An evaluation of a training program: Preparing the Home Health Care workforce for pandemic influenza

As the nation continues to plan for and respond to the H1N1 influenza pandemic, the preparedness of the Home Health Care (HHC) workforce comes into sharp focus. HHC personnel already perform community-based health care through a broad-based home care delivery system, and, thus, are essential community partners in any public health emergency. Yet, “…the degree of preparedness at all levels of the home care sector… is largely unknown.”. A Community Participatory Action Research (PAR) framework guided the development of a unique, competency-based training program specifically for a frontline-workforce, HHC Aides. The curriculum can be presented in several formats: online and face-to-face with a ‘return demonstration' competency check-list; train-the-trainer; and self-study resources used in an employee orientation programs. Knowledge gained about transmission and control of influenza and personal protective actions can protect the HHC worker professionally and personally. Preliminary findings indicate that the incorporation of hands-on tasks in an online environment can improve preparedness levels of the HHC workforce, and may influence their willingness to report to work. Two goals of this study are to assess the effectiveness of the training for the learner and determine benefit to the HHC agency. An outcome of interest to be measured will be the change in the learner's willingness and ability to report to work in during a pandemic influenza.