Whatrsquos Included in the Cancer Biology Curriculum for

Community Health WorkersDanyell S Wilson PhD

Population Science Group Meeting

University of Maryland Baltimore City

January 14th 2015

1

Project LINK-ET(Leaders In New Knowledge-Emerging Technologies)

bull A 2 year training program in clinical cancer proteomics that creates

opportunities and promotes cancer research careers for undergraduate students and provides health disparities education and community outreach opportunities

Four months of didactic and hands on training

Cancer biology training with clinical cancer proteomics collaborators

Professional development seminars and attendance to national conferences

Community Outreach events with Moffitt and USF partners

Project LINK-ET(Leaders In New Knowledge-Emerging Technologies)

bull A 2 year training program in clinical cancer proteomics that creates

opportunities and promotes cancer research careers for undergraduate students and provides health disparities education and community outreach opportunities

Four months of didactic and hands on training

Cancer biology training with clinical cancer proteomics collaborators

Professional development seminars and attendance to national conferences

Community Outreach events with Moffitt and USF partners

From the Bench Top to the SidewalkCommunicating Cancer and Science Innovations to the

Community in culturally informal environments ( Health Fairs Community Events Town Hall meetings etc)

3D Wilson B Fang W Dalton C Meade J Koomen An ET-CURE Pilot Project Supporting Undergraduate Training in Cancer Research Emerging Technology and Health Disparities J Cancer Education April 2012

Health Disparities and Health Equity

Health equity the ldquoattainment of the highest level of health for all people

Health disparity ldquoa particular type of health difference that is closely linked with social economic andor environmental disadvantages linked to discrimination or exclusionrdquo

4

Cancer Health Disparities

MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)

Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)

WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)

Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)

wwwcrchdcancergov5

Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)

Intervention Community Health Worker Model

CHWs are the frontline public health workers who have a close understanding of the community they serve

In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models

Community Health Worker

Community Based Health Navigator

Lay Health Worker

Patient Navigator

Community Health Advisor

6

Problem Not All Trainings are Created Equally

M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf

Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors

On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies

7

Health Disparities and Health Equity

Health equity the ldquoattainment of the highest level of health for all people

Health disparity ldquoa particular type of health difference that is closely linked with social economic andor environmental disadvantages linked to discrimination or exclusionrdquo

4

Cancer Health Disparities

MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)

Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)

WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)

Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)

wwwcrchdcancergov5

Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)

Intervention Community Health Worker Model

CHWs are the frontline public health workers who have a close understanding of the community they serve

In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models

Community Health Worker

Community Based Health Navigator

Lay Health Worker

Patient Navigator

Community Health Advisor

6

Problem Not All Trainings are Created Equally

M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf

Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors

On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies

7

Cancer Health Disparities

MenIncidence rates Highest among black (5545)followed by white (4997) Hispanic (3935)AsianPacific Islander (3101)American IndianAlaska Native (2935)

Death ratesHighest among black (2539)followed by white (2032)Hispanic (1464)American IndianAlaska Native (1360)AsianPacific Islander (1262)

WomenIncidence ratesHighest among white (4148)followed by black (3938 )Hispanic (3242) AsianPacific Islander (2798) American IndianAlaska Native (2610)

Death ratesHighest among black (1662)followed by white (1434)Hispanic (980)American IndianAlaska Native (939)AsianPacific Islander (911)

wwwcrchdcancergov5

Rates are per 100000 persons and are age-adjusted to the 2000 US standard population (19 age groups - Census P25-1130)

Intervention Community Health Worker Model

CHWs are the frontline public health workers who have a close understanding of the community they serve

In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models

Community Health Worker

Community Based Health Navigator

Lay Health Worker

Patient Navigator

Community Health Advisor

6

Problem Not All Trainings are Created Equally

M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf

Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors

On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies

7

Intervention Community Health Worker Model

CHWs are the frontline public health workers who have a close understanding of the community they serve

In 2010 the Department of Laborrsquos Standard Occupational Classification included a unique occupational classification for a Community Health Worker (SOC 21-1094)-sustainable reimbursement models

Community Health Worker

Community Based Health Navigator

Lay Health Worker

Patient Navigator

Community Health Advisor

6

Problem Not All Trainings are Created Equally

M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf

Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors

On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies

7

Problem Not All Trainings are Created Equally

M May B Kash R Contreras Community Health Worker Certification and Training A National Survey of Regionally and State-Based Programs May 2005 Final ReporthttpmedqibsduchicagoedudocumentsCHW_cert_final2005pdf

