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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.

Journal of Community Psychology

|July 10, 2026

Summary

Community health workers in the Philippines gained improved hope and well-being through the Locus-of-Hope Enhancement Program (LEAP). This positive intervention supports their crucial role in underserved communities.

Keywords:

Locus‐of‐Hope Enhancement Program Philippines community health workers empowerment locus‐of‐hope positive psychological intervention psychological well‐being

Related Experiment Videos

Area of Science:

Psychology
Public Health
Community Health

Background:

Community health workers (CHWs) in the Philippines experience significant psychosocial challenges due to limited healthcare access in their communities.
CHWs often lack adequate support systems for their psychological well-being, impacting their capacity to deliver essential health services.

Purpose of the Study:

To adapt and evaluate the Locus-of-Hope Enhancement Program (LEAP) as a positive intervention for CHWs in urban-poor communities in Metro Manila.
To assess the effects of LEAP on CHWs' locus-of-hope and other psychological resources.

Main Methods:

A double-blind, parallel randomized alternative-treatments experiment was conducted with CHWs in Manila.
The study employed three time-points to measure the effects of LEAP on psychological resources.
Group contrast estimates were used to analyze the intervention's impact.

Main Results:

LEAP significantly improved external-peer and family locus-of-hope, as well as overall psychological well-being.
The program boosted external-peer and family locus-of-hope after one month, mediated by peer and family hope.
LEAP also enhanced psychological well-being, civic engagement attitudes, and behaviors posttreatment, with sustained attitude improvements at follow-up.

Conclusions:

The Locus-of-Hope Enhancement Program (LEAP) effectively empowers community health workers by strengthening their hope.
LEAP contributes to sustaining the vital role of CHWs in improving community health outcomes.
The intervention demonstrates a viable strategy for supporting the psychological resilience of frontline health workers in underserved areas.