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The Locus-of-Hope Enhancement Program for Filipino Community Health Workers' Hope and Well-Being: A Parallel
Sixtus Dane A Ramos1, Juanito D Alcazar2, Maria Carmen S Apuli2
1Department of Psychology, De La Salle University, Manila, Philippines.
Abstract:
In the Philippines, community health workers (CHWs) face psychosocial difficulties as they deliver health services to communities with limited access to healthcare, yet they receive no support for their well-being. To maintain their psychological strengths, we adapted the Locus-of-Hope Enhancement Program (LEAP), a positive intervention that strengthens hope of CHWs from urban-poor communities in Metro Manila. Using a double-blind, parallel randomized alternative-treatments experiment, LEAP's effects on locus-of-hope and other psychological resources across three time-points were tested in Manila. Group contrast estimates indicate improvements in external-peer and family locus-of-hope, and psychological well-being. LEAP boosted external-peer and family locus-of-hope after 1 month via peer and family hope at posttreatment. LEAP also increased psychological well-being, civic engagement attitudes, and behaviors posttreatment, and civic engagement attitudes at follow-up through peer locus-of-hope at posttreatment. Findings suggest how LEAP empowers CHWs from urban-poor communities by fortifying hope, thus sustaining their role in community health. Trial Registration: Open Science Framework (OSF) Registries (https://osf.io/egtju).
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