Journal of Immigrant and Minority Health

, Volume 14, Issue 2, pp 323–329 | Cite as

Emergency Preparedness Training of Tribal Community Health Representatives

  • Lisle S. HitesEmail author
  • Brenda S. Granillo
  • Edward R. Garrison
  • Adriana D. Cimetta
  • Verena J. Serafin
  • Ralph F. Renger
  • Jessica F. Wakelee
  • Jefferey L. Burgess
Original Paper


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 Diné 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.


Tribal Emergency Preparedness American Indian Public Health Tribal Community Health Representatives 


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Lisle S. Hites
    • 1
    Email author
  • Brenda S. Granillo
    • 2
  • Edward R. Garrison
    • 3
  • Adriana D. Cimetta
    • 4
  • Verena J. Serafin
    • 3
  • Ralph F. Renger
    • 2
  • Jessica F. Wakelee
    • 1
  • Jefferey L. Burgess
    • 2
  1. 1.Department of Health Care Organization and PolicySchool of Public Health, University of Alabama at BirminghamBirminghamUSA
  2. 2.Division of Community, Environment & Policy, Arizona Center for Public Health PreparednessUniversity of Arizona Mel & Enid Zuckerman College of Public HealthTucsonUSA
  3. 3.Dine College of the Navajo Navajo NationTsaileUSA
  4. 4.School of EducationUniversity of ArizonaTucsonUSA

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