{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T02:45:39Z","timestamp":1778035539010,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T00:00:00Z","timestamp":1748131200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T00:00:00Z","timestamp":1748131200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100001368","name":"V Foundation for Cancer Research","doi-asserted-by":"publisher","award":["V2021-006"],"award-info":[{"award-number":["V2021-006"]}],"id":[{"id":"10.13039\/100001368","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000048","name":"American Cancer Society","doi-asserted-by":"crossref","award":["ACS_IRG (IRG-16-222-56)"],"award-info":[{"award-number":["ACS_IRG (IRG-16-222-56)"]}],"id":[{"id":"10.13039\/100000048","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100016516","name":"comprehensive cancer center, university of chicago medical center","doi-asserted-by":"publisher","award":["P30 CA14599"],"award-info":[{"award-number":["P30 CA14599"]}],"id":[{"id":"10.13039\/100016516","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Disparities in access to tobacco cessation support and resources remain significant issues among community members with low socioeconomic status (SES). Community health workers (CHWs) can connect with community members and have flexibility in delivering treatments to underserved populations. The Community Health Allies Nicotine Guidance Education (C.H.A.N.G.E.) project, designed for CHWs, aimed to address the disparities by implementing a tailored tobacco cessation training program. The current study examined the C.H.A.N.G.E. program\u2019s preliminary effectiveness on CHW knowledge gain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Data were collected from CHWs in Chicago, IL who participated in the training program between October 2022 and December 2023, and CHWs completed a tobacco cessation knowledge questionnaire pre-training, post-training, and at 1- and 6-month follow-up. A paired samples\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test was conducted to assess changes in CHWs\u2019 pre-post knowledge change. Descriptive analyses were also explored to examine the type of knowledge that was retained and whether that differed by the client population that CHWs served.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      CHWs (N\u2009=\u200972) were mostly women (68%) who worked in their current role for an average of 2.34\u2009years (SD\u2009=\u20091.54). The mean age of participants in the study was 38.06\u2009years (SD\u2009=\u200913.09). Baseline knowledge was low (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u20093.75 [1.18] out of 10) but significantly increased post-training (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u20096.64 [1.13];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). There was no difference in change of tobacco cessation knowledge scores for groups based on client population served.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The C.H.A.N.G.E. training effectively improved CHWs\u2019 tobacco cessation knowledge. However, knowledge changes had no differences based on client types of CHWs. This study highlighted the importance of continuous adaptation and evaluation of training programs to fit the needs of CHWs and their clients in underserved, community-based settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319251341977","type":"journal-article","created":{"date-parts":[[2025,5,25]],"date-time":"2025-05-25T12:21:01Z","timestamp":1748175661000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Examining the Preliminary Effectiveness on Knowledge of a Tobacco Cessation Facilitator Training for Community Health Workers"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1969-4084","authenticated-orcid":false,"given":"Tianqu","family":"Lu","sequence":"first","affiliation":[{"name":"University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Veluz-Wilkins","sequence":"additional","affiliation":[{"name":"University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9873-1570","authenticated-orcid":false,"given":"Andres Mauricio","family":"Garcia Sierra","sequence":"additional","affiliation":[{"name":"University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4963-5907","authenticated-orcid":false,"given":"Dedeepya","family":"Konuthula","sequence":"additional","affiliation":[{"name":"University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8553-5319","authenticated-orcid":false,"given":"Marcia","family":"Tan","sequence":"additional","affiliation":[{"name":"University of Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,5,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3079-9"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.54.2.78"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1331\/1544-3191.46.5.616.Purcell"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.6674"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00942251"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19084435"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0242691"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20085574"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/10732748221105310"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501319231174383"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/tc.9.4.408"},{"key":"e_1_3_3_13_2","unstructured":"World Health Organization. Toolkit for Delivering the 5A\u2019s and 5R\u2019s Brief Tobacco Interventions in Primary Care. World Health Organization. 2014. 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