Evidence map›Paper›PMID 38605309›Full record

ArticleBMC palliative care2024

Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya.

Hussein Elias, Evelyne Kisembe, Sarah Nyariki, Ivan Kiplimo, James Amisi, Juli Boit, Allison Tarus, Naseem Mohamed, Kenneth Cornetta

Abstract read
In one paragraph

Article in BMC palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hussein EliasDepartment of Family Medicine, College of Health Sciences, Moi University, Eldoret, Kenya. hussein.elias3@gmail.com.
Evelyne KisembeAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Sarah NyarikiAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
Ivan KiplimoAcademic Model Providing Access to Healthcare (AMPATH), Eldoret, Kenya.
James AmisiDepartment of Family Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.
Juli BoitLiving Room International Hospital, Eldoret, Kenya.
Allison TarusLiving Room International Hospital, Eldoret, Kenya.
Naseem MohamedWebuye County Referral Hospital, Webuye, Kenya.
Kenneth CornettaDepartment of Family Medicine, College of Health Sciences, Moi University, Eldoret, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesExisting literature suggests multiple potential roles for community health volunteers (CHVs) in the provision of palliative care (PC) in low- and middle-income countries. In Kenya the role of CHV in the provision of PC has not been reported. The objective of this study was to assess knowledge, confidence, attitude, and clinical practice of community health volunteers after attending a novel palliative care (PC) training program.

methodsA total of 105 CHVs participated in a 3-day in person training followed by a 1-month in person and telephone observation period of the palliative care activities in the community. Structured questionnaires were used pre- and post-training to assess knowledge acquisition, impact on practice, and content delivery. A mixed method study design was conducted 12-month post training to assess impact on clinical practice.

resultsImmediately after training, CHV provided positive ratings on relevance and content delivery. In the month following training, CHVs evaluated 1,443 patients, referred 154, and conducted 110 and 129 tele consults with the patients and PC providers respectively. The follow up survey at 12 months revealed improved knowledge and confidence in various domains of palliative care including symptom and spiritual assessment and provision of basic nursing and bereavement care. Focus group discussions revealed the CHVs ability to interpret symptoms, make referrals, improved communication/ interpersonal relationships, spiritual intervention, patient comfort measures and health care practices as newly learned and practiced skills.

conclusionsWe noted improved knowledge, new skills and change in practice after CHVs participation in a novel training curriculum. CHVs can make important contributions to the PC work force and be first line PC providers in the community as part of larger hub and spoke care model.

Indexed as

Palliative CarePublic HealthFocus GroupsHumansKenyaVolunteersCommunity based palliative careCommunity health volunteersCurriculumTeleconsultTraining

Identifiers

PMID38605309
PMCPMC11007868

What OpenQuestion holds

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Registered trials

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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.