Lack of Standardized Training acquire skills through informal formats such as on the job training orparticipating in training programs from independent organizations and contractors

On the Job Training Local Government ProgramsCommunity College-based ProgramsUniversity and College InitiativesGrant Funded ProgramsArea Health Education CentersPrivate Companies

7

Core Competence And Skills

CompetencesSkills

Communication skills

Interpersonal skills

Advocacy skills

Knowledge base

Service coordination skills

Organizational skills

Capacity building skills

Teaching skills

National Survey in 1998-281 CHAs completed a survey questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study

Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf

8

Core Competence And SkillsNational Survey in 1998-281 CHAs completed a survey

questionnaire one-on-one interviews site visits and discussion groups (group interviews and focus groups) conducted either in conjunction with site visits or convened specifically for the Study

RolesBridgingmediating culturally between communitiesthe health and social service system Providing culturally appropriate health education and information Assuring that people get the services they needProviding informal counseling and social support Advocating for individual and community needs Providing clinical services and meeting basic needs Building individual and community capacity

Rosenthal EL (1998) The Final Report of the National Community Health Advisor Study Weaving the Future University of Arizona Retrieved from httpcrharizonaedusitescrharizonaedufilespdfpublicationsCAHsummaryALLpdf

9

FLORIDA CHW COALITIONEstablished 2011 Over 275 members Ranked 4th State with large CHW population

bull Identify state level training programs nation-wide

Nation-wide Review

bull Identify CHW training Programs in Florida

Local Reviewbull Conduct

Formative Interviews with FL CHWs

Interview CHWs

2012 Review of Curriculum

State

Cultural mediation between

communities and health

and human services

system

Informal

counseling and

social support

Providing

culturally

appropriate health

education

Advocating for

individual and

community needs

Assuring

people get the

services they

need

Building

indvidual and

community

capacity

Providing direct

services

Alaska X X X X X

Arizona X X X X X

California X X X X

Colorado X X

Connecticut X X X X X X

Florida X X

Georgia X X X X X X

Hawaii X X X

Maine X X X X X X

Massachusetts X X X

Michigan X X X X X

Minnesota X X X X X

Mississippi X X X X

New York X X X X

Ohio X X X X X X X

Oklahoma X X X X X X X

Oregon X X X X X X

Pennsylvania X X X X X

Rhode Island X X X

Texas X X X X X X

Virginia X X X

Washington X X X X X X

Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition

11

2012 Review of Curriculum

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Length of Training 17 credit hours 2 semesters if full

time

Varies 35 hours 70 hours andor 105 hours curricula

Credentialing Yes the Healthcare

Education Industry

Partnership

No No

Certificate Yes Community Health

Worker Certificate

Yes

Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12

Curriculum The Minnesota Community

Health Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Tiered

Certification

CHWs who have been

practicing at least 5 years in the

field may take an assessment to

measure their competencies for

$12500 and receive a CHW

certificate that enables

reimbursement when applying

as an enrolled provider in the

state of Minnesota through the

DHS program

No Yes 35 hours and 70

hours can be tailored to

organizations interest

College

Credits 17 credit hours 17 credit hours No

Fee $148credit x 17= $2516 Tuition set by the

California State

Legislature $3600

per unit $2000

CCSF registration

fee and student text

book $7500

$800 per attendee and

this should be paid by

the interested

organization

13

Curriculum The Minnesota

Community Health

Worker Alliance

(State)

