Trial reportTranslational behavioral medicine2019
Web-based versus in-person methods for training lay community health advisors to implement health promotion workshops: participant outcomes from a cluster-randomized trial.
Trial report in Translational behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Advancing Mammographic Screening Among Underserved Groups: A Systematic Review and Meta-Analysis of Intervention Strategies to Increase Breast Cancer Screening Uptake.Public health reviews · 2025Pooled it
- Community Health Workers to Increase Cancer Screening: 3 Community Guide Systematic Reviews.American journal of preventive medicine · 2023Pooled it
- Culturally Tailored Intervention to Promote Mammography Screening Practice Among Chinese American Women: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020Pooled it
- Cluster-randomized trial comparing organizationally tailored versus standard approach for integrating an evidence-based cancer control intervention into African American churches.Translational behavioral medicine · 2022Trial
- An Approach to Adapting a Community-Based Cancer Control Intervention to Organizational Context.Health promotion practice · 2020Trial
- Assessing the effectiveness of training models for national scale-up of an evidence-based nutrition and physical activity intervention: a group randomized trial.BMC public health · 2019Trial
- Training and supervision of lay mental health workers in community-based interventions in East Africa: a scoping review.Global health action · 2026Article
- Outcomes of Digital Training for Community Health Workers in Low- and Middle-Income Countries: Scoping Review.JMIR medical education · 2026Article
- Community organization capacity and barriers to mental health promotion efforts: a configurational analysis.BMC public health · 2026Article
- Service delivery and challenges in healthy life centers: lessons for strengthening primary health care from Turkey.BMC health services research · 2026Article
- Cancer interventions with faith-based organizations: a scoping review.Cancer causes & control : CCC · 2025Article
- Sustainability and Adaptability of a Community Health Advisor-Led Educational Program in Faith-Based Organizations in Underserved Communities during the COVID-19 Pandemic.Journal of community health · 2025Article
- "Our work is recognized and we are prepared:" A qualitative evaluation of a peer-led research best practices training for community health workers and promotoras.Journal of clinical and translational science · 2025Article
- Educational interventions to improve bowel cancer awareness and screening in Organisation for Economic Co-operation and Development countries: A scoping review.Preventive medicine reports · 2024Article
- The role of organizational capacity in intervention efficacy in a church-based cancer education program: A configurational analysis.Global implementation research and applications · 2023Article
- The role of community health advisors' cancer history in implementation and efficacy of a cancer control intervention.Health education research · 2023Article
- Multilevel Determinants of Digital Health Equity: A Literature Synthesis to Advance the Field.Annual review of public health · 2023Review
- Prior health promotion experience and intervention outcomes in a lay health advisor intervention.Health education research · 2022Article
- M.I.C.A.H. Project HEAL: Sustainability of a Faith-Based Community Health Advisor Training Program in Urban Underserved Communities in the USA.Journal of religion and health · 2022Article
- Evaluation of organizational capacity in the implementation of a church-based cancer education program.Global implementation research and applications · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Project HEAL (Health through Early Awareness and Learning) is an implementation trial that compared two methods of training lay peer community health advisors (CHAs)-in-person ("Traditional") versus web-based ("Technology")-to conduct a series of three evidence-based cancer educational workshops in African American churches. This analysis reports on participant outcomes from Project HEAL. Fifteen churches were randomized to the two CHA training methods and the intervention impact was examined over 24 months. This study was conducted in Prince George's County, MD, and enrolled 375 church members age 40-75. Participants reported on knowledge and screening behaviors for breast, prostate, and colorectal cancer. Overall, cancer knowledge in all areas increased during the study period (p < .001). There were significant increases in digital rectal exam (p < .05), fecal occult blood test (p < .001), and colonoscopy (p < .01) at 24 months; however, this did not differ by study group. Mammography maintenance (56% overall) was evidenced by women reporting multiple mammograms within the study period. Participants attending all three workshops were more likely to report a fecal occult blood test or colonoscopy at 24 months (p < .05) than those who attended only one. These findings suggest that lay individuals can receive web-based training to successfully implement an evidence-based health promotion intervention that results in participant-level outcomes comparable with (a) people trained using the traditional classroom method and (b) previous efficacy trials. Findings have implications for resources and use of technology to increase widespread dissemination of evidence-based health promotion interventions through training lay persons in community settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.