title: Developing Sustainable Cancer Education Programs: Training Public Health Students to Deliver Cancer 101 in Puerto Rico.
abstract: The use of promotores to educate Hispanic communities about different health topics has been proven successful, albeit with limitations in program sustainability. The goal of this study was to develop a sustainable train-the-trainer model to train graduate public health (PH) students to disseminate cancer education among communities in Puerto Rico (PR). Graduate students (n = 32) from Ponce Health Sciences University's (PHSU) PH program participated in a 2-day Cáncer 101 training, where they learned how to deliver nine cancer modules to the community. Cancer knowledge was assessed before and after the training via 54 items measuring discussed concepts. Participants also assessed the training's effectiveness by completing a training evaluation informed by social cognitive theory (SCT) constructs of self-efficacy, outcome expectations, facilitation, and observational learning. Participants were mainly female (78.1 %), 26.7 ± 3.9 years old, and enrolled in a Masters-level program (81.3 %). Participants reported an average 11.38-point increase in cancer knowledge after attending the training [t(31) = 14.88, p < .001]. Participants also evaluated the training favorably upon completion, reporting satisfactory comments in the open-ended responses and high scores on measured SCT constructs. The Cáncer 101 training program effectively prepared students to deliver cancer education to local communities. Training graduate PH students to educate communities about health issues is an innovative, and potentially sustainable, way to reach underserved populations.
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.
authors.forename: Y M
authors.initials: YM
authors.lastname: Rivera
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.
authors.forename: L
authors.initials: L
authors.lastname: Moreno
authors.affiliation: Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA.
authors.forename: K J
authors.initials: KJ
authors.lastname: Briant
authors.affiliation: Public Health Program, Ponce Health Sciences University, Ponce, PR, 00732, USA.
authors.forename: H
authors.initials: H
authors.lastname: Vélez
authors.affiliation: Clinical Psychology Program, Ponce Health Sciences University, Ponce, PR, 00732, USA.
authors.forename: J C
authors.initials: JC
authors.lastname: Jiménez
authors.affiliation: Department of Academic Affairs, Ponce Health Sciences University, Ponce, PR, 00732, USA.
authors.forename: J
authors.initials: J
authors.lastname: Torres
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.|Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA.
authors.forename: S T
authors.initials: ST
authors.lastname: Vadaparampil
authors.affiliation: Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA.|Department of Tumor Biology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA.
authors.forename: T
authors.initials: T
authors.lastname: Muñoz-Antonia
authors.affiliation: Department of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, 33612, USA. gwen.quinn@moffitt.org.|Department of Oncologic Science, University of South Florida, Tampa, FL, 33612, USA. gwen.quinn@moffitt.org.
authors.forename: G P
authors.initials: GP
authors.lastname: Quinn
mesh_terms: D000328:Adult; D003479:Curriculum; D004500:Education, Graduate; D005260:Female; D006266:Health Education / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D007858:Learning; D008297:Male; D008507:Medically Underserved Area; D009369:Neoplasms; D015397:Program Evaluation; D011634:Public Health / Q000193:education*; D011647:Puerto Rico; D040443:Students, Public Health
keywords: Cancer education; Health disparities; Latino/Hispanic; Promotores; Training