| Popis: |
Community health workers (CHWs) serve the communities they are from and are more likely to experience a similar low socioeconomic status, leading to a higher-than-average risk for chronic diseases and poor health outcomes. CHWs also often work in environments that rarely facilitate their wellness and self-care, indicating a need for wellness and self-care programming. Two critical aspects are burnout and physical activity (PA). To our knowledge, there are no published CHW wellness or self-care programs. Therefore, we adapted a participant-led program, HANS KAI, using the collective efficacy conceptual framework. This study had three aims: (1) conduct a CHW HANS KAI program formative evaluation, (2) pilot the CHW HANS KAI program, and (3) conduct a mixed-methods evaluation of the CHW HANS KAI program. Focus groups (n = 5 ) were conducted using a web conferencing platform. Data were analyzed using descriptive and interpretive qualitative research methods. Participants were from the Midwest, United States, and included CHWs (n = 35) and supervisors (n = 5). Eight salient themes were developed within five domains. Findings reveal that CHW HANS KAI is culturally appropriate and beneficial to CHWs. For Aim 2, nine Ohio CHWs participated in the pilot CHW HANS KAI intervention. We used a quasi-experimental one-group design with a double pretest, double posttest, and non-equivalent dependent variable. Despite following focus group recommendations and working closely with a community partner to implement the pilot CHW HANS KAI, our study was underpowered and had incomplete, non-normally distributed data. Therefore, we present challenges and recommendations for practitioners and researchers to implement future CHW HANS KAI groups. For aim 3, we conducted a mixed-methods summative evaluation to explore how the qualitative interview results about HANS KAI participants’ PA, burnout, and collective efficacy contextualize the quantitative intervention results. Overall, a few participants indicated perceived improvements within PA and collective efficacy, all described positive experiences, and all found it to be beneficial. These studies demonstrate the possibility of a CHW HANS KAI group positively impacting CHW wellness and self-care. They also offer insights into improvements for future CHW HANS KAI groups and other CHW-specific programming. |
