An instructional design model for culturally competent community health worker training

Health Promot Pract. 2014 Mar;15(1 Suppl):56S-63S. doi: 10.1177/1524839913517711.


The Texas Public Health Training Center (TPHTC) provides quality training and education for the full spectrum of public health workers. As part of this mission, the TPHTC creates continuing education modules for nontraditional public health workers, such as community health workers (CHWs), through a culturally competent curriculum development process. CHWs, like many public health workers, must be certified by the state of Texas to practice within its borders, and continuing education is required to maintain certification. By involving CHWs and community members in its curriculum development process, the TPHTC is able to produce training modules that are more suitable for this unique and important segment of the public health workforce. The iterative curriculum development process is described here, along with a state-approved curriculum resulting from this method. As the value of the nontraditional public health workforce gains more recognition, sound curriculum design will be increasingly important to support and strengthen these nontraditional professions.

Keywords: continuing education; cultural competence; health education; health promotion; international/cross-cultural health; lay health advisor/community health workers; learning theory; maternal and infant health; training; workforce development.

MeSH terms

  • Community Health Workers / education*
  • Cultural Competency / education*
  • Curriculum*
  • Education, Continuing
  • Humans
  • Models, Organizational
  • Organizational Case Studies
  • Program Development
  • Texas