsed channels for dissemination were Facebook (90.3) and YouTube (87.1%). The highest endorsed settings were community centers (100%), churches (96.8%), and hospitals (80.6%). Most participants (90.3%) considered that the best context to watch the video would be with relatives, followed by watching with other women at-risk of HBOC (71.0%), friends (71.0%), and lastly by oneself (41.9%) DISCUSSION/SIGNIFICANCE OF IMPACT: This study represents a multidisciplinary approach to intervention development that aims to reduce well-documented knowledge gaps and disparities in the use of GCRA among at-risk Latinas. A culturally targeted video has the potential to reach underserved populations with low literacy and English proficiency and it can be widely disseminated. The video was well received by community health workers who reported high acceptability. These findings are promising given that community health workers could play a key role in the dissemination of the video if it is proven to be efficacious.

scholarly journals Not a duty but an opportunity: exploring the lived experiences of community health workers in Indiana through photovoice

2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Ryan I. Logan
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Workers ◽  
Lived Experiences ◽  
Health Workers ◽  
Community Outreach ◽  
The United States ◽  
Health Prevention ◽  
Policy Makers ◽  
Health Care Workforce

Few studies have conducted photovoice projects to explore themes related to the lived experiences of community health workers (CHWs). As a relatively unknown segment of the health care workforce in the United States, CHWs are typically members of the communities they work within and fulfill unique and complementary roles through health education, health prevention, community outreach, and advocacy. This article documents a photovoice project that assessed the strengths, challenges, impacts, and what it means to be a CHW in Indiana. In this project, CHWs participated in the method of photovoice in two formal meetings – one to introduce the method and another to analyze the photographs. Participants displayed photographs, interpreted these images, and co-constructed their lived experiences. Several key themes emerged from discussion of the photographs including: participant descriptions of building individual and character traits, conceptualizations of this position, and how participants connect disparate resources for their clients. Themes and findings from this research can be utilized to reach out to potential employers and policy makers regarding the integration of CHWs into the workforce. Overall, this project documents the lived experiences of CHWs and highlights their voices as they become an accepted member within the broader workforce.

Community Health Workers (CHWs) as Innovators

2018 ◽  
Vol 13 (1) ◽  
pp. 15-28
Author(s):  
Tyler Prentiss ◽  
John Zervos ◽  
Mohan Tanniru ◽  
Joseph Tan
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Underserved Populations ◽  
Low Cost ◽  
Cost Effective ◽  
Well Being ◽  
Grant Writing ◽  
Multiple Sources ◽  
Context Of Learning

Community health workers (CHWs) have a longstanding role in improving the health and well-being of underserved populations in resource-limited settings. CHWs are trusted in the communities they serve and are often able to see through solutions on community challenges that outside persons cannot. Notwithstanding, such solutions often must be low-cost, easily implementable, and permit knowledge gaps among CHWs to be filled via appropriate training. In this sense, use of cost-effective information technology (IT) solutions can be key to increasing access to knowledge for these community agents. This paper highlights insights gleaned from a pilot study performed in Detroit, Michigan with a group of CHWs in basic grant-writing training via an e-platform, the Community Health Innovator Program (CHIP). The results are discussed within the context of learning theory. It is concluded that e-platforms are necessary for CHWs to leverage knowledge from multiple sources in an adaptive environment towards addressing ever-evolving global health challenges.

Deploying Community Health Workers to Support Medically and Socially At-Risk Patients in a Pediatric Primary Care Population

2020 ◽  
Vol 20 (8) ◽  
pp. 1213-1216
Author(s):  
Susan Stiles ◽  
Ronay Thomas ◽  
Andrew F. Beck ◽  
Allison Parsons ◽  
Nora Buzek ◽  
...  
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Pediatric Primary Care ◽  
Primary Care Population ◽  
Risk Patients

scholarly journals Community health workers at the dawn of a new era

2021 ◽  
Vol 19 (S3) ◽  
Author(s):  
Joseph M. Zulu ◽  
Henry B. Perry
Keyword(s):  
Community Health ◽  
Population Health ◽  
Community Health Workers ◽  
Low Income ◽  
Large Scale ◽  
Health Workers ◽  
The United States ◽  
Noncommunicable Diseases ◽  
Full Potential ◽  
New Era

