Evaluation of breast cancer knowledge among health promoters in Mexico before and after focused training

Nancy L. Keating, Elena M. Kouri, Héctor Arreola Ornelas, Oscar Méndez, Laura Magaña Valladares, Felicia Knaul

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Objective: Breast cancer is a leading cause of morbidity and mortality in Mexico. We assessed the effectiveness of a train-the-trainer program in two Mexican states in improving knowledge among professional and nonprofessional community health workers.Materials and Methods: We worked with local organizations to develop and implement a train-the-trainer program to improve breast cancer knowledge among community health workers, including professional health promoters (PHPs) who were trained and then trained nonprofessional community health promoters (CHPs). We surveyed participants before and after training that included in-person and online classes and again approximately 3 months later. We used paired t tests and chi-square tests to compare survey responses at the different times. We also used logistic regression to assess whether promoter characteristics were associated with greater improvements in breast cancer knowledge after training.Results: Overall, 169 PHPs (mean age, 36 years) completed training and provided a 10-hour training course to 2,651 CHPs, who also completed the pre- and post-training survey. For both PHPs and CHPs, post-training surveys demonstrated increases in an understanding of breast cancer as a problem; an understanding of screening, treatment, and insurance coverage issues; and knowledge of breast cancer risk factors, symptoms, and what constitutes a family history of breast cancer (all p

Original languageEnglish (US)
Pages (from-to)1091-1099
Number of pages9
JournalOncologist
Volume19
Issue number10
DOIs
StatePublished - 2014
Externally publishedYes

Keywords

  • Breast cancer
  • Education and training
  • Health workers
  • Mexico

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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