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Whatrsquos Included in the Cancer Biology Curriculum for
Community Health WorkersDanyell S Wilson PhD
Population Science Group Meeting
University of Maryland Baltimore City
January 14th 2015
1
Project LINK-ET(Leaders In New Knowledge-Emerging Technologies)
bull A 2 year training program in clinical cancer proteomics that creates
opportunities and promotes cancer research careers for undergraduate students and provides health disparities education and community outreach opportunities
Four months of didactic and hands on training
Cancer biology training with clinical cancer proteomics collaborators
Professional development seminars and attendance to national conferences
Community Outreach events with Moffitt and USF partners
From the Bench Top to the SidewalkCommunicating Cancer and Science Innovations to the
Community in culturally informal environments ( Health Fairs Community Events Town Hall meetings etc)
3D Wilson B Fang W Dalton C Meade J Koomen An ET-CURE Pilot Project Supporting Undergraduate Training in Cancer Research Emerging Technology and Health Disparities J Cancer Education April 2012
Health Disparities and Health Equity
Health equity the ldquoattainment of the highest level of health for all people
Health disparity ldquoa particular type of health difference that is closely linked with social economic andor environmental disadvantages linked to discrimination or exclusionrdquo
4
Cancer Health Disparities
MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)
Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)
WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)
Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)
wwwcrchdcancergov5
Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)
Intervention Community Health Worker Model
CHWs are the frontline public health workers who have a close understanding of the community they serve
In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models
Community Health Worker
Community Based Health Navigator
Lay Health Worker
Patient Navigator
Community Health Advisor
6
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Project LINK-ET(Leaders In New Knowledge-Emerging Technologies)
bull A 2 year training program in clinical cancer proteomics that creates
opportunities and promotes cancer research careers for undergraduate students and provides health disparities education and community outreach opportunities
Four months of didactic and hands on training
Cancer biology training with clinical cancer proteomics collaborators
Professional development seminars and attendance to national conferences
Community Outreach events with Moffitt and USF partners
From the Bench Top to the SidewalkCommunicating Cancer and Science Innovations to the
Community in culturally informal environments ( Health Fairs Community Events Town Hall meetings etc)
3D Wilson B Fang W Dalton C Meade J Koomen An ET-CURE Pilot Project Supporting Undergraduate Training in Cancer Research Emerging Technology and Health Disparities J Cancer Education April 2012
Health Disparities and Health Equity
Health equity the ldquoattainment of the highest level of health for all people
Health disparity ldquoa particular type of health difference that is closely linked with social economic andor environmental disadvantages linked to discrimination or exclusionrdquo
4
Cancer Health Disparities
MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)
Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)
WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)
Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)
wwwcrchdcancergov5
Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)
Intervention Community Health Worker Model
CHWs are the frontline public health workers who have a close understanding of the community they serve
In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models
Community Health Worker
Community Based Health Navigator
Lay Health Worker
Patient Navigator
Community Health Advisor
6
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
From the Bench Top to the SidewalkCommunicating Cancer and Science Innovations to the
Community in culturally informal environments ( Health Fairs Community Events Town Hall meetings etc)
3D Wilson B Fang W Dalton C Meade J Koomen An ET-CURE Pilot Project Supporting Undergraduate Training in Cancer Research Emerging Technology and Health Disparities J Cancer Education April 2012
Health Disparities and Health Equity
Health equity the ldquoattainment of the highest level of health for all people
Health disparity ldquoa particular type of health difference that is closely linked with social economic andor environmental disadvantages linked to discrimination or exclusionrdquo
4
Cancer Health Disparities
MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)
Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)
WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)
Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)
wwwcrchdcancergov5
Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)
Intervention Community Health Worker Model
CHWs are the frontline public health workers who have a close understanding of the community they serve
In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models
Community Health Worker
Community Based Health Navigator
Lay Health Worker
Patient Navigator
Community Health Advisor
6
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Health Disparities and Health Equity
Health equity the ldquoattainment of the highest level of health for all people
Health disparity ldquoa particular type of health difference that is closely linked with social economic andor environmental disadvantages linked to discrimination or exclusionrdquo
4
Cancer Health Disparities
MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)
Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)
WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)
Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)
wwwcrchdcancergov5
Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)
Intervention Community Health Worker Model
