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Community Health Worker Diabetes Prevention Awareness Training in an Immersive Virtual World Environment: Mixed

Laurie Ruggiero¹, Lauretta Quinn², Amparo Castillo³

¹Health Behavior and Nutrition Sciences, College Of Health Sciences, University of Delaware, Rm 315, 100 Discovery Blvd, Newark, DE, 19716, United States, 1 302-831-8506.

JMIR Formative Research

|June 10, 2025

Summary

Virtual worlds (VW) training effectively improved diabetes prevention knowledge and confidence for community health workers (CHWs) serving minority groups. This remote training approach shows promise for enhancing CHW skills and community health outreach.

Keywords:

African American acceptability community awareness community health worker community health workers diabetes prevention feasibility mixed-methods obesity pilot study remote training training virtual world

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Area of Science:

Public Health
Health Disparities
Health Education

Background:

Diabetes and obesity disproportionately affect racial-ethnic minority groups in the U.S.
Community health workers (CHWs) are vital for diabetes prevention awareness in these communities.
Remote training, including 3D virtual worlds (VW), can overcome barriers to CHW education.

Purpose of the Study:

To implement and evaluate an internet-based 3D VW model for remote CHW training.
To adapt existing diabetes prevention awareness training for racial-ethnic minority communities.
To assess the feasibility, acceptability, and impact of the VW training model.

Main Methods:

A sequential mixed-methods design with pre-post pilot and explanatory phases.
Recruited female CHWs (N=26) identifying as Black/African Ancestry.
Utilized a 10-week adapted Centers for Disease Control and Prevention (CDC) training delivered via 3D VW, collecting quantitative and qualitative data.

Main Results:

High participant satisfaction with training content (91%) and interactivity (77%).
Significant improvements observed in knowledge, confidence, and eating habits post-training.
Feasibility and acceptability were generally positive, with constructive feedback on avatar use.

Conclusions:

The 3D virtual world training model is promising for enhancing CHW diabetes prevention education.
Findings support continued development and research into remote, immersive training methods.
This approach can improve reach and effectiveness in addressing health disparities.