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Training Experiences of Lay and Professional Patient Navigators for Colorectal Cancer Screening
Authors:Rachel C. Shelton  Hayley S. Thompson  Lina Jandorf  Alejandro Varela  Bridget Oliveri  Cristina Villagra  Heiddis B. Valdimarsdottir  William H. Redd
Affiliation:(1) Department of Sociomedical Sciences, Columbia University, Mailman School of Public Health, 722 West 168th Street, Room 548, New York, NY 10032, USA;(2) Department of Epidemiology and Population Health, Albert Einstein College of Medicine of Yeshiva University, Bronx, NY 10461, USA;(3) Department of Oncological Sciences, Mount Sinai School of Medicine, New York, NY 10029, USA;(4) New York Medical College, Valhalla, NY 10595, USA;(5) Reykjavik University, School of Health and Education, Ofnleiti 2, 103, Reykjavik, Iceland
Abstract:Patient navigation (PN) is increasingly used in cancer care, but little is known about the identification and training of patient navigators. PN may be implemented by professional health care providers, paraprofessionals, or lay health workers and, therefore, presents an opportunity to compare professional and lay interventionist experiences. The goal of the current report is to compare the training experiences of four professional (Pro) and five lay (LHW) patient navigators enlisted to increase colonoscopy adherence among African American primary care patients. The results of early assessments showed that LHWs’ intervention-related knowledge was significantly lower than that of Pros. However, there were no significant differences in knowledge scores between LHWs and Pros for most subsets of knowledge items in later assessments. Furthermore, there were no significant differences in LHWs’ and Pros’ reported self-efficacy and satisfaction with training. Findings support the use of diverse strategies to train and prepare LHWs as patient navigators.
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