A Male <i>Promotores</i> Network for Latinos

Documét, Patricia I.; Macía, Laura; Thompson, Alice; Gonzalez, Miguel; Boyzo, Roberto; Fox, Andrea; Guadamuz, Thomas E.

doi:10.1177/1524839915609059

Cited by 16 publications

(10 citation statements)

References 28 publications

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“…A third limitation is that most participants were women, which is often the case in CHW interventions ( 25 ). Reaching men, particularly Hispanic men, is a challenge to address; using male CHWs could help ( 26 ). A fourth limitation is that the rates of those who used the voucher and needed a particular service provide a conservative estimate of program ability to help people acquire needed services.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

et al. 2018

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IntroductionHispanics in the United States have disproportionately high rates of obesity, hypertension, and diabetes and poorer access to preventive health services. Healthy Fit uses community health workers to extend public health department infrastructure and address Hispanic health disparities related to cardiovascular disease and access to preventive health services. We evaluated the effectiveness of Healthy Fit in 1) reaching Hispanic Americans facing health disparities, and 2) helping participants access preventive health services and make behavior changes to improve heart health.MethodsCommunity health workers recruited a sample of predominantly low-income Hispanic immigrant participants (N = 514). Following a health screening, participants received vouchers for breast, cervical, and colorectal cancer screening, and received vaccinations as needed for influenza, pneumonia, and human papillomavirus. Participants who were overweight or had high blood pressure received heart health fotonovelas and referrals to community-based exercise activities. Community health workers completed follow-up phone calls at 1, 3, and 6 months after the health screening to track participant uptake on the referrals and encourage follow-through.ResultsParticipants faced health disparities related to obesity and screening for breast, cervical, and colorectal cancer. Postintervention completion rates for breast, cervical, and colorectal cancer screening were 54%, 43%, and 32%, respectively, among participants who received a voucher and follow-up phone call. Among participants with follow-up data who were overweight or had high blood pressure, 70% read the fotonovela, 66% completed 1 or more heart health activities in the fotonovela, 21% attended 1 or more community-based exercise activities, and 79% took up some other exercise on their own.ConclusionHealthy Fit is a feasible and low-cost strategy for addressing Hispanic health disparities related to cancer and cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

et al. 2018

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“…The specific intervention components were drawn from: a) the research team’s previous studies with preschool children (25, 45, 46, 56) and promotores (19, 35), b) published Latino child obesity prevention interventions (6, 10, 14, 52, 57, 59), and c) formative research conducted in Phase 1 of the study. Guidance and suggestions to improve the intervention protocol were received through feedback from: (a) the Community Research Advisory Board (CRAB) through the Center for Health Equity at the University of Pittsburgh, (b) Latino Engagement Group for Salud (LEGS), a coalition of community members, researchers and health and social service providers, and (c) a Research Advisory Board consisting of 5 faculty experts on family-based interventions and Latino health research from the University of South Carolina.…”

Section: Methodsmentioning

confidence: 99%

Study Protocol for a Home-Based Obesity Prevention Program in Latino Preschool Children

Ross

et al. 2017

Transl J ACSM

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This article describes the study design for ANDALE Pittsburgh, a culturally appropriate, family-based intervention to promote a healthy weight in Latino preschool children. The study was organized into two major phases: phase I—conduct focus groups with 30 Latino parents of preschool children to inform the development of a culturally appropriate intervention; phase II—test the feasibility and effectiveness of the intervention with 50 families. Participants were recruited from an emerging Latino community through community gatherings, flyers, and word of mouth. Six promotoras (females >18 yr, active in community) received 25 h of training using the intervention curriculum finalized after phase I. Promotoras delivered the home-based intervention to families for ten 90-min weekly sessions that included education, practice, and action (i.e., goal setting). Behavior modification constructs and strategies (e.g., goal setting, problem solving, and social support), and building of self-efficacy through healthy recipe preparation and physical activity breaks, were also included. Outcomes (e.g., child body mass index) were assessed pre- and postintervention. Process evaluation assessed fidelity, dose, reach, recruitment, and contextual factors using multiple data sources and mixed methods. The ANDALE Pittsburgh study will expand the body of knowledge on interventions to promote a healthy weight in Latino preschool children living in an emerging Latino community. If successful, this approach will be evaluated in a future, larger-scale intervention and provide a potential model to help to address and prevent obesity in this population.

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“…One study reported how participatory approaches allowed for the modification of the research programme throughout conception, development, and implementation. 30 Multiple publications provided evidence on how iterative feedback from stakeholder during the studies could aid partnerships, improving the recruitment of individuals to implement or take part in the intervention, 17,18,23,28,38,47 and dissemination. 23 One study also highlighted that partnerships were a feasible and appropriate means to support intervention implementation, 20 whilst one set of authors reported that partnerships with non-academics can ultimately strengthen research.…”

Section: Benefits Of Participatory Approaches To Researchmentioning

confidence: 99%

Participatory research in health intervention studies involving migrants: a systematic review

Rustage

Crawshaw

Majeed-Hajaj

et al. 2021

Preprint

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Objective To analyse the use of participatory approaches in research of health interventions for migrants, and how utilised approaches embody core participatory principles of democracy and power distribution. Design A systematic review of original articles. Electronic searchers were carried out in the databases MEDLINE, Embase, Global Health and PsychINFO (from inception to Nov 2020). Eligibility criteria for study selection The analysis included original peer reviewed research which reported on attempts to develop and implement a health intervention for migrants using participatory approaches. We defined migrants as foreign born individuals; studies using definitions demonstrably outside of this were excluded. Only articles reporting the full research cycle (inception, design, implementation, analysis, evaluation, dissemination) were included. Data extraction Information related to who was involved in research (migrants or other non academic stakeholders), the research stage at which they were involved (inception, design, implementation, analysis, evaluation, dissemination), and how this involvement aligned with the core principles of participatory research, categorising studies as exhibiting active, pseudo, or indirect participation of migrants. Results 1793 publication were screened of which 28 were included in our analysis. We found substantial variation in the application of participatory research approaches: across 168 individual research stages analysed across the 28 studies, we recorded 46 instances of active participation of migrants; 30 instances of proxy participation; and 24 instances of indirect participation. Whilst all studies involved at least one non-academic stakeholder group in at least one stage of the research, just two studies exhibited evidence of active participation of migrants across all research stages. Conclusions These data highlight important shortfalls in the inclusion of migrant groups in developing health interventions that affect their lives and suggest a more rigorous and standardised approach to defining and delivering participatory research is urgently needed to improve the quality of participatory research. Registration This review followed PRISMA guidelines and is registered on the Open Science Framework (osf.io/2bnz5)

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A Male Promotores Network for Latinos

Cited by 16 publications

References 28 publications

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

Evaluation of Healthy Fit: A Community Health Worker Model to Address Hispanic Health Disparities

Study Protocol for a Home-Based Obesity Prevention Program in Latino Preschool Children

Participatory research in health intervention studies involving migrants: a systematic review

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