Abstract：
Less than half of eligible Black women are assessed for genetic risk and only 28% engage in recommended hereditary breast and ovarian cancer (HBOC) risk-reducing interventions. CHWs are trusted individuals that work as a liaison between health systems and the community to improve access to services and support cancer prevention efforts, though they are an overlooked resource to support genetic risk assessment. To address the need and training gaps for CHWs, we developed and assessed an online training program to build CHW\'s competencies in cancer genomics and use of health information technologies to navigate high-risk individuals to appropriate genetic services.
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.
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.
摘要：
背景：不到一半的合格黑人女性接受了遗传风险评估，只有28％的人参与了推荐的HBOC降低风险的干预措施。CHWs是社区中值得信赖的成员，他们作为卫生系统和社区之间的联络人，以改善获得服务的机会并支持癌症预防工作，尽管它们在支持遗传风险评估方面被忽视了。为了解决CHW的需求和培训差距，我们开发并评估了名为KEEPIT（通过IT保持彼此参与计划）的在线培训计划。
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。
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。
