Date of Graduation

Fall 12-15-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Psychiatric Mental Health Nurse Practitioner

First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Jo Loomis


Background: Rural residents have health disparities more than urban populations. The significant health inequities in the underprivileged population include a higher incidence of chronic diseases, lack of access to healthy foods, health care, health insurance, unhealthy eating habits, poor socioeconomic status, cultural and language barriers, and lack of health literacy. As locals, Community health workers (CHWs) meet these populations and can improve healthy lifestyle changes and advocate for their community.

Local Problem: The population in Fresno and Tulare County in Central Valley, California, is underprivileged, lacks access to proper health care, and has higher rates of health disparities, including chronic health issues. CHWs need training in using practical skills in communication and advocating for their local population.

Methods: 16 CHWs participated in the training. Pre and post-module quizzes were used to assess their knowledge with the goal of 10% increases from post-quiz to pre-quiz. The free canvas platform was used for teaching and data collection.

Interventions included the following: Curriculum and three teaching modules developed in a free canvas platform with topics including Motivational interviewing, Advocacy, Communication skills, and conflict resolution. Each teaching module includes learning objectives, roleplays, and case studies to solve.

Results: The overall percentage difference from pre to post-test ranged from more than the set goal of a 10% increase. Additionally, qualitative surveys from the participants had a common theme of effectiveness in improving the participants' confidence levels.

Conclusion: The educational intervention improved CHW's confidence, competency, and ability to practice the MI, communication, advocacy, and conflict resolution skills effectively, which ultimately improved health behaviors and reduced health disparity

Included in

Nursing Commons