Feasibility of community health workers as teleaudiology patient-site facilitators: a multilevel training study.

We evaluated the feasibility of a multi-level teleaudiology patient-site facilitator training program for Community Health Workers (CHWs) at a partnering health centre in southern Arizona. Three levels were offered: Introductory, with basic information on hearing loss and teleaudiology; Intermediate...

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Publicado en:International Journal of Audiology Vol. 60; no. 9; pp. 663 - 677
Autores principales: Coco, Laura, Piper, Rosie, Marrone, Nicole
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Audiology
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      dt: Sep2021
      vid: 60
      iid: 9
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2020.1864487
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        atl: Feasibility of community health workers as teleaudiology patient-site facilitators: a multilevel training study.
      aug:
        au:
          Coco, Laura
          Piper, Rosie
          Marrone, Nicole
        affil: College of Science, Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ, USA
      sug:
        subj:
          Program Evaluation
          Telehealth Education
          Audiology
          Community Health Workers Education
          Collaboration
          Health Facilities Arizona
          Human
          Pilot Studies
          Health Services Accessibility
          Staff Development
          Arizona
          Hearing Disorders
          Technology
          Professional Knowledge
          Hearing Aids
          Health Care Delivery
          Multimethod Studies
          Field Notes
          Discussion
          Professional Competence
          Descriptive Statistics
          Coding
          Thematic Analysis
          Female
          Adult
          Middle Age
          Aged
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab: We evaluated the feasibility of a multi-level teleaudiology patient-site facilitator training program for Community Health Workers (CHWs) at a partnering health centre in southern Arizona. Three levels were offered: Introductory, with basic information on hearing loss and teleaudiology; Intermediate, on technology, team roles, and access issues; and Facilitator, on further knowledge and hands-on skills to serve as patient-site facilitators in synchronous hearing aid service delivery. Six domains of feasibility were addressed using a mixed-methods design. Quantitative data included survey responses and observation of hands-on skills. Qualitative data included field notes from group discussion and open-ended survey questions, and were analysed using CHW core competencies. Twelve CHWs participated in the introductory training, ten moved on to intermediate, and three continued to the facilitator. Quantitative outcomes indicated that the trainings were feasible according to each of the six domains. CHWs in the facilitator training passed the practical hands-on skill assessment. Qualitative analyses revealed CHWs comments addressed eight of the ten possible CHW core competencies, and focussed on service coordination/navigation, and capacity building. Teleaudiology trainings for CHWs were feasible, increasing service capacity for a potential pathway to improve access to hearing health care in low-resource areas.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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