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. 2014 Oct;19(10):1091-9.
doi: 10.1634/theoncologist.2014-0104. Epub 2014 Sep 17.

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

Nancy L Keating  1 , Elena M Kouri  1 , Héctor Arreola Ornelas  1 , Oscar Méndez  1 , Laura Magaña Valladares  1 , Felicia Marie Knaul  2
Affiliations

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

Nancy L Keating et al. Oncologist. 2014 Oct.

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 < .05). These improvements were maintained 3 to 6 months after training.

Conclusion: Train-the-trainer programs hold promise for leveraging community health workers, who far outnumber other health professionals in many low- and middle-income countries, to engage in health promotion activities for cancer and other noncommunicable diseases.

Keywords: Breast cancer; Education and training; Health workers; Mexico.

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Conflict of interest statement

Disclosures of potential conflicts of interest may be found at the end of this article.

Figures

Figure 1.
Figure 1.
Training kit.
Figure 2.
Figure 2.
Professional health promoters. ∗, Significantly different from pretraining values (p < .001) using paired t tests. ‡, Significantly different from pretraining values (p < .05) using paired t tests.
Figure 3.
Figure 3.
Community health promoters. ∗, Significantly different from pretraining values (p < .001) using paired t tests.
See this image and copyright information in PMC

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