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Equitable Learning Outcomes Among Community Health Workers Following a Modified Smoking Cessation Training: A

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Culturally adapted smoking cessation training significantly improved community health workers' (CHWs) knowledge, motivation, readiness, and confidence. The training demonstrated equitable learning gains across diverse participants, supporting workforce equity.

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Area of Science:

  • Public Health
  • Health Workforce Development
  • Health Education

Background:

  • Community Health Workers (CHWs) play a vital role in public health.
  • Effective smoking cessation interventions are crucial for improving population health.
  • Tailored training is essential to equip CHWs with necessary skills for tobacco cessation support.

Purpose of the Study:

  • To evaluate learning gains in community health workers (CHWs) after a modified World Health Organization (WHO) smoking cessation training.
  • To identify sociodemographic or professional predictors of learning gains among CHWs.
  • To assess the impact of culturally adapted training on CHW competence in smoking cessation.

Main Methods:

  • Secondary analysis of a pre-post educational intervention involving 149 CHWs.
  • A three-hour culturally adapted WHO 5A's/5R's training focused on motivational interviewing and community-centered support.
  • Pre-post surveys assessed knowledge, motivation, readiness, and confidence; regression analyses identified predictors of change.

Main Results:

  • Significant improvements observed in CHWs' knowledge (P < .001), motivation (P < .001), readiness (P < .001), and confidence (P < .001).
  • No consistent sociodemographic predictors of overall learning gains were found.
  • Younger age and postgraduate education predicted greater gains in readiness to provide cessation support.

Conclusions:

  • The culturally adapted smoking cessation training significantly enhanced CHW competence across multiple domains.
  • The training demonstrated equitable improvements, suggesting effectiveness regardless of participant background.
  • Inclusive, community-responsive training models can promote workforce equity in public health.