{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:18:24Z","timestamp":1783491504163,"version":"3.55.0"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:00:00Z","timestamp":1783468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Zhejiang Science and Technology Plan for Disease Prevention and Control","award":["2025JK025"],"award-info":[{"award-number":["2025JK025"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Objective<\/jats:title>\n To systematically synthesize evidence on the personal competency of tuberculosis (TB) health educators and to develop a scientifically robust and comprehensive evaluation indicator system.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A two-phase mixed-methods design was employed. Phase 1 involved a scoping review of seven databases (PubMed\/MEDLINE, Web of Science, Scopus, Embase, CINAHL, ERIC, and the Cochrane Library) to identify competency-related literature on TB health educators, with no restrictions on publication date, language, or geographic setting. Extracted competency elements were synthesized into a preliminary framework. Phase 2 used a modified Delphi method with two rounds of consultation among 20 Chinese experts in TB control and health education. Indicator importance was rated on a 5-point Likert scale, and the Analytic Hierarchy Process (AHP) was applied to calculate indicator weights. Validity and reliability were assessed using content validity indices and intraclass correlation coefficient (ICC).<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The scoping review included 36 studies, from which seven core dimensions, 24 categories, and 63 specific competency elements were extracted. Both Delphi rounds achieved a 100% response rate. The expert authority coefficient (Cr) was 0.84. Kendall\u2019s W increased significantly from 0.295 (first round) to 0.328 (second round, both\n p<\/jats:italic>\n \u202f&lt;\u202f0.001). After the second round, all indicators met the retention criteria: mean importance \u22653.5, coefficient of variation &lt;0.25, and expert agreement rate \u226550.0%. AHP results showed good consistency (first-level indicator CR\u202f=\u202f0.043; all second-level CRs\u202f&lt;\u202f0.10). The overall scale demonstrated good reliability (ICC\u202f=\u202f0.86) and content validity (scale-level CVI\u202f=\u202f0.92; item-level CVI range: 0.85\u20131.00). The highest-weighted dimension was Communication and Health Education Skills (0.235).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The personal competency evaluation indicator system for TB health educators developed in this study is scientifically sound, reliable, and practical. It provides a validated tool for competency assessment, targeted training design, and workforce development in TB health education.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1861732","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:55:04Z","timestamp":1783490104000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a personal competency evaluation indicator system for tuberculosis health educators: a scoping review and Delphi study"],"prefix":"10.3389","volume":"14","author":[{"given":"Xu","family":"Song","sequence":"first","affiliation":[{"name":"Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution)","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingjun","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution)","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingchun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution)","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinyan","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution)","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruoqi","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution)","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinglin","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Tuberculosis Control and Prevention, Hangzhou Center for Disease Control and Prevention (Hangzhou Health Supervision Institution)","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,8]]},"reference":[{"key":"ref1","volume-title":"World Health Organization\u2019s Global Tuberculosis Report 2025","year":"2025"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"587","DOI":"10.5588\/ijtld.22.0254","article-title":"Community-based 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