Expert communication training for providers in community health centers
Department of Medicine; Department of Family Medicine and Community Health
Community Health Centers; Community Health Workers; Health Communication; Professional-Patient Relations
Community Health and Preventive Medicine | Preventative Medicine | Primary Care
BACKGROUND: Community health center (CHC) clinicians describe significant challenges in delivering care for populations with complex health needs.
INTERVENTION: A three-workshop series was presented to 102 providers working in CHCs. Training focused on four areas identified through online needs assessment: challenging interactions; patient perspective; health literacy; and motivational interviewing.
EVALUATION METHODS: A retrospective pre-post evaluation measured self-perceived change in content knowledge in all four areas. Participants documented commitments to change behaviors across workshops, which were analyzed for recurring themes.
RESULTS: Paired t-tests documented improvement in all four content areas. Content analysis of commitments yielded four themes: empowering patients, structuring care, understanding patients, and reflecting purposefully. Of the sixty-eight percent of participants responding to post-workshop queries about their commitments (n=70), 94% report having fully implemented changes in practice behavior or planning to do so.
CONCLUSIONS: Providers at CHCs benefit from opportunities to learn and reflect together about communication challenges in practice.