CHWs are the frontline public health workers who have a close understanding of the community they serve
In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models
Community Health Worker
Community Based Health Navigator
Lay Health Worker
Patient Navigator
Community Health Advisor
6
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Cancer Health Disparities
MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)
Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)
WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)
Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)
wwwcrchdcancergov5
Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)
Intervention Community Health Worker Model
CHWs are the frontline public health workers who have a close understanding of the community they serve
In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models
Community Health Worker
Community Based Health Navigator
Lay Health Worker
Patient Navigator
Community Health Advisor
6
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Intervention Community Health Worker Model
CHWs are the frontline public health workers who have a close understanding of the community they serve
In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models
Community Health Worker
Community Based Health Navigator
Lay Health Worker
Patient Navigator
Community Health Advisor
6
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Problem Not All Trainings are Created Equally
M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf
Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors
On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies
7
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Core Competence And Skills
CompetencesSkills
Communication skills
Interpersonal skills
Advocacy skills
Knowledge base
Service coordination skills
Organizational skills
Capacity building skills
Teaching skills
National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
8
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey
questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study
RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity
Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf
9
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population
bull Identify state level training programs nation-wide
Nation-wide Review
bull Identify CHW training Programs in Florida
Local Reviewbull Conduct
Formative Interviews with FL CHWs
Interview CHWs
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
2012 Review of Curriculum
State
Cultural mediation between
communities and health
and human services
system
Informal
counseling and
social support
Providing
culturally
appropriate health
education
Advocating for
individual and
community needs
Assuring
people get the
services they
need
Building
indvidual and
community
capacity
Providing direct
services
Alaska X X X X X
Arizona X X X X X
California X X X X
Colorado X X
Connecticut X X X X X X
Florida X X
Georgia X X X X X X
Hawaii X X X
Maine X X X X X X
Massachusetts X X X
Michigan X X X X X
Minnesota X X X X X
Mississippi X X X X
New York X X X X
Ohio X X X X X X X
Oklahoma X X X X X X X
Oregon X X X X X X
Pennsylvania X X X X X
Rhode Island X X X
Texas X X X X X X
Virginia X X X
Washington X X X X X X
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition
11
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
2012 Review of Curriculum
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Length of Training 17 credit hours 2 semesters if full
time
Varies 35 hours 70 hours andor 105 hours curricula
Credentialing Yes the Healthcare
Education Industry
Partnership
No No
Certificate Yes Community Health
Worker Certificate
Yes
Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Curriculum The Minnesota Community
Health Worker Alliance (State)
City College of San
Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Tiered
Certification
CHWs who have been
practicing at least 5 years in the
field may take an assessment to
measure their competencies for
$12500 and receive a CHW
certificate that enables
reimbursement when applying
as an enrolled provider in the
state of Minnesota through the
DHS program
No Yes 35 hours and 70
hours can be tailored to
organizations interest
College
Credits 17 credit hours 17 credit hours No
Fee $148credit x 17= $2516 Tuition set by the
California State
Legislature $3600
per unit $2000
CCSF registration
fee and student text
book $7500
$800 per attendee and
this should be paid by
the interested
organization
13
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Curriculum The Minnesota
Community Health
Worker Alliance
(State)
City College of San
Francisco (Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
How many can
attend
Unclear Enrollment is limited up to 25 per class
Who can attend First come ldquofirst
qualified
NA CHWs
When Fall semester only Written application and
documented successful work
as a CHW or completion of
the one-credit hour
Introduction to Community
Health Work
Whenever it is needed
they just need 4 hour
sessions-full 9 hour
sessions
Class Materials unclear Text book Book The Foundations of Community Health
Workers and training manual Core Skills Training
for Community Health Workers
14
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Curriculum The Minnesota
Community Health
Worker Alliance (State)
City College of
San Francisco
(Collegiate)
Community Health
Worker Network New
York (Nonprofit)
Structure of
Curriculum
Distance
LearningOnline
training
unclear unclear No
Evaluation unclear unclear NA but they do have
evaluations and
reflections
Scope of work of
CHW
Bridge the gap between
communities and the
health and social service
systems navigating the
health and human
services system
advocating for individual
and community needs
provide direct services and
build individual and
community capacity
To prepare
individuals for
positions in
community oriented
health and social
service agencies
Develop CHWs with
core skills and
competencies that all
CHWs should be
supported to develop
and provide options for
specialization in a
number of chronic
