Online Program

Training and Selecting Community Health Worker Candidates for a Home base Behavioral Intervention to reduce Diabetes Disparities

Tuesday, November 3, 2015

Steven Rothschild, MD, Departments of Preventive Medicine and Family Medicine, Rush University Medical Center, Chicago, IL
Molly A. Martin, MD, Department of Pediatrics, University of Illinois at Chicago, Chicago, IL
Susan M. Swider, PhD, APHN-BC, FAAN, Department of Community, Systems and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL
David Mata, MS, Department of Preventive Medicine, Rush University Medical Center, Chicago, IL
Lindsey Mitchell, MS, Department of Preventive Medicine, Rush University Medical Center, Chicago, IL
Diana Ingram, PhD, MPH, Office of Nursing Research and Scholarship, College of Nursing, Rush University Medical Center, Chicago, IL
Stephanie Fitzpatrick, PhD, Department of Preventive Medicine, Rush University, Chicago, IL
Community Health Workers are at the heart of efforts to reduce health disparities. While the Bureau of Labor Statistics estimates that there are over 45,000 CHWs employed in the US at present, many more have been recruited and trained over the past four decades. Despite this, in many parts of the country, projects seeking to hire CHWs must often develop their own curricula and determine standards for training and selection process.

The Multiclinic Action Trial to Control Hyperglycemia and Hypertension (MATCH2) is a behavioral clinical CBPR trial of a home based CHW intervention to reduce diabetes disparities. The recruitment and training protocol for the study was based on several prior studies of the Rush Center for Urban Health Equity.  64 candidates applied for training; six candidates had prior experience as CHWs.  From this group, investigators and community partners selected twenty candidates for training.   All twenty completed the 40-hour study training over a three week period.  The training used adult learning methods, with an emphasis on shared experience and role playing.  In addition to basic education about diabetes, hypertension, physical activity, and diet, modules emphasized training in social determinants of health and behavioral interventions.  The MATCH2 CHW toolkit includes stress management, problem solving, motivational interviewing, and chronic disease self-management.

In this presentation, including CHW presenters from the project, we will share the approaches used to train the CHWs in a complex behavioral intervention, and the evaluation tools for both formative feedback and final CHW selection.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe components of basic and advanced behavioral health curricula for Community Health Workers serving as coaches promoting effective self-management of type 2 diabetes and high blood pressure. Discuss strategies for formative and summative evaluation of CHW trainees based on adult learning principles.

Keyword(s): Vulnerable Populations, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator on the study and led the team that designed and implemented the curriculum and evaluation process.
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.