Journal of Education and Health Promotion

Abstract BACKGROUND: In Iran, community health workers (CHWs) are native and are only employed in
the health‑care system. Therefore, the training and empowerment of these staff are essential. The
present study was aimed to develop cooperative learning techniques in CHWs to improve both
cognitive and noncognitive aspects such as accountability and other social skills in learners.
METHODOLOGY: This study employed a quasi‑experimental pre‑ and post‑test design with a control
group that was conducted in Kangavar City, Iran, in 2019. Forty‑four CHWs were selected using a
two‑stage cluster sampling, of whom 22 were randomly assigned to the experimental group where
the jigsaw technique was applied and the rest to the control group where the lecture method was
applied. The aim was to identify job performance and motivation among the CHWs after instruction
and compare the two groups. Pre‑ and posttests were applied to the groups before and after an
in‑service training course using valid questionnaires. Data analysis was performed on both descriptive
and inferential statistics such as mean and standard deviation, paired t‑test, and covariance analysis
with the confidence level of 95%.
RESULTS: The findings showed that the intervention significantly increased the mean score of
motivation and performance in the experimental group. Covariance analysis with the removal of the
pretest effect was also statistically significant (P = 0.01). Moreover, the MANCOVA test showed the
jigsaw technique effect considering motivation and performance with a confidence level of 95%.
CONCLUSION: Given the well‑known effect of cooperative learning techniques and since CHWs
have multi roles and tasks, it is necessary to use such techniques so that they can be accountable
for developing health indicators in local areas.