African American patients are less likely than White patients to access palliative care. Community health workers (CHWs) are non-clinical public health workers who may address this gap. We developed a Palliative Care Curriculum and Training Plan for CHWs as part of an ongoing randomised controlled trial evaluating the effectiveness of a CHW palliative care intervention for African American patients with advanced cancer. This study aimed to determine whether the Palliative Care Curriculum and Training Plan leads to gains in knowledge, perceived competence on CHW study-based tasks, and satisfaction among CHWs. The curriculum was delivered over 3 months using synchronous, asynchronous and experiential training components. CHWs were assessed through survey questionnaires and semistructured interviews. We trained a total of three CHWs, one from each of our enrolment sites: Johns Hopkins Hospital, TidalHealth Peninsula Regional and University of Alabama at Birmingham Hospital. CHWs demonstrated an increase in knowledge, with a mean pre-training test score of 85% (SD 10.49) and post-training test score of 96% (SD 4.17). The training led to increases in perceived competence among CHWs. Areas for future training were identified. This curriculum serves as a template for CHW training focused on palliative care, oncology and health disparities.
- advance care planning
- education and training
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Contributors CRediT authorship contribution statement—OM: conceptualisation, methodology, formal analysis, investigation, writing - original draft. AA-Z: conceptualisation, methodology, writing - review and editing. SF: formal analysis, writing - review and editing. TB-M: conceptualisation, methodology, investigation, writing - review and editing. AS: conceptualisation, writing - review and editing. AW: conceptualisation, writing - review and editing. JP: conceptualisation, methodology. CAI: conceptualisation, methodology, writing - review and editing. FMJ: conceptualisation, methodology, writing - review and editing, supervision.
Funding This study is part of an ongoing randomised controlled trial entitled 'Dissemination and Implementation of a Community Health Worker Intervention for Disparities in Palliative Care: DeCIDE PC', which is funded by the National Cancer Institute (Grant number: 1R01CA252101-01A1).
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
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