Design, implementation, and evaluation of community health worker training programs in Latinx communities: A scoping review

Abstract

This review examines the current reporting trends of program design, implementation, and evaluation of training programs for Latinx community health workers. Five scholarly databases were searched using a scoping review methodology to identify articles describing training programs for Latinx community health workers. The timeframe was 2009 to 2021. We identified 273 articles, with 59 meeting inclusion criteria. Researchers thematically coded the articles to identify reporting strategies related to program design, implementation, and evaluation. Findings suggest a lack of consensus in reporting elements critical to program resources, instructor qualifications, frequency and length of training implementation, theoretical background, and pedagogical tools associated with the training program. We offer detailed reporting recommendations of community health worker training programs to support the consistent dissemination of promising practices and facilitate the initiation of new programs for Latinx community health workers.

Training-of-trainers program for community health workers involved in an innovative and community-based intervention among goldminers in the Guiana Shield: a quality and effectiveness evaluation

“…Scientists call for studies examining the effectiveness and characteristics of training programs for CHWs to provide reliable evidence, to avoid replication of programming difficult, to ensure highquality of training programs, to make possible standardization on the evaluation (53)(54)(55)(56)(57). This study shows as developing methodology for training evaluation is possible, feasible and necessary to ensure advancements on this field.…”

Addressing Training Gaps: A Competency-Based, Telehealth Training Initiative for Community Health Workers

“…28 The CHWs expand the ability of health care teams in this area and are likely to play an increasingly important role in health care. 2 , 5 , 29 Given the likely increase in CHWs, it is vital for both patient safety and effective research that we adequately train and account for CHW competencies. Competency-based education offers a measurable, practice-based approach to the education and assessment of health professionals, including CHWs.…”

“…To obtain curriculum content, investigators reviewed the literature to obtain five evidence-based, sessions. 5 , 8 , 9 , 11 , 16 , 20 Table 1 illustrates the theoretical model for training as they link to the curriculum details: objectives, competency domains, formant, content, continuing education hours, and additional assignments. The Texas Department of State Health Services approved this training for 5 h of formal CHW continuing education credit.…”

“…They show particular promise to promote health equity in minority communities that experience linguistic barriers, disadvantages due to structural racism, economic hardships, and disparities in chronic disease burden. 5 The CHWs have demonstrated efficacy as a cost-effective approach to improve many conditions and disease outcomes in populations experiencing disparities. 2 The CHW-mediated initiatives have been effective in numerous interventions, including behavior change, use of preventive and screening services, chronic disease monitoring, mental health, and quality of life.…”