{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T02:13:55Z","timestamp":1772072035000,"version":"3.50.1"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"4","funder":[{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"publisher","award":["RSG1602201CPPB"],"award-info":[{"award-number":["RSG1602201CPPB"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute at the National Institutes of Health","doi-asserted-by":"crossref","award":["NCT02076958"],"award-info":[{"award-number":["NCT02076958"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute at the National Institutes of Health","doi-asserted-by":"crossref","award":["R01CA147313"],"award-info":[{"award-number":["R01CA147313"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Maryland Department of Health\u2019s Cigarette Restitution Fund Program"},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Community health advisors (CHAs) play a key role in promoting health in medically underserved communities, including in addressing cancer disparities. There is a need to expand the research on what characteristics make for an effective CHA. We examined the relationship between CHA personal and family history of cancer, and implementation and efficacy outcomes in a cancer control intervention trial. Twenty-eight trained CHAs implemented a series of three cancer educational group workshops for N\u2009=\u2009375 workshop participants across 14 churches. Implementation was operationalized as participant attendance at the educational workshops, and efficacy as workshop participants\u2019 cancer knowledge scores at the 12-month follow-up, controlling for baseline scores. CHA personal history of cancer was not significantly associated with implementation, nor knowledge outcomes. However, CHAs with family history of cancer had significantly greater participant attendance at the workshops than CHAs without family history of cancer (P\u2009=\u20090.03) and a significant, positive association with male workshop participants\u2019 prostate cancer knowledge scores at 12\u2009months (estimated beta coefficient\u2009=\u20090.49, P\u2009&amp;lt;\u20090.01) after adjusting for confounders. Findings suggest that CHAs with family history of cancer may be particularly suitable for cancer peer education, although further research is needed to confirm this and identify other factors conducive to CHA success.<\/jats:p>","DOI":"10.1093\/her\/cyad011","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T17:25:14Z","timestamp":1678382714000},"page":"350-361","source":"Crossref","is-referenced-by-count":5,"title":["The role of community health advisors\u2019 cancer history in implementation and efficacy of a cancer control intervention"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1840-0099","authenticated-orcid":false,"given":"Maisha R","family":"Huq","sequence":"first","affiliation":[{"name":"Department of Behavioral and Community Health, School of Public Health, University of Maryland , 4200 Valley Drive, College Park, MD 20742,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"He","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland , 4200 Valley Drive, College Park, MD 20742,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9860-5870","authenticated-orcid":false,"given":"Nathaniel","family":"Woodard","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Community Health, School of Public Health, University of Maryland , 4200 Valley Drive, College Park, MD 20742,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland , 4200 Valley Drive, College Park, MD 20742,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl L","family":"Knott","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Community Health, School of Public Health, University of Maryland , 4200 Valley Drive, College Park, MD 20742,","place":["USA"]},{"name":"Community Outreach and Engagement, University of Maryland Greenebaum Comprehensive Cancer Center , 22 S Greene St, Baltimore, MD 21201,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"2024122605165386200_R1","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1111\/1475-6773.12657","article-title":"The changing roles of community health workers","volume":"52","author":"Malcarney","year":"2017","journal-title":"Health Serv Res"},{"key":"2024122605165386200_R2","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/PHH.0b013e31819d817d","article-title":"A review of demographic and infrastructural factors and potential solutions to the physician and nursing shortage predicted to impact the growing US elderly population","volume":"15","author":"Cohen","year":"2009","journal-title":"J Public Health Manag Pract"},{"key":"2024122605165386200_R3","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1093\/tbm\/iby065","article-title":"Web-based versus in-person methods for training lay community health advisors to implement health promotion workshops: participant outcomes from a cluster-randomized trial","volume":"9","author":"Holt","year":"2019","journal-title":"Transl Behav Med"},{"key":"2024122605165386200_R4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13012-017-0566-z","article-title":"Adoption, reach, and implementation of a cancer education intervention in African American churches","volume":"12","author":"Santos","year":"2017","journal-title":"Implement Sci"},{"key":"2024122605165386200_R5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1353\/cpr.2007.0035","article-title":"Systematic review of U.S.-based randomized controlled trials using community health workers","volume":"1","author":"Gibbons","year":"2007","journal-title":"Prog Community Health Partnersh"},{"key":"2024122605165386200_R6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12960-018-0304-x","article-title":"What do we know about community-based health worker programs? A systematic review of existing reviews on community health workers","volume":"16","author":"Scott","year":"2018","journal-title":"Hum Resour Health"},{"key":"2024122605165386200_R7","doi-asserted-by":"crossref","DOI":"10.1080\/16549716.2017.1272223","article-title":"Who is a community health worker? \u2013 a systematic review of definitions","volume":"10","author":"Olaniran","year":"2017","journal-title":"Glob Health Action"},{"key":"2024122605165386200_R8","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1007\/s10900-018-0473-5","article-title":"Community health advisors\u2019 participation in a dissemination and implementation study of an evidence-based physical activity and healthy eating program in a faith-based setting","volume":"43","author":"Sharpe","year":"2018","journal-title":"J Community Health"},{"key":"2024122605165386200_R9","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1007\/s10900-019-00722-w","article-title":"Community health advisors\u2019 characteristics and behaviors, role performance, and volunteer satisfaction in a church-based healthy eating and physical activity intervention","volume":"45","author":"Sharpe","year":"2020","journal-title":"J Community Health"},{"key":"2024122605165386200_R10","first-page":"1","volume-title":"Community Health Workers: What Do We Know about Them. The State of the Evidence on Programmes, Activities, Costs and Impact on Health Outcomes of Using Community Health Workers","author":"Lehmann","year":"2007"},{"key":"2024122605165386200_R11","doi-asserted-by":"crossref","first-page":"956","DOI":"10.1016\/j.trstmh.2005.11.004","article-title":"Can community health workers and caretakers recognise pneumonia in children? 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