disease and healthy
lifestyle areas could be
additional to the core
competencies
15
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Curriculum The Minnesota
Community Health Worker
Alliance
Community Health Worker
Network New York
(Nonprofit)
Content of Curriculum
Phase I
Core Competencies-The
Community Health Role
Advocacy and Outreach
Core Competencies
according to the 1998 survey
Phase II Health Promotion
bull Asthma education
treatment management and
control
bull Diabetes management
prevention and treatment
bull Hypertension treatment and
prevention
bull Nutrition
Phase III Internshipfield component No16
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Our InterestCancer Education
We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer
17
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Goal
The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers
18
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Why is this ImportantWhat is Cancer
The American Cancer Society defines cancer as
Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death
19
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
What does that mean
20
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health
bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL
Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention
J Health Care Poor Underserved 25 (3) 1262-77 September 2014
bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for
Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among
African American Men Health Practice Promotion March 201321
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins
ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work
Cancer Research
22
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Our Goal Systematic Review
Collect the Evidence of Cancer Biology training for CHWs
23
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380
Core Features Narrative Review Systematic Review
Study Question Frequently the scope
is broad
Focus clinical
question
Data Sources and
search strategy
Databases and search
strategies not
included Potentially
biased
Databases and search
strategies published
with the review
Article review or
appraisal
Variable and author
dependent
Rigorous critical
appraisal-data
extraction form
Synthesis A qualitative
summary
Quantitative
summary (meta-
analysis) and
qualitative
Systematic Reviews
-The application of strategies that limit bias in the assembly
critical appraisal and synthesis of reviews (a review with rules)
24
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Methods
Systematic Review
Focused Question What cancer biology content is included in CHWs training curricula
25
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4
Cancer
EducationYes- 17No-12
Training Hours2 1-4 hours4 10-20 hours1 400-500 hours
Time not
Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks
EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations
Statistical Analysis12 Statistical
Significance
26
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening
Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R
Type of Cancer Colorectal Cancer
Type of CHW Community Health Advisor
Target Audience Filipino Americans
Cancer Education Received Yes
27
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Data
Intervention For CHW to increase colorectal cancer screening among Filipino American community members
of CHWs 91
Training 6 hour training session
Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion
28
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
What cancer knowledge education information did the CHW receive
Covered anatomy of colon
Risk factors for colorectal cancer
Signs and symptoms of colorectal cancer
Survival rates of colorectal cancer
29
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Training experiences of lay and professional patient navigators for colorectal cancer screening
Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH
Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)
Lay Health Worker (LHW) Professional Navigators (Pro)
Target Audience African Americans compared to Caucasian
Cancer Education Received Yes
30
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Data
Intervention Increasing colorectal screening in patient populations of color
of CHWs 9
Training Completed over 3 months
Evaluation 23 item multiple choice questionnaire composed of two subsections
31
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
What cancer knowledge education information did the CHW receive
4 hour training on Colorectal Cancer
32
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Bridging storytelling traditions with digital technology
Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP
Type of Cancer All cancers
Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)
Target Audience Alaskan natives
Cancer Education Received Yes
33
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Data
Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams
of CHWs 67Training 5 day Cancer education
courseEvaluation Completed a 3 page
written end-of course evaluation
34
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
What cancer knowledge education information did the CHW receive
Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including
Self Care
Wellness ways to prevent and decrease cancer risk
Cancer and our genes
Understanding Cancer basics
Cancer treatments what to expect
Cancer pain assessment and management
Loss grief and end-of-life comfort
Resources
Community Activities
35
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
36
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska
NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers
37
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Conclusion
bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review
38
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Thank you
Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg
bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition
bullFlorida Department of Health39
Have a Wonderful Semester
Questions 40
Have a Wonderful Semester
Questions 40