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. Author manuscript; available in PMC: 2025 Sep 1.
Published in final edited form as: J Am Geriatr Soc. 2024 Jul 17;72(9):2825–2833. doi: 10.1111/jgs.19077

Table 2:

CHW perspectives on prior and desired education on geriatric care

Prior education and experience regarding older adults
Summary Points Representative Quotes
Medications
  • Few had formal training

  • Some described helping patients keep their medications organized

“I don’t think I’ve ever received any direct training as a community health worker. We always redirect patients to have that conversation with the provider.”
“We remind clients there needs to be strict control regarding how much a certain medication to take and a method to organize.” (trans. from Spanish)
Mobility
  • Few had formal training

  • Some had on-the-job experience assessing fall risk in patients’ homes

“My training was more so resources on getting assistance with mobility … getting the cane or walker, things along those lines.”
“I have very little experience in this specific area, but … sometimes it comes up with, like, they’re having difficulties with their activities of daily living.”
Mentation
  • Few had formal training or experience

  • Some had taken a mental health first aid course

“Some things I learned with experience, not necessarily training, is to just be patient and reassure the person that it’s OK. Take your time to remember.”
“We screen some of our patients with a PHQ9 and then assess if there needs to be a referral to psychotherapy.”
What Matters
  • None had formal training in advance care planning

  • Some described initiating informal conversations about care goals

“I might ask them if there are any goals that they’re working on, and that may give me some clues as to what matters most to them, who’s important to them.”
Desired additional education on older adults
Summary Points Representative Quotes
Medications
  • Interest in training on common chronic conditions in older adults and their associated medications

“I would like to know more about … how to address like some of these medication concerns in the population, where sometimes they refused to take the medication, how to navigate that.”
Mobility
  • Interest in learning how to screen for fall risk and other mobility issues

“Maybe if there was a tool that could help us better assess mobility in and out of the home, I think that would be super helpful.”
Mentation
  • Interest in learning the differences between cognitive issues such as dementia and delirium

“It may have been nice to have learned how to recognize potential signs of mood conditions like depression … requiring referral to a psychologist.” (trans. from Spanish)
What Matters
  • Interest in learning how to navigate conversations about end-of-life care with older adults

“Just the overall education of what the person is currently going through and the possible end results, and what resources to help aid them through that process.”
“For us being taught how to have that conversation, we can be very impactful.” (trans. from Spanish)