CHA Basic Training Via Distance

COMMUNITY HEALTH AIDE (CHA) BASIC TRAINING VIA DISTANCE Outcomes & Lessons Learned in Alaska Mary M. Rydesky & Dorothy Hight 2008 Project Proposal Goal workforce training via distance meeting expressed learning objectives Attitudinal goal of socializing students into role of village health care provider (CHA) - imperative Honoring the learners culture & ways of learning Target learners CHA/Ps & others in the CHA/P field

Trainers - a mutual learning process Lessons & methods introduced via DLN; synthesis & skills via videoconferences & clinic practice Results of Investment Learning management system (LMS) implemented for registrar functions & student interface Course(s) developed & tested - multiple tools Know How amassed among team members CHAM & CHAP field/training center interface Technology & technical/human interface

Instructional design/adult learning theory Distance learning Learning management & administration Distance Learning in Rural Alaska: a Good Fit? PRO Highly desired by villages, CHAs, & tribal entities Technology now available to villages Resources/grants available Stable curriculum & outcome standards for learners

Sensitive to village/ clinic/family demands CON Few instructors with distance learning experience Skepticism about village connectivity, student abilities, ongoing support, time/resources available Fear of change in already successful program It cant be done Seven Lessons Learned

Many skills/experienced professionals of diverse backgrounds are required Technical Creative (graphic design, html proficiency) Management (services & products, health care administration) Content specialist (clinical experience & credentials) Adult learning (educator/trainer & instructional design proficiency) Lessons Learned -2

Learning curve is extensive; result is a major advantage in terms of knowledge & skills Distance learning = many tools Not just a website or videoconferencing Cannot be quickly replicated from scratch Not just audio or video or webinar conferences Mix = correct tool to meet the learning objective Redundancy Content development timelines exceed best expectations Projected 83 hours per hour of content delivery - that was low! Lessons Learned -3

In-kind support represents the major $ investment Technology Time Expertise Under-capitalization risks growth Too few $, too few hours = product that does not meet customer satisfaction Lessons Learned -4 Once developed, the learning network (DLN) provides infinite capacity

Numerous partners, sites, target groups possible Communities of Interest & virtual meeting sites Compliance courses Specialty courses (customized to organization) Continuing education courses with credit Patient oriented courses Registrar services Student Perceptions of

Advantages of Distance Learning What Went Well Ability to explore information in more depth Sense of group camaraderie Strong ties created with coworkers & supervisors No travel & compressed learning time (less stress) Challenges Varied with the learner & site - no trends

Opportunity to train in flexibility Instructor Perceptions of Advantages of Distance Learning Ability to check progress of all students, all the time Content access - frequency & length Assignments & quiz results Email alerts of submitted items helpful Constant interaction via multiple methods/media Enhances assessment of knowledge of shy, introverted, or quiet students Equity when culture discourages perception of promoting self-importance

Project Conclusions Most suggestive predictor of success in Session II adequate amount of supervised clinical practice between sessions True for both classroom & distance trained students Repetition, practice, & feedback were critical to both skills & confidence building Distance learning equally successful to traditional classroom training in preparing CHAs for village-based practice Time & expenses of development are sizeable Efficiencies realized from auto-grading, electronic record keeping, & alerts when assignments arrived

Requirements Sustainable funding & resources Adult learning tenets in place Coordination with the training structure & process Core team dedicated to creating, revising, & presenting via distance Experienced & trained in distance learning Onsite mentorship for skills development & oversight Evaluation process & tools Continually meet program standards Specific to distance delivery methods

Successful Distance Learning Support Selection of Course & class design, syllabus, lessons Learning management system, connectivity Supervision Students, clinical instructors, facilitators, mentors Correct technology for each learning objective

Structure Technical, software, design, business administration Both at training source & field/village location Clinical skills practice in village, online, & videoconferences Sustainability More than money - commitment to change & delayed ROI Lesson for the Future If you want a quality product, leave nothing to chance! Applications - Workforce development Behavioral health Dental health CME Applications - Patients & community Wellness Health issues CoI or CoP circles Applications - Healthy socialization New writers circle

Social networking More Information Mary M. Rydesky [email protected] Dorothy Hight [email protected] Kas Healy [email protected] Abbreviations used herein: ANTHC Alaska Native Tribal Health Consortium ARC Academic Review Committee of CHAP CHAP Community Health Aide Program CHA/P Community Health Aide/Practitioner CHAM Community Health Aide Manual DLN Distance Learning Network EAT & EATs Eastern Aleutian Tribes LMS Learning Management System Moodle Modular Object-Oriented Dynamic Learning Environment ROI Return on Investment

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