Original Investigation

Strengthening Community Health Worker and Workforce Capacity

JAMA Network Open 10.1001/jamanetworkopen.2026.6037

April 10, 2026 at 11:00 AM EDT

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Are culturally and linguistically relevant capacity-building trainings for the community health worker and (CHW/P) workforce scalable and effective, and what are best practices for developing these trainings?In this mixed-methods study of 505 CHW/Ps in California, participants had significant increases from preworkshop to postworkshop survey in self-ratings of knowledge, skills, abilities, and confidence related to the learning objectives of the capacity-building program. Multimethod qualitative data from participant listening sessions indicated that participants found the training to be feasible, acceptable, and effective; best practices were highlighted for planning, implementation, and dissemination stages.These findings suggest that this scalable CHW/P training model, codesigned in partnerships with CHW/Ps and other stakeholders, can be adapted for a variety of topics and leveraged to disseminate information and increase trustworthiness in health care, science, and medical institutions.

Corresponding Author: Patricia Rodriguez Espinosa, PhD, MPH, Department of Epidemiology and Population Health, Stanford School of Medicine, 1701 Page Mill Rd, Room 221, Palo Alto, CA 94304 (prespinosa@stanford.edu).

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