City College of San

Francisco (Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

How many can

attend

Unclear Enrollment is limited up to 25 per class

Who can attend First come ldquofirst

qualified

NA CHWs

When Fall semester only Written application and

documented successful work

as a CHW or completion of

the one-credit hour

Introduction to Community

Health Work

Whenever it is needed

they just need 4 hour

sessions-full 9 hour

sessions

Class Materials unclear Text book Book The Foundations of Community Health

Workers and training manual Core Skills Training

for Community Health Workers

14

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of

San Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Distance

LearningOnline

training

unclear unclear No

Evaluation unclear unclear NA but they do have

evaluations and

reflections

Scope of work of

CHW

Bridge the gap between

communities and the

health and social service

systems navigating the

health and human

services system

advocating for individual

and community needs

provide direct services and

build individual and

community capacity

To prepare

individuals for

positions in

community oriented

health and social

service agencies

Develop CHWs with

core skills and

competencies that all

CHWs should be

supported to develop

and provide options for

specialization in a

number of chronic

disease and healthy

lifestyle areas could be

additional to the core

competencies

15

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

2012 Review of Curriculum

State

Cultural mediation between

communities and health

and human services

system

Informal

counseling and

social support

Providing

culturally

appropriate health

education

Advocating for

individual and

community needs

Assuring

people get the

services they

need

Building

indvidual and

community

capacity

Providing direct

services

Alaska X X X X X

Arizona X X X X X

California X X X X

Colorado X X

Connecticut X X X X X X

Florida X X

Georgia X X X X X X

Hawaii X X X

Maine X X X X X X

Massachusetts X X X

Michigan X X X X X

Minnesota X X X X X

Mississippi X X X X

New York X X X X

Ohio X X X X X X X

Oklahoma X X X X X X X

Oregon X X X X X X

Pennsylvania X X X X X

Rhode Island X X X

Texas X X X X X X

Virginia X X X

Washington X X X X X X

Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition

11

2012 Review of Curriculum

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Length of Training 17 credit hours 2 semesters if full

time

Varies 35 hours 70 hours andor 105 hours curricula

Credentialing Yes the Healthcare

Education Industry

Partnership

No No

Certificate Yes Community Health

Worker Certificate

Yes

Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12

Curriculum The Minnesota Community

Health Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Tiered

Certification

CHWs who have been

practicing at least 5 years in the

field may take an assessment to

measure their competencies for

$12500 and receive a CHW

certificate that enables

reimbursement when applying

as an enrolled provider in the

state of Minnesota through the

DHS program

No Yes 35 hours and 70

hours can be tailored to

organizations interest

College

Credits 17 credit hours 17 credit hours No

Fee $148credit x 17= $2516 Tuition set by the

California State

Legislature $3600

per unit $2000

CCSF registration

fee and student text

book $7500

$800 per attendee and

this should be paid by

the interested

organization

13

Curriculum The Minnesota

Community Health

Worker Alliance

(State)

City College of San

Francisco (Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

How many can

attend

Unclear Enrollment is limited up to 25 per class

Who can attend First come ldquofirst

qualified

NA CHWs

When Fall semester only Written application and

documented successful work

as a CHW or completion of

the one-credit hour

Introduction to Community

Health Work

Whenever it is needed

they just need 4 hour

sessions-full 9 hour

sessions

Class Materials unclear Text book Book The Foundations of Community Health

Workers and training manual Core Skills Training

for Community Health Workers

14

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of

San Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Distance

LearningOnline

training

unclear unclear No

Evaluation unclear unclear NA but they do have

evaluations and

reflections

Scope of work of

CHW

Bridge the gap between

communities and the

health and social service

systems navigating the

health and human

services system

advocating for individual

and community needs

provide direct services and

build individual and

community capacity

To prepare

individuals for

positions in

community oriented

health and social

service agencies

Develop CHWs with

core skills and

competencies that all

CHWs should be

supported to develop

and provide options for

specialization in a

number of chronic

disease and healthy

lifestyle areas could be

additional to the core

competencies

15

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

2012 Review of Curriculum

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Length of Training 17 credit hours 2 semesters if full

time

Varies 35 hours 70 hours andor 105 hours curricula

Credentialing Yes the Healthcare

Education Industry

Partnership

No No

Certificate Yes Community Health

Worker Certificate

Yes

Dapic V Wilson D S (2012) Final Report on the training of CHWs Florida Department of Health Florida Community Health Worker Coalition 12

Curriculum The Minnesota Community

Health Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Tiered

Certification

CHWs who have been

practicing at least 5 years in the

field may take an assessment to

measure their competencies for

$12500 and receive a CHW

certificate that enables

reimbursement when applying

as an enrolled provider in the

state of Minnesota through the

DHS program

No Yes 35 hours and 70

hours can be tailored to

organizations interest

College

Credits 17 credit hours 17 credit hours No

Fee $148credit x 17= $2516 Tuition set by the

California State

Legislature $3600

per unit $2000

CCSF registration

fee and student text

book $7500

$800 per attendee and

this should be paid by

the interested

organization

13

Curriculum The Minnesota

Community Health

Worker Alliance

(State)

