Building-Capacity
Chronic Disease Management Training for Community Health Care Workers
Mililani Trask-BattiCommunity Engagement Core, DNHH
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?