Cargando…

Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State

The community health worker (CHW) asthma home-visiting model developed by Public Health-Seattle & King County (PHSKC) is an evidence-based approach proven to improve health outcomes and quality of life. In addition, it has been shown to be an effective and culturally appropriate approach to help...

Descripción completa

Detalles Bibliográficos
Autores principales: Elkugia, Nuha, Crocker, Mary E., Stout, James W., Bolt, Kaylin, Weiner, Bryan J., Kramer, C. Bradley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8267368/
https://www.ncbi.nlm.nih.gov/pubmed/34249841
http://dx.doi.org/10.3389/fpubh.2021.674843
_version_ 1783720130932375552
author Elkugia, Nuha
Crocker, Mary E.
Stout, James W.
Bolt, Kaylin
Weiner, Bryan J.
Kramer, C. Bradley
author_facet Elkugia, Nuha
Crocker, Mary E.
Stout, James W.
Bolt, Kaylin
Weiner, Bryan J.
Kramer, C. Bradley
author_sort Elkugia, Nuha
collection PubMed
description The community health worker (CHW) asthma home-visiting model developed by Public Health-Seattle & King County (PHSKC) is an evidence-based approach proven to improve health outcomes and quality of life. In addition, it has been shown to be an effective and culturally appropriate approach to helping people with asthma understand the environmental and behavioral causes of uncontrolled asthma, while acquiring the skills they need to control their asthma. This paper describes the development and implementation of training curricula for CHWs and supervisors in the asthma home visiting program. To facilitate dissemination, this program took advantage of the current healthcare landscape in Washington State resulting from Centers for Medicare & Medicaid Services (CMS) approval of the 1115 Medicaid Waiver project. Key aspects of the training program development included: (1) Engagement: forming a Community Advisory Board with multiple stakeholders to help prioritize training content; (2) Curriculum Development: building the training on evidence-based home-visit protocols previously developed at PHSKC; (3) Implementation of the training program; (4) Evaluation of the training; and (5) Adaptation of the training based on lessons learned. We describe key factors in the training program's improvement including the use of a community-based participatory approach to engage stakeholders at multiple phases of the project and ensure regional adaption; combining in-person and online modules for delivery; and holding learning collaboratives for post-training and technical support. We also outline our training program evaluation plan and the planned evaluation of the home visit program which the trainees will deliver, both of which follow the RE-AIM framework. However, because the COVID-19 pandemic has curtailed training activities and prohibited the trainees from implementation of these CHW home visit practices, our evaluation is currently incomplete. Therefore, this case study provides insight into the adaptation of the training program, but not the delivery of the home visit program, the outcomes of which remain to be seen.
format Online
Article
Text
id pubmed-8267368
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-82673682021-07-10 Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State Elkugia, Nuha Crocker, Mary E. Stout, James W. Bolt, Kaylin Weiner, Bryan J. Kramer, C. Bradley Front Public Health Public Health The community health worker (CHW) asthma home-visiting model developed by Public Health-Seattle & King County (PHSKC) is an evidence-based approach proven to improve health outcomes and quality of life. In addition, it has been shown to be an effective and culturally appropriate approach to helping people with asthma understand the environmental and behavioral causes of uncontrolled asthma, while acquiring the skills they need to control their asthma. This paper describes the development and implementation of training curricula for CHWs and supervisors in the asthma home visiting program. To facilitate dissemination, this program took advantage of the current healthcare landscape in Washington State resulting from Centers for Medicare & Medicaid Services (CMS) approval of the 1115 Medicaid Waiver project. Key aspects of the training program development included: (1) Engagement: forming a Community Advisory Board with multiple stakeholders to help prioritize training content; (2) Curriculum Development: building the training on evidence-based home-visit protocols previously developed at PHSKC; (3) Implementation of the training program; (4) Evaluation of the training; and (5) Adaptation of the training based on lessons learned. We describe key factors in the training program's improvement including the use of a community-based participatory approach to engage stakeholders at multiple phases of the project and ensure regional adaption; combining in-person and online modules for delivery; and holding learning collaboratives for post-training and technical support. We also outline our training program evaluation plan and the planned evaluation of the home visit program which the trainees will deliver, both of which follow the RE-AIM framework. However, because the COVID-19 pandemic has curtailed training activities and prohibited the trainees from implementation of these CHW home visit practices, our evaluation is currently incomplete. Therefore, this case study provides insight into the adaptation of the training program, but not the delivery of the home visit program, the outcomes of which remain to be seen. Frontiers Media S.A. 2021-06-25 /pmc/articles/PMC8267368/ /pubmed/34249841 http://dx.doi.org/10.3389/fpubh.2021.674843 Text en Copyright © 2021 Elkugia, Crocker, Stout, Bolt, Weiner and Kramer. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Elkugia, Nuha
Crocker, Mary E.
Stout, James W.
Bolt, Kaylin
Weiner, Bryan J.
Kramer, C. Bradley
Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State
title Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State
title_full Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State
title_fullStr Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State
title_full_unstemmed Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State
title_short Development of an Asthma Home-Visit Training Program for Community Health Workers and Their Supervisors in Washington State
title_sort development of an asthma home-visit training program for community health workers and their supervisors in washington state
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8267368/
https://www.ncbi.nlm.nih.gov/pubmed/34249841
http://dx.doi.org/10.3389/fpubh.2021.674843
work_keys_str_mv AT elkugianuha developmentofanasthmahomevisittrainingprogramforcommunityhealthworkersandtheirsupervisorsinwashingtonstate
AT crockermarye developmentofanasthmahomevisittrainingprogramforcommunityhealthworkersandtheirsupervisorsinwashingtonstate
AT stoutjamesw developmentofanasthmahomevisittrainingprogramforcommunityhealthworkersandtheirsupervisorsinwashingtonstate
AT boltkaylin developmentofanasthmahomevisittrainingprogramforcommunityhealthworkersandtheirsupervisorsinwashingtonstate
AT weinerbryanj developmentofanasthmahomevisittrainingprogramforcommunityhealthworkersandtheirsupervisorsinwashingtonstate
AT kramercbradley developmentofanasthmahomevisittrainingprogramforcommunityhealthworkersandtheirsupervisorsinwashingtonstate