City College of San

Francisco (Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

How many can

attend

Unclear Enrollment is limited up to 25 per class

Who can attend First come ldquofirst

qualified

NA CHWs

When Fall semester only Written application and

documented successful work

as a CHW or completion of

the one-credit hour

Introduction to Community

Health Work

Whenever it is needed

they just need 4 hour

sessions-full 9 hour

sessions

Class Materials unclear Text book Book The Foundations of Community Health

Workers and training manual Core Skills Training

for Community Health Workers

14

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of

San Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Distance

LearningOnline

training

unclear unclear No

Evaluation unclear unclear NA but they do have

evaluations and

reflections

Scope of work of

CHW

Bridge the gap between

communities and the

health and social service

systems navigating the

health and human

services system

advocating for individual

and community needs

provide direct services and

build individual and

community capacity

To prepare

individuals for

positions in

community oriented

health and social

service agencies

Develop CHWs with

core skills and

competencies that all

CHWs should be

supported to develop

and provide options for

specialization in a

number of chronic

disease and healthy

lifestyle areas could be

additional to the core

competencies

15

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Curriculum The Minnesota Community

Health Worker Alliance (State)

City College of San

Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Tiered

Certification

CHWs who have been

practicing at least 5 years in the

field may take an assessment to

measure their competencies for

$12500 and receive a CHW

certificate that enables

reimbursement when applying

as an enrolled provider in the

state of Minnesota through the

DHS program

No Yes 35 hours and 70

hours can be tailored to

organizations interest

College

Credits 17 credit hours 17 credit hours No

Fee $148credit x 17= $2516 Tuition set by the

California State

Legislature $3600

per unit $2000

CCSF registration

fee and student text

book $7500

$800 per attendee and

this should be paid by

the interested

organization

13

Curriculum The Minnesota

Community Health

Worker Alliance

(State)

City College of San

Francisco (Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

How many can

attend

Unclear Enrollment is limited up to 25 per class

Who can attend First come ldquofirst

qualified

NA CHWs

When Fall semester only Written application and

documented successful work

as a CHW or completion of

the one-credit hour

Introduction to Community

Health Work

Whenever it is needed

they just need 4 hour

sessions-full 9 hour

sessions

Class Materials unclear Text book Book The Foundations of Community Health

Workers and training manual Core Skills Training

for Community Health Workers

14

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of

San Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Distance

LearningOnline

training

unclear unclear No

Evaluation unclear unclear NA but they do have

evaluations and

reflections

Scope of work of

CHW

Bridge the gap between

communities and the

health and social service

systems navigating the

health and human

services system

advocating for individual

and community needs

provide direct services and

build individual and

community capacity

To prepare

individuals for

positions in

community oriented

health and social

service agencies

Develop CHWs with

core skills and

competencies that all

CHWs should be

supported to develop

and provide options for

specialization in a

number of chronic

disease and healthy

lifestyle areas could be

additional to the core

competencies

15

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Curriculum The Minnesota

Community Health

Worker Alliance

(State)

City College of San

Francisco (Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

How many can

attend

Unclear Enrollment is limited up to 25 per class

Who can attend First come ldquofirst

qualified

NA CHWs

When Fall semester only Written application and

documented successful work

as a CHW or completion of

the one-credit hour

Introduction to Community

Health Work

Whenever it is needed

they just need 4 hour

sessions-full 9 hour

sessions

Class Materials unclear Text book Book The Foundations of Community Health

Workers and training manual Core Skills Training

for Community Health Workers

14

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of

San Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Distance

LearningOnline

training

unclear unclear No

Evaluation unclear unclear NA but they do have

evaluations and

reflections

Scope of work of

CHW

Bridge the gap between

communities and the

health and social service

systems navigating the

health and human

services system

advocating for individual

and community needs

provide direct services and

build individual and

community capacity

To prepare

individuals for

positions in

community oriented

health and social

service agencies

Develop CHWs with

core skills and

competencies that all

CHWs should be

supported to develop

and provide options for

specialization in a

number of chronic

disease and healthy

lifestyle areas could be

additional to the core

competencies

15

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Curriculum The Minnesota

Community Health

Worker Alliance (State)

City College of

San Francisco

(Collegiate)

Community Health

Worker Network New

York (Nonprofit)

Structure of

Curriculum

Distance

LearningOnline

training

unclear unclear No

Evaluation unclear unclear NA but they do have

evaluations and

reflections

Scope of work of

CHW

Bridge the gap between

communities and the

health and social service

systems navigating the

health and human

services system

advocating for individual

and community needs

provide direct services and

build individual and

community capacity

To prepare

individuals for

positions in

community oriented

health and social

service agencies

Develop CHWs with

core skills and

competencies that all

CHWs should be

supported to develop

and provide options for

specialization in a

number of chronic

disease and healthy

lifestyle areas could be

additional to the core

competencies

15

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Curriculum The Minnesota

Community Health Worker

Alliance

Community Health Worker

Network New York

(Nonprofit)

