*3.2. Statewide Rollout: Additional Adaptations in Progress and Preliminary Training Evaluation Results*

As the statewide rollout of COMPASS was being planned and initiated, the OHCC expressed interest in further adaptations being made to COMPASS so that it would be inclusive of personal support workers. Within Oregon's publicly funded programs, personal support workers provide care for individuals with cognitive and developmental disabilities who qualify for publicly funded support services. Service recipients' ages range across the lifespan. This type of work was viewed to share many similarities with home care work, but also pose some different safety, health, well-being demands that might suggest new or revised guidebook activities and content. Investigators contracted with the OHCC to conduct formative research with personal support workers (e.g., survey, qualitative interviews) and make tailored curriculum adjustments based on findings. Bundled in this new phase of dissemination work included the development of interactive online orientation training for new COMPASS facilitators and creating promotional videos for the program. It is anticipated that after COMPASS is revised to accommodate personal support workers, the OHCC will then translate the guidebooks into several non-English languages to encourage non-native English speakers to participate in higher numbers.

As noted in the methods section, 12 COMPASS groups have been completed or are in progress in the statewide rollout. For the current analysis, the OHCC provided training evaluations (*n* = 265) from workers who participated in COMPASS group meetings from summer 2017 to summer 2018. Two different training evaluation question sets were completed by workers in the data set. An older version (but more recent than the original OHCC training evaluation questions prior to the adaptation pilot) was completed by 229 workers. A newer version, adjusted to better accommodate evaluations of the COMPASS dissemination, was completed by 36 workers. Table 4 provides mean ratings and standard deviations for the older evaluation questions for each COMPASS meeting, as well as an overall average rating for each question across meetings. All mean ratings were above 4 (max = 5) on a scale where 1 = poor, 2 = fair, 3 = average, 4 = good, and 5 = excellent. Table 5 reviews mean ratings and standard deviations for each question in the new format, but not for each meeting due to insufficient data. For those questions mean ratings all averaged above 3 (max = 4) on a scale where 1 = strongly disagree, 2 = disagree, 3 = agree, and 4 = strongly agree. Attendance data and evaluation data for other comparable OHCC classes are not yet available for analysis.


Worker evaluations for COMPASS groups in the Oregon Home Care Commission training system: Mean (*SD*) ratings for quantitative questions in the

> **Table 4.**


I would recommend this training to others 3.62 (0.65) I enjoyed this training 3.58 (0.66)

**Table 5.** Worker evaluations for COMPASS groups in the Oregon Home Care Commission training system: Mean (*SD*) ratings for quantitative questions in the revised/new format.

I will do something new, different, or better in order to be safer at work because of this training 3.53 (0.51) I will do something new, different, or better in order to improve my health and well-being because of this training 3.66 (0.48) I will do something new, different, or better in order to improve my consumer-employers' health and well-being because of this training 3.60 (0.50)

Note: rating scale was 1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree, and also a "does not apply" option. If participants marked "does not apply" this was coded as missing data and was not included in calculations.
