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dc.creatorShireman, Theresa I.
dc.creatorAdia, Alexander C.
dc.creatorTan, Yin
dc.creatorZhu, Lin
dc.creatorRhee, Joanne
dc.creatorOgunwobi, Olorunseun O.
dc.creatorMa, Grace X.
dc.identifier.citationTheresa I. Shireman, Alexander C. Adia, Yin Tan, Lin Zhu, Joanne Rhee, Olorunseun O. Ogunwobi, Grace X. Ma, Online versus in-person training of community health workers to enhance hepatitis B virus screening among Korean Americans: Evaluating cost & outcomes, Preventive Medicine Reports, Volume 19, 2020, 101131, ISSN 2211-3355,
dc.description.abstractFrom 2014 to 2018, we developed and implemented culturally appropriate interventions delivered by community health workers (CHWs) in Pennsylvania and New Jersey. To determine the most cost-effective approach, we recruited 40 predominantly foreign-born Korean American CHWs and used cluster sampling to assign them into two training groups (online training vs. in-person training). We prospectively assessed the cost of training 40 Korean American CHWs and the cost of subsequent HBV educational workshops delivered by the CHWs. We also assessed these costs relative to the success of each training approach in recruiting participants for HBV screening and vaccination. We found that the training costs per participant were higher for in-person training ($1.71 versus $1.12), while workshop costs per participant were lower for in-person training ($2.19 versus $4.22). Workshop attendee costs were comparable. After accounting for site clustering, there were no significant differences in total costs per participant ($24.55 for the online-trained group and $26.05 for the in-person group). In-person trained CHWs were able to generate higher HBV screening and vaccination rates (49.3% versus 21.4% and 17.0% versus 5.9%, respectively) among their participants compared with online-trained CHWs. Given better outcomes and no differences in costs, in-person training dominated the online training option. Despite the potential for efficiency to be gained with online training, CHWs who attended live training outperformed their online-trained colleagues. Elements of the didactic approach or practice with peers in the live session may have contributed to the superior training effectiveness and, ultimately, improved cost-effectiveness of the in-person approach.
dc.format.extent6 pages
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartPreventive Medicine Reports, Vol. 19
dc.rightsAttribution CC BY
dc.subjectCommunity health worker training
dc.subjectHBV screening and vaccination
dc.subjectCommunity-based participatory research
dc.subjectKorean Americans
dc.titleOnline versus in-person training of community health workers to enhance hepatitis B virus screening among Korean Americans: Evaluating cost & outcomes
dc.type.genreJournal article
dc.contributor.groupCenter for Asian Health (Temple University)
dc.description.departmentClinical Sciences
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact
dc.description.schoolcollegeLewis Katz School of Medicine
dc.temple.creatorTan, Yin
dc.temple.creatorZhu, Lin
dc.temple.creatorRhee, Joanne
dc.temple.creatorMa, Grace X.

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