Building-Capacity

Chronic Disease Management Training for Community Health Care Workers

Mililani Trask-BattiCommunity Engagement Core, DNHH

mktb@hawaii.edu

Identifying the Need

• Needs assessment conducted– Community Health Centers– Native Hawaiian Health Care System

• Identified the training of CHW’s about chronic conditions as top priority

• Development of introductory level curriculum focusing on – Diabetes Mellitus-Diabetes 101– Cardiovascular Disease-Heart 101 – Renal Disorders- Kidney 101/ Diabetes 102

Diabetes 101

• Developed in partnership – POL, WCCHC, HPCA

• Incorporation of culturally-based education– Language– Context– Content

• Assessment of knowledge gained and retained – Pre/Post-Seminar– 6 month post-seminar

Heart 101

• Developed in collaboration– Former Kanaka HCW who

had an MPH– Cardiovascular nurse– Internal med doctor

• Culturally-based and scientifically measured

• Assessment of knowledge gained and retained – Pre/Post-Seminar– 6 month post-seminar

Overview of All Seminars

Change in Cardiometabolic Knowledge, Capacity-Building

Diabetes 101 Heart 101

n 124 30

Total number of Questions 15 16

Mean Pretest Score 10.05 11.00

Mean Posttest Score 12.67 14.77

Mean Difference (SD) 2.62 (0.26)* 3.77 (0.41)*

* P < 0.0001

Classes Attendees Seminars

Diabetes 101 354 25

Heart 101 70 4

Kidney 101/Diabetes 102 61 5

Total 485 34

Hawai`i(Big Island)

Maui

Kaho`olawe

Lāna`i

Molokai`Ni`ihau

Ulu Network Organizations in Hawai‘iUlu Network Organizations in Hawai‘i

Hāna Community Health Ctr.

Waianae Coast Comp. Health Ctr.

Kaua`i

O`ahu

Ke Ola MamoKalihi-Pālama Health Ctr.

Kōkua Kalihi ValleyHawaii Primary Care Assoc.

KS-Kapālama Campus

Papa Ola LokahiWaikīkī Health Ctr.

Queen Emma Clinic

Alu Like Inc.

Waimānalo Health Ctr.Ho`ola Lāhui

Hawai`i

Kaua`i Community Health Ctr.

Nā Pu`uwai

Moloka`i General Hospital

Community Clinic of MauiMālama I Ke Ola

Hui No Ke Ola Pono

Hamakua Health Ctr.

Hui Mālama Ola Na `Oiwi

Bay Clinic

LEGEND: Ulu Network Organization Main Site Ulu Network Organization Satellite

Ko`olauloa Community Health Ctr.DPCP Hawaii

Lāna`i Community Health Ctr.

Kula Na Po`e Hawai`i

West Hawaii Community Health Ctr

Moloka`i Community Health CtrKaua`i

Diabetes Today

Hawai`i Maoli

Hilo Medical Center

Mahalo!

Questions?