Content of Curriculum

Phase I

Core Competencies-The

Community Health Role

Advocacy and Outreach

Core Competencies

according to the 1998 survey

Phase II Health Promotion

bull Asthma education

treatment management and

control

bull Diabetes management

prevention and treatment

bull Hypertension treatment and

prevention

bull Nutrition

Phase III Internshipfield component No16

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Our InterestCancer Education

We want to identify the science portion of CHW training curriculum to see if they are learning the science behind cancer or a broad generic overview of cancer

17

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Goal

The overall goal of our research is to aid in the development of a nationwide curriculum on Cancer Education for Community Health Workers

18

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Why is this ImportantWhat is Cancer

The American Cancer Society defines cancer as

Cancer is the general name for a group of more than a 100 diseases Although there are many kinds of cancer all cancers start because abnormal cells grow out of control Untreated cancer can cause serious illness or death

19

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

What does that mean

20

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Trained CHWsMoffitt Cancer Center and University of South FloridaNIH P20 Center for Equal Health

bullSultan DH Rivers BM Osongo BO Wilson DS Schenck A Carvajal R Rivers D Roetzheim R Green BL

Affecting African American Menrsquos Prostate Cancer Screening Decision-making through a Mobile Tablet-Mediated Intervention

J Health Care Poor Underserved 25 (3) 1262-77 September 2014

bullD Wilson E August V Dapic R Mhaskar J Scian D Sultan B Rivers Comparative Effectiveness Research for

Eliminating Disparities (CERED) A Multilevel Intervention to Promote Informed Decision-Making on Prostate Cancer among

African American Men Health Practice Promotion March 201321

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Cancer Biology CurriculumGenetic informationDNADNA ReplicationDNA to RNARNA to Proteins

ProteinsThe Human Cell and Death CancerWhat is cancerCancer RiskHow does cancer work

Cancer Research

22

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Our Goal Systematic Review

Collect the Evidence of Cancer Biology training for CHWs

23

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Cook D J Mulrow C D amp Haynes R B (1997) Systematic reviews synthesis of best evidence for clinical decisions Ann Intern Med 126(5) 376-380

Core Features Narrative Review Systematic Review

Study Question Frequently the scope

is broad

Focus clinical

question

Data Sources and

search strategy

Databases and search

strategies not

included Potentially

biased

Databases and search

strategies published

with the review

Article review or

appraisal

Variable and author

dependent

Rigorous critical

appraisal-data

extraction form

Synthesis A qualitative

summary

Quantitative

summary (meta-

analysis) and

qualitative

Systematic Reviews

-The application of strategies that limit bias in the assembly

critical appraisal and synthesis of reviews (a review with rules)

24

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Methods

Systematic Review

Focused Question What cancer biology content is included in CHWs training curricula

25

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Results SlideTypes of CancerBreast Cancer- 13Cervical Cancer- 10Colorectal Cancer- 5Prostate Cancer-1All Cancers- 4

Cancer

EducationYes- 17No-12

Training Hours2 1-4 hours4 10-20 hours1 400-500 hours

Time not

Specific3 2-8 sessions4 2 days1 4-6 days2 12 weeks

EvaluationYes- 24No- 511 PrePost tests2 Surveys3 Satisfaction ratings2 Anal of intervention6 ExitF-up interviews5 Field evaluations

Statistical Analysis12 Statistical

Significance

26

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening

Authors Maxwell AE Danao LL Cayetano RT Crespi CM Bastani R

Type of Cancer Colorectal Cancer

Type of CHW Community Health Advisor

Target Audience Filipino Americans

Cancer Education Received Yes

27

Data

Intervention For CHW to increase colorectal cancer screening among Filipino American community members

of CHWs 91

Training 6 hour training session

Evaluation CHAs completed paperpencil pretest (6 pages) amp posttests (3 pages)- immediately before and after the initial 6 hour training seesion

28

What cancer knowledge education information did the CHW receive

Covered anatomy of colon

Risk factors for colorectal cancer

Signs and symptoms of colorectal cancer

Survival rates of colorectal cancer

29

Training experiences of lay and professional patient navigators for colorectal cancer screening

Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH

Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)

