This mixed-methods study sought to examine the impact of the Project ECHO Brain Health program on participating community health workers' (CHWs') self-efficacy to address dementia, promote brain health, and advocate for research among Latinx South Texas communities. Using an explanatory sequential design, quantitative data collected from pre- and post-program surveys were analyzed to inform the collection of qualitative data, followed by an interpretation of all findings to better understand the impact of the program on self-efficacy. Pre- and post-surveys were collected from 25 CHWs, 13 of whom later participated in individual interviews. There was a statistically significant increase in mean self-efficacy scores between the pre- and post-surveys among participants. Three categories reflecting the experiences of participants were identified from the qualitative data: addressing training needs; impact on CHWs and their practice; and community of learning. The findings suggest that Project ECHO Brain Health program is a timely intervention that may facilitate increased self-efficacy among CHWs as they navigate the impacts of dementia in their communities.
Keyphrases
- quality improvement
- healthcare
- mental health
- public health
- white matter
- magnetic resonance
- health information
- mild cognitive impairment
- cross sectional
- primary care
- systematic review
- study protocol
- health promotion
- magnetic resonance imaging
- computed tomography
- diffusion weighted imaging
- human health
- contrast enhanced
- high resolution
- risk assessment
- mass spectrometry
- data analysis