Improving Community Health Workers’ Attitudes toward Collaborative Practice in the Care of Older Adults: An In-Service Training Intervention Trial in the Philippines

Kathryn Lizbeth L. Siongco, Keiko Nakamura, Kaoruko Seino, Robinson T. Moncatar Tj, Lourdes Marie S. Tejero, Shelley Ann F. De La Vega, Sheila R. Bonito, Richard Javier, Takako Tsutsui, Yuri Tashiro, Saber Al-Sobaihi, Fely Marilyn E. Lorenzo and Carmelita C. Canila
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Kathryn Lizbeth L. Siongco: Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Keiko Nakamura: Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Kaoruko Seino: Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Robinson T. Moncatar Tj: Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Lourdes Marie S. Tejero: College of Nursing, University of the Philippines Manila, Manila 1000, Philippines
Shelley Ann F. De La Vega: Institute on Aging, National Institute of Health, The University of the Philippines Manila, Manila 1000, Philippines
Sheila R. Bonito: College of Nursing, University of the Philippines Manila, Manila 1000, Philippines
Richard Javier: College of Public Health, The University of the Philippines Manila, Manila 1000, Philippines
Takako Tsutsui: Department of Public Health, University of Hyogo, Kobe 651-2197, Japan
Yuri Tashiro: Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Saber Al-Sobaihi: Department of Global Health Entrepreneurship, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
Fely Marilyn E. Lorenzo: Commission on Higher Education of the Philippines, Diliman, Quezon City 1101, Philippines
Carmelita C. Canila: College of Public Health, The University of the Philippines Manila, Manila 1000, Philippines

IJERPH, 2021, vol. 18, issue 19, 1-11

Abstract: The objective of this study was to evaluate the efficacy of an in-service, short-term training program in improving the attitudes toward, and readiness and activities for collaboration among community health workers (CHWs) in a primary care setting in the Philippines. A randomized controlled trial was adopted dividing participants into an intervention ( n = 42) and a control group ( n = 39). Attitudes toward, and readiness and activities for collaboration were measured using three standardized scales before and at 6 months after the training. A significant difference ( p < 0.001) was observed in the Attitudes Toward Health Care Teams Scale (ATHCTS) scores between pre- and post-test in the intervention (6.3 ± 8.3 [Mean ± SD]) and control groups (0.7 ± 8.2). Multivariate linear regression analysis showed an independent positive association between the intervention and greater improvement in the ATHCTS score (Coefficient ? = 6.17; 95% CI = 0.82, 11.53; p = 0.03) at follow-up, after adjustment for age, years in current occupation, and social support role of participants. The results demonstrated the efficacy of the intervention for improving the attitudes of CHWs toward collaborative practice in the care of older adults.

Keywords: aging society; community health workers; collaborative healthcare; Philippines (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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