202656 Training Community Health Workers to Deliver In-Home Education: Processes, Challenges and Lessons Learned

Wednesday, November 11, 2009: 10:50 AM

Tyra Bryant-Stephens, MD , The Community Asthma Prevention Program, The Children's Hospital of Philadelphia, Philadelphia, PA
Problem: Community Health Workers(CHWs) are often utilized to provide health education in the home. Providing consistent education and quality control is difficult because of the chaotic environment and other challenges CHWs face.

Approach: The Community Asthma Prevention Program(CAPP) of the Children's Hospital of Philadelphia has eleven years experience in the role of CHWs to provide in-home caregiver/patient education and environmental mitigation in the inner-city in order to improve health outcomes for children. CHW's have participated in planning and conducting community surveys using “street corner” and “door-to-door” methodologies. Utilizing a centralized approach to supervision and training has led to consistency in patient/caregiver education, data collection, safety and environmental mitigation. CHW's ongoing training process includes 1)initial didactic lessons 2)demonstration of lesson for peer review 3)on-site observation 4)buddy visits 5)independent visits 6) monthly booster sessions. In this session we will discuss the essential components in training curriculum for CHW's to provide caregiver/patient education including identification of learning styles and adaptation of curriculum, education in a chaotic environment and development of strategies to improve effectiveness in home education. Advantages of centralization of training and supervision will be discussed. A CHW will describe her experience, challenges and strategies in implementing education in the home. Outcomes including pre/post knowledge tests, asthma symptoms and quality of life will be presented.

Lessons Learned: CHW training needs to be ongoing with constant feedback. CHWs often contribute to their own learning by identifying strategies to effectively deliver education. Centralization of supervision and training promotes CHW consistency in implementation and effectiveness.

Learning Objectives:
1) the learner will be able to describe steps of training for CHWs 2) the learner will be able to name potential challenges in implementing home education protocols 3) the learner will be able to name strategies to overcome challenges in implementing home education protocols 4) the learner will be able to identify ways to assess learning styles in the home

Keywords: Community Health Programs, Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Research EPA A comprehensive Environmental Intervention for Families with Asthma and Asthma-Related Health Issues This is a program to provide environmental intervention and asthma education for 120 families in West Philadelphia. Role: PI No Grant Number PI: Bryant-Stephens 9/22/04- 3/21/06 Health Promotion Council of SEPA, Inc Community Asthma Prevention Program, Steps to a Healthier Philadelphia This program will recruit participants and implement seven adult asthma management classes in the STEPs target area reaching at least 70 adults, including Spanish-speaking adults. Role: PI SAP 4100021935 PI: Bryant-Stephens 7/01/03- 6/30/06 PA Department of Health West Philadelphia Asthma Prevention and Case Management Program This program supports environmental intervention in 40 homes of West Philadelphia asthmatics including a deep cleaning of each home. Smoking cessation support is provided for 20 families and a case manager is available for those families who need social services. Role: PI GX828727-01-0 PI:Bryant-Stephens 9/16/01- 9/15/03 EPA Community Based In-Home Asthma Environmental Education and Management This was a program to provide in-home asthma education. Role: PI R25ES01111 PI: Bryant-Stephens 09/15/01-7/31/05 NIH/NIEHS Community Partnership for Asthma Prevention Creation of a comprehensive asthma prevention program by combining home asthma education with home asthma trigger removal into one comprehensive asthma prevention program. The program also increase dasthma educational activities offered within the Family Centers and trained Parent Asthma Scholars to conduct asthma classes within the CSI Family Centers through the train-the-trainer model which has proven successful for CAPP. Role: PI 2D24HP04035-10 Publications Bryant-Stephens T, Li Y. Community asthma education program for parents of urban asthmatic children. J Natl Med Assoc 2004;96 (7):955–60 Slutsky P, Bryant-Stephens T. Developing a comprehensive, community-based asthma education and training program. Pediatr Nurs. 2001 Sep-Oct;27(5):449-52, 455-7, 461 Allen JL (Editor), Bryant-Stephens T (Editor), Pawlowski NA (Editor), Buff S (Editor), Jablow MM (Editor); The Children's Hospital of Philadelphia Guide to Asthma.John Wiley and Sons, 2004. Zorc JJ, Pawlowski NA, Allen JL, Bryant-Stephens T, Winston M, Angsuco C, Shea JA. Development and validation of an instrument to measure asthma symptom control in children. J Asthma. 2006 Dec;43(10):753-8.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.