The curriculum and 10 training modules were developed through engaging a panel of experts in a three-round Delphi process. Recruitment focused on CHWs who worked in clinical settings or groups providing outreach or health services to Black women. We assessed: changes in knowledge and attitudes about HBOC and genomics, as well as the perceptions about the quality and implementation of the training.
Forty-six individuals expressed interest in the training after recruitment. Thirty eight individuals were eligible for the training and 26 completed the course. We found improvements in knowledge and genomics competencies immediately post-course, but the majority of these improvements were not sustained at 3-month follow-up. The training was highly rated for its relevance to CHW work and overall delivery. Top rated sessions included HBOC overview and family history collection. On average, participants reported discussing HBOC with 17 individuals at 3-month follow-up.
Championing a diverse cancer and genomics workforce can help address the goals of the National Cancer Plan to improve early detection and health equity. Through this training, CHWs gained critical cancer and genomics knowledge that was then applied to their primary roles.
方法:课程和模块是通过让专家小组参与三轮Delphi过程而开发的。该过程导致为培训创建了10个模块。招聘重点是在临床环境或为黑人妇女提供外展或健康服务的团体中工作的CHW。培训措施以RE-AIM框架为指导,以评估课程及其有效性。
结果:46个人在招募后表示对培训感兴趣。38个人有资格参加培训,26人完成了课程。我们在课程结束后立即发现知识和基因组学能力有所改善,但这些改善中的大部分在3个月的随访中并未持续.该培训因其与CHW工作和整体交付的相关性而受到高度评价。评分最高的会议包括遗传性乳腺癌和卵巢癌以及家族史和家族史收集。平均而言,参与者报告在3个月随访时与17名患者讨论了HBOC.
结论:倡导多样化的癌症和基因组学劳动力可以帮助实现国家癌症计划的目标,以改善早期发现和健康公平性。通过这次培训,CHW获得了关键的癌症和基因组学知识,然后将其应用于其主要角色。