Pilot Community Health Worker Preparatory Course for AE-C Exam

Abstract

Background. Unfamiliar terminology and clinically focused content deters many community health workers (CHWs) from taking the certified asthma educator (AE-C) examination. Yet CHWs are sought after to join health teams to reduce asthma disparities. This study tested whether an 11-week preparation course that focused on test-taking strategies, clinical terminology, asthma management, and peer support could help CHWs become AE-Cs. Methods. Fourteen CHWs were recruited from a metropolitan area to participate in a free 11-week preparation course. A needs assessment identifying concerns CHWs had about the exam informed the course topics. The sessions covered asthma management topics and test-taking strategies. One hour focused on content and questions, the second hour involved practice in a computer lab answering multiple-choice questions. Payment for the examination fee was provided for CHWs attending 80% of the course sessions. Five CHWs were interviewed 6 months later. Results. A total of 11 CHWs attended 80% of the sessions. Seven CHWs took the exam, and 57% (4) passed on their first attempt. These data compare with the national pass rate (including licensed professionals) of 68%. No candidate with English as a second language (L2 learners) passed. Working in a hospital-based setting positively affected the pass rate. Postcourse interviews revealed that the exam content is essential for asthma educators, but community-based educators need additional support. Conclusions. A test preparation course that teaches test-taking strategies, provides computer-based test question practice, and fosters peer support can help CHWs become certified asthma educators. Course modification for L2 learners and those working outside of clinical settings are needed.