Online Program

Lessons learned from the California personal home care aide state training (PHCAST) demonstration

Tuesday, November 5, 2013

Susan A. Chapman, PhD, RN, School of Nursing, Dept of Social & Behavioral Sciences, University of California, San Francisco, San Francisco, CA
Melinda Neri, BA, Department of Social & Behavioral Sciences, University of California, San Francisco, San Francisco, CA
Suzanne Meyer, RN, MS, Department of Social & Behavioral Sciences, University of California, San Francisco, San Francisco, CA
The California Personal and Home Care Aide State Training (PHCAST) program is a 100-hour competency-based training program for personal and home care aides (PHCAs), delivered in the classroom or online. Online training began in year two. Target participants included unemployed and displaced workers seeking entry-level training in health care and PHCAs with no previous training. Evaluation utilized a pre-post test design, comparing previous courses with new standardized competency based curriculum. Data collection at pretraining, post-training, and 6 month follow-up included program completion rates, competency test scores, demographics, prior training and employment, satisfaction with training, knowledge and preparedness, career goals, and employment after 6 months. Nearly 800 individuals completed training to date. The typical trainee, regardless of mode, was female, had a mean age of 47, was Latino or Asian, not married, and no previous home care training. About 62% lived below the poverty level. Most trainees, regardless of delivery mode, were satisfied with the course length, accessibility, class size, and course materials. Most reported increased knowledge, job skills, intent to seek certification and continue in the home or health care field. Challenges included difficulty in 6 month follow-up and long-term tracking of trainees, linking PHCAs to potential employers, development of a state certification process, and the initial high dropout rate for online trainees. PHCAST has increased the number of home care trained workers enabling individuals to age in place. The online component has the capacity to be far reaching, enabling those without access to in-person training to learn PHCA skills.

Learning Areas:

Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related public policy

Learning Objectives:
Identify successful components of state training programs for personal and home care aides Describe the benefits of in-person and online training for personal and home care aides Discuss challenges in retention and job seeking for personal care aides

Keyword(s): Caregivers, Community-Based Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator for the evaluation of the HRSA funded PHCAST demonstration project. I have been PI, Co-PI, or investigator on more than 35 grant funded studies focused on the health care workforce, training, and regulataion. My research emphasis currently is on long term care in the home and community settings.
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.