{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:09:07Z","timestamp":1790863747169,"version":"4.1.0"},"reference-count":27,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"\n Objectives:<\/jats:title>\n Community health workers (CHWs) are the frontline workers providing primary care. This study aimed to assess the impact of training on CHWs\u2019 knowledge and perceptions of palliative care (PC).<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n \n A mixed-method research design was adopted. The participants included CHWs posted in a block of North India. Using a pre\u2013post quasi-experimental design, the PC knowledge questionnaire-basic (PCKQ-B) was used to assess the PC knowledge of CHWs before and after a 3-day PC training programme. Paired\n t<\/jats:italic>\n -tests, one-way analysis of variance, and Tukey\n post hoc<\/jats:italic>\n tests were used to determine the pre- and post-training differences in knowledge within and between groups. Responses to the open-ended questions and participants\u2019 narratives during the training were coded, thematically analysed and triangulated with quantitative results.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Of 49 CHWs who attended the training, 45 completed both pre- and post-tests. The training was associated with a statistically significant increase in mean PCKQ-B score (18.4 \u00b1 2.942 post-training vs. 12 \u00b1 3.422 pre-training;\n P<\/jats:italic>\n < 0.001). Six out of seven domains showed improvement in the perception of CHWs regarding PC, with the highest impact on bereavement care (1 \u00b1 0.00 post-training vs. 0.54 \u00b1 0.501 pre-training;\n P<\/jats:italic>\n < 0.001). Baseline PC knowledge and improvement in knowledge post-training were significantly associated with participants\u2019 designation and gender. Training improved participants\u2019 perception of PC from being just basic nursing care (pre-training) to a holistic care which extends beyond death to include bereavement care (post-training) and the importance of communication skills in fostering trust and reducing anger and frustration. Fear and anxiety about cancer, poverty, lack of resources, poor trust in public facilities, myths, lack of health awareness, social stigma and non-supportive families were identified as challenges to providing PC in the community.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Short-term PC training contextualised to the local needs improved CHWs\u2019 knowledge and perceptions of PC. Future trainings should emphasise addressing the psycho-social and spiritual domains of care.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/ijpc_108_2025","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T12:43:40Z","timestamp":1770727420000},"page":"65-71","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Training Improves Community Health Workers\u2019 Knowledge and Perception of Palliative Care: A Quasi-experimental Study"],"prefix":"10.25259","volume":"32","author":[{"given":"Mayank","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viren","family":"Rai","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankita","family":"Kanaria","sequence":"additional","affiliation":[{"name":"Department of Community and School of Public Health, PGIMER, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sapna","family":"Marcus","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, All India Institute of Medical Sciences, Bathinda, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liya E.","family":"Joshy","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jotkamal","family":"Kaur","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Bathinda, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megha","family":"Pruthi","sequence":"additional","affiliation":[{"name":"Department of Pain and Palliative Medicine, Fortis Memorial Research Institute, Gurugram, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savita","family":"Butola","sequence":"additional","affiliation":[{"name":"Medical Superintendent, Border Security Force, Srinagar, Jammu and Kashmir, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,2,10]]},"reference":[{"key":"10.25259\/IJPC_108_2025\/ref-1","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1016\/S0140-6736(17)32513-8","article-title":"Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage: The lancet commission report","volume":"391","author":"Knaul","year":"2018","journal-title":"Lancet"},{"issue":"4","key":"10.25259\/IJPC_108_2025\/ref-2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001141","article-title":"Home Palliative Care Works: But How? 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