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Family Health History-Based Cancer Prevention Training for Community Health Workers
Wei-Ju Chen1, Shixi Zhao2, Donaji Stelzig3
1Department of Psychology, University of Texas Permian Basin, Odessa, Texas.
American Journal of Preventive Medicine
|December 28, 2020
Summary
Community health workers can improve cancer prevention by using family health history. A new genomics training program significantly increased their knowledge and confidence in providing this vital education.
Area of Science:
- Public Health
- Genomics Education
- Preventive Medicine
Background:
- Cancer is a leading cause of death in the U.S.
- Family health history is underutilized in cancer prevention efforts.
- Community health workers are well-positioned to deliver cancer family history education.
Purpose of the Study:
- To develop and pilot test the first cancer family history-based genomics training program for community health workers.
- To assess the impact of the training on community health workers' knowledge, attitudes, self-efficacy, and intention to provide cancer family history services.
- To provide a bilingual (English/Spanish), adaptable curriculum for diverse community health worker populations.
Main Methods:
- A multidisciplinary team developed a 7-module, 6-hour bilingual training program.
- The curriculum integrated national guidelines, core competencies, and instructional models.
- Pilot testing involved 34 community health workers (17 in-person, 17 online) in 2018-2019.
Main Results:
- Significant increases in knowledge, attitudes, self-efficacy, and intention were observed post-training.
- Participants reported positive ratings and feedback on the training program.
- The curriculum received approval and certification from the Texas Department of State Health Services.
Conclusions:
- The developed cancer family history genomics training program is effective in enhancing community health workers' capacity.
- Wider implementation of this training is warranted to improve cancer prevention outreach in the U.S.
- Empowering community health workers can help bridge the gap in utilizing family health history for cancer risk assessment and prevention.
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