The increasing numbers of elderly persons in the United States has resulted in the need for community programs which enable the elderly to remain in their homes. It appears that home health care is one method of providing needed basic assistance to the rural elderly population in a cost-efficient manner. This study was conducted to examine the impact of a geriatric care staff-training program on two problem areas frequently present in the home health care worker environment: worker stress management and the incontinent client. Data were collected from 158 rural/small town home health care trainees and analyzed using a separate-simple pretest-posttest evaluation design. The results indicated that there was a statistically significant increase in knowledge between pretest and posttest scores in the areas of both worker stress management and the incontinent client. Posttest data also suggest that the program had a positive impact on trainee attitudes concerning stress management and the incontinent client. This report describes the results of the impact evaluation of the community health education program and provides recommendations for future program development. (Author/NB)