Journal of Education and Health Promotion 2277-9531 10 10 2020 10 01 Effect of the jigsaw technique as a cooperative learning approach on motivation and job performance of community health workers: A quasi‑experimental study 1 6 29306 EN . Sareh Shakerian . Leila Hassan Abadi Journal Article 2023 03 04 BACKGROUND: In Iran, community health workers (CHWs) are native and are only employed in<br />the health‑care system. Therefore, the training and empowerment of these staff are essential. The<br />present study was aimed to develop cooperative learning techniques in CHWs to improve both<br />cognitive and noncognitive aspects such as accountability and other social skills in learners.<br />METHODOLOGY: This study employed a quasi‑experimental pre‑ and post‑test design with a control<br />group that was conducted in Kangavar City, Iran, in 2019. Forty‑four CHWs were selected using a<br />two‑stage cluster sampling, of whom 22 were randomly assigned to the experimental group where<br />the jigsaw technique was applied and the rest to the control group where the lecture method was<br />applied. The aim was to identify job performance and motivation among the CHWs after instruction<br />and compare the two groups. Pre‑ and posttests were applied to the groups before and after an<br />in‑service training course using valid questionnaires. Data analysis was performed on both descriptive<br />and inferential statistics such as mean and standard deviation, paired t‑test, and covariance analysis<br />with the confidence level of 95%.<br />RESULTS: The findings showed that the intervention significantly increased the mean score of<br />motivation and performance in the experimental group. Covariance analysis with the removal of the<br />pretest effect was also statistically significant (P = 0.01). Moreover, the MANCOVA test showed the<br />jigsaw technique effect considering motivation and performance with a confidence level of 95%.<br />CONCLUSION: Given the well‑known effect of cooperative learning techniques and since CHWs<br />have multi roles and tasks, it is necessary to use such techniques so that they can be accountable<br />for developing health indicators in local areas.<br /><br /> https://jehp.mui.ac.ir/article_29306_e5f1d4219be6d4dafe14bc929d5c2808.pdf