Introducing an Effective Dementia Training for Community Health Workers

TL;DR

This paper introduces a dementia training program for community health workers that improves their knowledge and confidence in addressing dementia care.

Contribution

The paper presents a culturally adaptable dementia training program for CHWs, evaluated using the Kirkpatrick Model with positive outcomes.

Findings

Training significantly improved knowledge and self-efficacy among community health workers.

Trainees expressed satisfaction with the training content and found it practically valuable for their work.

The training can be adapted for different communities using culturally relevant narratives.

Abstract

Community health workers (CHWs) have been identified as a public health workforce that can help remedy the national dementia crisis by supporting individuals and communities to prevent and recognize dementia. CHWs who completed workforce-appropriate trainings to address dementia are likely to have a positive impact on healthy aging and living with dementia. The Oklahoma Dementia Care Network developed the Dementia Training for Community Health Workers by combining knowledge about CHWs in Oklahoma, national recommendations on the CHW scope of work, and evidence-based dementia care strategies. Utilizing the Kirkpatrick Model, we evaluated the training effectiveness with a focus on knowledge and skill acquisition, CHW training feedback, and application of knowledge and resources shared during the training. We conducted 15 trainings with 307 trainees between June 2020 and March 2024. Data was collected on pre/post knowledge, self-efficacy, and post-training feedback. Analyzing a subsample of trainees (50%; n = 154), we found that both knowledge and some of the self-efficacy items showed statistically significant improvements. Trainees were satisfied with the training content, format, and delivery. Responding to a follow-up survey, they shared their appreciation of the practical value of the training to their jobs. Our training has practical implications for workforce development as it prepares CHWs to address dementia within their broad scope of work. The training can be adapted by different communities using culturally relevant narratives that reflect unique values and experiences.