the long-term follow-up survey, shown in a consolidated format in Table 1, to assess the training up to 12 months after completion of the training. The survey focused on eec- tiveness of the training based on participant feedback. We sent one survey invite and one reminder to potential survey respondents. General Questions Questions 1 and 2 of the long-term survey were general questions related to the over- all eectiveness of the training. Question 1 asked if the EHLR Classroom Training increased skills for integrating environmental health in land reuse and community revital- ization activities. Question 2 asked if there were any aspects of the training that were particularly useful. We excluded the “other” category from Table 1, as no survey respon- dents selected this option. Knowledge Assessments Questions 3–7 pertained to each of the five modules of the EHLR Classroom Training in terms of aggregated knowledge assessments for each module. The survey incorporated similar prompts from the initial knowledge assessment that was completed by partici- pants immediately after completing an EHLR Classroom Training module. The following prompts were used in the initial knowledge assessment for Questions 3–7: In reference to the [name of the specific module], please choose all that apply: A. Specifically useful for my work. If so, you can describe how here (optional) B. Quick refresher C. Oers me knowledge about a topic I am less familiar with D. Gives me confidence to increase my skills in and understanding of community engagement related to land reuse sites E. Motivates me to learn more about land reuse sites and ways I can be engaged F. Not needed for my work G. None of the above H. Other (please specify) With the exception of an expansion of prompt D, we incorporated similar prompts from the initial knowledge assessment into the long-term survey. Prompt D in the long-term survey reflected the specific module name and was not limited to “community engagement related to land reuse,” which was the word- ing used in the initial knowledge assessments.
TABLE 1
Consolidated Long-Term Follow-Up Survey for the Environmental Health and Land Reuse Classroom Training
Question # Question
Answer Type and Specific Answers
1
In general, how helpful has the Environmental Health and Land Reuse Training/Certificate Program been to increase your skills for integrating environmental health in land reuse and community revitalization activities? Considering the certificate training in general, are there any aspects you think were particularly useful? Please select all that apply.
4-point Likert scale: • Not useful at all • Somewhat useful • Useful • Very useful
2
Multiple choice: • Quick reference • Preparation for public meeting • Build skills in environmental health • Increase capacity to engage with communities about land reuse • None of the above Multiple choice: • Specifically useful for my work • Quick refresher • New knowledge about topic
3–7
In reference to the [name of module], please choose all that apply.
• Confidence to increase [module name] skills • Motivated to learn more about land reuse and ways to engage • Not needed for my work • None of the above • Other (please specify)
8
Is there one aspect of the certificate program materials that was most useful to you? If so, please specify here.
Open-ended
4.Redesigning With Health in Mind 5.Measuring Success
completion of each module. The long-term survey about the training closely mimicked the initial knowledge assessments. This article examines how eective and useful the EHLR Classroom Training is up to 12 months fol- lowing training. We discuss the development, launch, initial knowledge assessments, and results of the long-term survey that had ques- tions closely matched to the initial knowledge assessments. Our survey population included asynchronous EHLR participants.
ATSDR (2024) maintains the EHLR course materials (www.atsdr.cdc.gov/land-reuse- health-program/php/classroom-training/ classroom-training-materials.html) and NEHA maintains an asynchronous online version of the course (https://www.neha.org/ehlr-cer tificate). From 2022 through 2023, ATSDR and NEHA evaluated the EHLR training. Our evaluation included: • Focus group discussions • Assessment of training modalities (i.e., live and asynchronous) • Results of voluntary knowledge assessments • Pre-test and post-test scores • Long-term follow-up survey up to 12 months post-training The voluntary knowledge assessments provided participant feedback on the initial eectiveness and usefulness of each EHLR Classroom Training module immediately after
Methods
Long-Term Follow-Up Survey During May and June 2022, ATSDR con- ducted a long-term follow-up survey of the first 100 asynchronous EHLR participants who completed all five modules of the train- ing. The participants were environmental health professionals (75%) and students in public health (25%). ATSDR designed
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September 2025 • Journal of Environmental Health
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