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Related Concept Videos

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Related Experiment Video

Updated: Jan 11, 2026

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
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Evaluating a 30-Hour Training Program for Community Health Workers on 4Ms Implementation in FQHCs Using the

Sweta Tewary1, Cherell Cottrell-Daniels2, Kevin Espinoza2

  • 1Jessie Trice Community Health Systems, Miami, FL 33142, USA.

Healthcare (Basel, Switzerland)
|November 13, 2025
PubMed
Summary
This summary is machine-generated.

A 30-hour training program significantly improved geriatric care knowledge for community health care workers (CHWs). The education led to organizational changes, including EHR documentation of the 4Ms (What Matters, Mentation, Medication, Mobility) for older patients.

Keywords:
Electronic Health Recordsage-friendly health systems and 4Ms careagedcommunity health workersprogram evaluation

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Area of Science:

  • Geriatric Medicine
  • Health Professions Education
  • Primary Care

Background:

  • Community health care workers (CHWs) play a vital role in geriatric care within primary care settings.
  • Effective training programs are crucial for enhancing CHW knowledge and skills in managing older adults.
  • Implementing standardized geriatric assessments like the 4Ms (What Matters, Mentation, Medication, Mobility) is essential for comprehensive patient care.

Purpose of the Study:

  • To evaluate a 30-hour educational program for CHWs focused on geriatric care.
  • To measure the impact of the training on CHW knowledge, intended application of learned skills, and the baseline performance of geriatric screenings.
  • To assess the implementation of the 4Ms discussion in clinical practice by CHWs.

Main Methods:

  • A pre-post design evaluation of a 30-hour in-person educational program involving 12 CHWs from two federally qualified health centers.
  • Utilized the Kirkpatrick model for program evaluation, incorporating quantitative (surveys, chart reviews) and qualitative (focus groups, open-ended survey questions) data collection.
  • Assessed knowledge improvement via pre- and post-training exams and measured clinical implementation through chart reviews of 4Ms discussions.

Main Results:

  • The training significantly improved CHW perceived knowledge and content retention, with high satisfaction ratings (98% excellent for training, 96% for speakers).
  • 83% of CHWs intended to apply the training in their practice.
  • Approximately 40% of chart reviews indicated completion of the 4Ms discussion, leading to organizational adaptation such as the development of an EHR intake form for documenting the 4Ms.

Conclusions:

  • The educational program demonstrated success in enhancing CHW knowledge and skills in geriatric care.
  • The training facilitated wider organizational adaptation, evidenced by the integration of 4Ms documentation into the EHR.
  • The study highlights the effectiveness of targeted education in improving geriatric care delivery by CHWs.