Lay Health Worker (LHW) Professional Navigators (Pro)

Target Audience African Americans compared to Caucasian

Cancer Education Received Yes

30

What cancer knowledge education information did the CHW receive

Covered anatomy of colon

Risk factors for colorectal cancer

Signs and symptoms of colorectal cancer

Survival rates of colorectal cancer

29

Training experiences of lay and professional patient navigators for colorectal cancer screening

Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH

Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)

Lay Health Worker (LHW) Professional Navigators (Pro)

Target Audience African Americans compared to Caucasian

Cancer Education Received Yes

30

Training experiences of lay and professional patient navigators for colorectal cancer screening

Authors Shelton RC Thompson HS Jandorf L Varela A Oliveri B Villagra C Valdimarsdottir HB Redd WH

Type of Cancer Colorectal CancerType of CHW Patient Navigator (PN)

Lay Health Worker (LHW) Professional Navigators (Pro)

Target Audience African Americans compared to Caucasian

Cancer Education Received Yes

30

Data

Intervention Increasing colorectal screening in patient populations of color

of CHWs 9

Training Completed over 3 months

Evaluation 23 item multiple choice questionnaire composed of two subsections

31

What cancer knowledge education information did the CHW receive

4 hour training on Colorectal Cancer

32

Bridging storytelling traditions with digital technology

Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP

Type of Cancer All cancers

Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)

Target Audience Alaskan natives

Cancer Education Received Yes

33

What cancer knowledge education information did the CHW receive

4 hour training on Colorectal Cancer

32

Bridging storytelling traditions with digital technology

Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP

Type of Cancer All cancers

Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)

Target Audience Alaskan natives

Cancer Education Received Yes

33

Bridging storytelling traditions with digital technology

Authors Cueva M Kuhnley R Revels LJ Cueva K Dignan M Lanier AP

Type of Cancer All cancers

Type of CHW Community Health AidPractitioners (CHAP) Behavioral Health Aid (BHA)

Target Audience Alaskan natives

Cancer Education Received Yes

33

Data

Intervention Support community members to modify behavioral risk factors and advocate and refer individuals for recommended screening exams

of CHWs 67Training 5 day Cancer education

courseEvaluation Completed a 3 page

written end-of course evaluation

34

What cancer knowledge education information did the CHW receive

Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including

Self Care

Wellness ways to prevent and decrease cancer risk

Cancer and our genes

Understanding Cancer basics

Cancer treatments what to expect

Cancer pain assessment and management

Loss grief and end-of-life comfort

Resources

Community Activities

35

36

Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska

NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers

37

Conclusion

bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review

38

Thank you

Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg

bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition

bullFlorida Department of Health39

What cancer knowledge education information did the CHW receive

Course manual written bycollaboration with medical providers in Alaska and CHWS wrote 9 sections including

Self Care

Wellness ways to prevent and decrease cancer risk

Cancer and our genes

Understanding Cancer basics

Cancer treatments what to expect

Cancer pain assessment and management

Loss grief and end-of-life comfort

Resources

Community Activities

35

36

Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska

NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers

37

Conclusion

bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review

38

Thank you

Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg

bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition

bullFlorida Department of Health39

36

Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska

NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers

37

Conclusion

bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review

38

Thank you

Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg

bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition

bullFlorida Department of Health39

Cancer 101 ContentCancer 101 Cover Introduction amp Table of ContentsModule 1 Cancer Among American Indians amp Alaska

NativesModule 2 What is CancerModule 3 Risk Factors and Risk ReductionModule 4 The Role of Genes in CancerModule 5 Cancer Screening and Early DetectionModule 6 Cancer Diagnosis and StagingModule 7 Basics of Cancer TreatmentModule 8 Biospecimens and BiobankingModule 9 Chronic Conditions and CancerModule 10 Support for Patients and Caregivers

37

Conclusion

bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review

38

Thank you

Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg

bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition

bullFlorida Department of Health39

Conclusion

bullWe are currently reviewing additional articlesbullWe are also currently in the synthesizing and appraisal steps of the review

38

Thank you

Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg

bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition

bullFlorida Department of Health39

Thank you

Students at Bowie State UniversityNicole OfferBathai EdwardsShalini BroodamwwwDrwilsongrouporg

bullMoffitt Cancer CenterbullUniversity of South FloridabullCenter for Equal HealthbullFlorida Community Health Worker Coalition

bullFlorida Department of Health39

Have a Wonderful Semester

Questions 40