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Development of a personal competency evaluation indicator system for tuberculosis health educators: a scoping review
Xu Song1, Qingjun Jia1, Qingchun Li1
1Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution), Hangzhou, China.
Frontiers in Public Health
|July 23, 2026
Summary
A new indicator system was developed to evaluate the personal competency of tuberculosis (TB) health educators. This scientifically robust tool aids in competency assessment and training design for TB health education professionals.
Area of Science:
- Public Health
- Health Education
- Competency Assessment
Background:
- Effective tuberculosis (TB) health education relies on competent educators.
- A standardized system for evaluating TB health educator competency is lacking.
- This study addresses the need for a scientifically robust evaluation framework.
Purpose of the Study:
- To systematically synthesize evidence on the personal competency of TB health educators.
- To develop a comprehensive and scientifically validated evaluation indicator system for TB health educators.
Main Methods:
- A two-phase mixed-methods design was employed, starting with a scoping review of seven databases.
- Phase 1 identified competency elements, which were synthesized into a preliminary framework.
- Phase 2 utilized a modified Delphi method with 20 Chinese experts, incorporating the Analytic Hierarchy Process (AHP) for indicator weighting and validation.
Main Results:
- The scoping review extracted seven core dimensions, 24 categories, and 63 competency elements.
- The Delphi method achieved high expert consensus, with all indicators meeting retention criteria.
- The developed indicator system demonstrated good reliability (ICC=0.86) and content validity (scale-level CVI=0.92), with Communication and Health Education Skills being the highest-weighted dimension.
Conclusions:
- A scientifically sound, reliable, and practical personal competency evaluation indicator system for TB health educators was successfully developed.
- This system provides a validated tool for assessing TB health educator competencies.
- The system supports targeted training design and workforce development in TB health education.
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