249501 Systematic evaluation of a safety and health training programs targeting low income home care workers within a CBPR project: Challenges and lessons learned

Monday, October 31, 2011: 2:30 PM

Sherry L. Baron, MD MPH , Coordinator Occupational Health Disparities, National Institutes for Occupational Safety and Health, CDC, Cincinnati, OH
Laura Stock, MPH , Labor Occupational Health Program, UC Berkeley, Berkeley, CA
Linda Ayala, MPH , Public Authority of IHSS of Alameda County, Oakland, CA
Annekatrin Hoppe, PhD , Stanford Prevention Research Center, Stanford University, Palo Alto, CA
The workforce in the United States is both more diverse and more concentrated in the service sector than ever before. These two trends pose distinct challenges to those interested in developing occupational health and safety education and training programs. To be effective, these programs must appropriately serve workers with a range of literacy and English proficiency levels. Including a systematic evaluation component in new training initiatives will contribute to our understanding of their effectiveness and improve our practice. The more than 1 million workers who provide in-home health and supportive services to the elderly and disabled are an especially challenging multi-ethnic service sector worker population because their work environments and exposures are highly variable and difficult to control. During a five-year community-based participatory intervention project, we developed an education and training program targeting English, Spanish and Chinese homecare workers that included a systematic randomized controlled evaluation component. The evaluation recruited 350 homecare workers and their clients who were randomly placed into either an intervention or a control group and completed two telephone surveys separated by two months. The development of the evaluation plan involved the active participation of the project stakeholders and was based on information collected through qualitative and quantitative methods. The multi-step process included: 1) developing well-defined intervention outcomes; 2) designing survey measures that adequately assess these outcomes across three languages; and 3) developing appropriate outreach and social marketing materials to recruit participants. Each of these steps, as well as preliminary findings and lessons learned, will be presented.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Occupational health and safety

Learning Objectives:
Identify challenges to evaluating training and education programs Define methods for developing metrics and approaches to evaluating training and education programs for low English proficient and low literacy workers

Keywords: Evaluation, Community Participation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a researcher at the Centers for Disease Control conducting research related to the presentation
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.