Emergency preparedness training of tribal community health representatives.

Academic Article


  • This study describes the development and evaluation of online Public Health Emergency Preparedness (PHEP) training adapted to the learning styles and needs of tribal Community Health Representatives (CHRs). Working through a university-tribal community college partnership, the Arizona Center for Public Health Preparedness at the University of Arizona and DinĂ© College of the Navajo Nation delivered a blended online and face-to-face public health preparedness certificate program based on core public health emergency preparedness competencies. This program was carefully adapted to meet the environmental and learning needs of the tribal CHRs. The certificate program was subsequently evaluated via a scenario-based decision-making methodology. Significant improvements in five of six competency areas were documented by comparison of pre- and post-certificate training testing. Based on statistical support for this pedagogical approach the cultural adaptations utilized in delivery of the certificate program appear to be effective for PHEP American Indian education.
  • Published In


  • Adult, Arizona, Civil Defense, Community Health Workers, Competency-Based Education, Cultural Competency, Disaster Planning, Education, Public Health Professional, Emergencies, Female, Humans, Indians, North American, Male, Middle Aged, Public Health, United States, United States Indian Health Service
  • Digital Object Identifier (doi)

    Author List

  • Hites LS; Granillo BS; Garrison ER; Cimetta AD; Serafin VJ; Renger RF; Wakelee JF; Burgess JL
  • Start Page

  • 323
  • End Page

  • 329
  • Volume

  • 14
  • Issue

  • 2