Abstract Background There is now rapidly growing global awareness of the potential of large-scale community health worker (CHW) programmes not only for improving population health but, even more importantly, for accelerating the achievement of universal health coverage and eliminating readily preventable child and maternal deaths. However, these programmes face many challenges that must be overcome in order for them to reach their full potential. Findings This editorial introduces a series of 11 articles that provide an overview highlighting a broad range of issues facing large-scale CHW programmes. The series addresses many of them: planning, coordination and partnerships; governance, financing, roles and tasks, training, supervision, incentives and remuneration; relationships with the health system and communities; and programme performance and its assessment. Above all, CHW programmes need stronger political and financial support, and this can occur only if the potential of these programmes is more broadly recognized. The authors of the papers in this series believe that these challenges can and will be overcome—but not overnight. For this reason, the series bears the title “Community Health Workers at the Dawn of a New Era”. The scientific evidence regarding the ability of CHWs to improve population health is incontrovertible, and the favourable experience with these programmes at scale when they are properly designed, implemented, and supported is compelling. CHW programmes were once seen as a second-class solution to a temporary problem, meaning that once the burden of disease from maternal and child conditions and from communicable diseases in low-income countries had been appropriately reduced, there would be no further need for CHWs. That perspective no longer holds. CHW programmes are now seen as an essential component of a high-performing healthcare system even in developed countries. Their use is growing rapidly in the United States, for instance. And CHWs are also now recognized as having a critically important role in the control of noncommunicable diseases as well as in the response to pandemics of today and tomorrow in all low-, middle-, and high-income countries throughout the world. Conclusion The promise of CHW programmes is too great not to provide them with the support they need to achieve their full potential. This series helps to point the way for how this support can be provided.

Enhancing the Utility of Community Health Workers in Disaster Preparedness, Resiliency, and Recovery

2014 ◽  
Vol 2014 (1) ◽  
pp. 170-183
Author(s):  
Keith Nicholls ◽  
J. Steven Picou ◽  
Janel Lowman
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Oil Spill ◽  
Disaster Preparedness ◽  
Health Workers ◽  
Underserved Populations ◽  
Essential Elements ◽  
Educational Outreach ◽  
Oil Spill Response ◽  
Response And Recovery

ABSTRACT As part of the Deepwater Horizon Medical Settlement, the University of South Alabama's Coastal Resource & Resiliency Center is charged with preparing Community Health Workers (CHWs) to serve in areas affected by the oil spill. The immediate objective of this effort is to enhance primary and behavioral healthcare capacity and health literacy, especially among disadvantaged and underserved populations. A review of previous research confirms the utility of CHWs in accomplishing this objective. Findings further suggest that CHWs could play a crucial role in the area of oil spill response and recovery, but fulfilling this role will require appropriate training. In this paper, we provide an outline of CHW training that includes: 1) educational outreach to enhance literacy and promote preparedness; 2) identification and management of diseases and conditions associated with or exacerbated by such technological disasters; and 3) essential elements in the recognition and referral of psychosocial problems associated with the oil spill experience. Community Health Workers have great potential to contribute in the area of oil spill response and recovery by motivating maximum preparedness, speeding recovery, and increasing resiliency for future spills. It is important that institutional actors involved in the area recognize this potential and contribute to its realization.

scholarly journals Adapting antenatal care in a rural LMIC during COVID‐19: A low literacy checklist to mitigate risk for community health workers

2020 ◽  
Vol 151 (2) ◽  
pp. 289-291
Author(s):  
Sasha Hernandez ◽  
Jessica B. Oliveira ◽  
Concepcion Mendoza Sosof ◽  
Eleanor Lawrence ◽  
Taraneh Shirazian
Keyword(s):  
Antenatal Care ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Low Literacy

scholarly journals Community health workers and non-clinical patient navigators: A critical COVID-19 pandemic workforce

2021 ◽  
Vol 146 ◽  
pp. 106464
Author(s):  
Kristen J. Wells ◽  
Andrea J. Dwyer ◽  
Elizabeth Calhoun ◽  
Patricia A. Valverde
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Clinical Patient ◽  
Patient Navigators
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