Evaluating a Community Health Worker Training Program for Medication Adherence Support
Introduction: Medication nonadherence significantly contributes to poor health outcomes and increased healthcare costs, particularly in chronic diseases like hypertension. Community Health Workers (CHWs) are well-positioned to address adherence barriers but often lack specific training in medication...
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Elsevier
2025-06-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065425000264 |
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| author | Richard Segal, RPh, PhD Michelle L. Zeigler, PharmD, PhD, BCACP Jordan L. Wallace, PharmD, BCOP Teresa E. Roane, PharmD, MBA, BCACP Lorraine Mobley, RPh, CPh, BCGP Folakemi T. Odedina, PhD |
| author_facet | Richard Segal, RPh, PhD Michelle L. Zeigler, PharmD, PhD, BCACP Jordan L. Wallace, PharmD, BCOP Teresa E. Roane, PharmD, MBA, BCACP Lorraine Mobley, RPh, CPh, BCGP Folakemi T. Odedina, PhD |
| author_sort | Richard Segal, RPh, PhD |
| collection | DOAJ |
| description | Introduction: Medication nonadherence significantly contributes to poor health outcomes and increased healthcare costs, particularly in chronic diseases like hypertension. Community Health Workers (CHWs) are well-positioned to address adherence barriers but often lack specific training in medication management and particularly in improving medication adherence. The objective of this study is to evaluate a training program for CHWs focused on medication adherence support for patients with hypertension. Methods: The study team designed a comprehensive training program consisting of pre-recorded lectures and a 2-day live session. The live training content included didactic lectures integrated with hands-on practice cases and small group breakout sessions. The program was evaluated using pre and posttests assessing knowledge and self-efficacy. A quality improvement process was implemented post-training to support CHWs in their new roles. Results: A total of 109 CHWs participated in the training. Knowledge scores improved from 28% pretraining to 81% posttraining (p<0.001). Self-efficacy scores showed significant improvement across all measured domains. Conclusions: This structured training program effectively improved CHWs' knowledge and confidence in supporting medication adherence. This approach shows promise for enhancing CHWs' roles in collaborating with healthcare professionals for chronic disease management. |
| format | Article |
| id | doaj-art-0dd8fe924fa34e808e2c0021249b9eb7 |
| institution | Kabale University |
| issn | 2773-0654 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj-art-0dd8fe924fa34e808e2c0021249b9eb72025-08-20T03:48:46ZengElsevierAJPM Focus2773-06542025-06-014310033810.1016/j.focus.2025.100338Evaluating a Community Health Worker Training Program for Medication Adherence SupportRichard Segal, RPh, PhD0Michelle L. Zeigler, PharmD, PhD, BCACP1Jordan L. Wallace, PharmD, BCOP2Teresa E. Roane, PharmD, MBA, BCACP3Lorraine Mobley, RPh, CPh, BCGP4Folakemi T. Odedina, PhD5Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville, Florida; Address correspondence to: Richard Segal, RPh, PhD, University of Florida, 1889 Museum Road, Box 100496, Gainesville FL 32611.Medication Management Pharmacist, Aledade, Gainesville, FloridaPediatric Oncology Pharmacy Clinical Specialist, Department of Pharmacy, Golisano Children's Hospital, Fort Myers, FloridaDepartment of Pharmacy Education and Practice, College of Pharmacy University of Florida, Gainesville, FloridaDepartment of Pharmacy Education and Practice, College of Pharmacy, University of Florida, Gainesville, FloridaCancer Prevention, Survivorship and Care Delivery (CPSCD) Research Program and iCCaRE for Black Men Consortium, Mayo Clinic Comprehensive Cancer Center, Jacksonville, Florida; Prostate Cancer Transatlantic Consortium (CaPTC), Jacksonville, Florida.Introduction: Medication nonadherence significantly contributes to poor health outcomes and increased healthcare costs, particularly in chronic diseases like hypertension. Community Health Workers (CHWs) are well-positioned to address adherence barriers but often lack specific training in medication management and particularly in improving medication adherence. The objective of this study is to evaluate a training program for CHWs focused on medication adherence support for patients with hypertension. Methods: The study team designed a comprehensive training program consisting of pre-recorded lectures and a 2-day live session. The live training content included didactic lectures integrated with hands-on practice cases and small group breakout sessions. The program was evaluated using pre and posttests assessing knowledge and self-efficacy. A quality improvement process was implemented post-training to support CHWs in their new roles. Results: A total of 109 CHWs participated in the training. Knowledge scores improved from 28% pretraining to 81% posttraining (p<0.001). Self-efficacy scores showed significant improvement across all measured domains. Conclusions: This structured training program effectively improved CHWs' knowledge and confidence in supporting medication adherence. This approach shows promise for enhancing CHWs' roles in collaborating with healthcare professionals for chronic disease management.http://www.sciencedirect.com/science/article/pii/S2773065425000264Medication adherencecommunity health workerspharmaciststraining programmarginalized populationshypertension |
| spellingShingle | Richard Segal, RPh, PhD Michelle L. Zeigler, PharmD, PhD, BCACP Jordan L. Wallace, PharmD, BCOP Teresa E. Roane, PharmD, MBA, BCACP Lorraine Mobley, RPh, CPh, BCGP Folakemi T. Odedina, PhD Evaluating a Community Health Worker Training Program for Medication Adherence Support AJPM Focus Medication adherence community health workers pharmacists training program marginalized populations hypertension |
| title | Evaluating a Community Health Worker Training Program for Medication Adherence Support |
| title_full | Evaluating a Community Health Worker Training Program for Medication Adherence Support |
| title_fullStr | Evaluating a Community Health Worker Training Program for Medication Adherence Support |
| title_full_unstemmed | Evaluating a Community Health Worker Training Program for Medication Adherence Support |
| title_short | Evaluating a Community Health Worker Training Program for Medication Adherence Support |
| title_sort | evaluating a community health worker training program for medication adherence support |
| topic | Medication adherence community health workers pharmacists training program marginalized populations hypertension |
| url | http://www.sciencedirect.com/science/article/pii/S2773065425000264 |
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