Community Health Workers Promoting Physical Activity

Haughton, Jessica; Ayala, Guadalupe X.; Burke, Kari Herzog; Elder, John P.; Montañez, Jacqueline; Arredondo, Elva M.

doi:10.1097/jac.0000000000000108

Cited by 14 publications

(16 citation statements)

References 23 publications

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“…Faith in Action ( Fe en Acción ) is a faith-based multi-level promotora- led intervention promoting moderate-to-vigorous PA (MVPA) among Latina women through group PA classes and Motivational Interviewing (MI) calls [ 19 , 20 ]. The 2-year evidence-based intervention consists of the following core components: six group PA classes offered each week (cardio dance, strength training, and walking groups) led by promotoras at participating churches and MI calls consisting of identifying barriers to PA and goal-setting every 4 months.…”

Section: Introductionmentioning

confidence: 99%

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Haughton

Takemoto

Schneider

et al. 2020

Implement Sci Commun

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Background: Community engagement is critical to the acceleration of evidence-based interventions into community settings. Harnessing the knowledge and opinions of community leaders increases the likelihood of successful implementation, scale-up, and sustainment of evidence-based interventions. Faith in Action (Fe en Acción) is an evidence-based promotora-led physical activity program designed to increase moderate-to-vigorous physical activity among churchgoing Latina women. Methods: We conducted in-depth interviews using a semi-structured interview guide based on the Consolidated Framework for Implementation Research (CFIR) at various Catholic and Protestant churches with large Latino membership in San Diego County, California to explore barriers and facilitators to implementation of Faith in Action and identify promising implementation strategies for program scale-up and dissemination. We interviewed 22 pastors and church staff and analyzed transcripts using an iterative-deductive team approach. Results: Pastors and church staff described barriers and facilitators to implementation within three domains of CFIR: characteristics of individuals (lack of self-efficacy for and knowledge of physical activity; influence on churchgoers' behaviors), inner setting (church culture and norms, alignment with mission and values, competing priorities, lack of resources), and outer setting (need for buy-in from senior leadership). From the interviews, we identified four promising implementation strategies for the scale-up of faith-based health promotion programs: (1) health behavior change training for pastors and staff, (2) tailored messaging, (3) developing community collaborations, and (4) gaining denominational support. Conclusions: While churches can serve as valuable partners in health promotion, specific barriers and facilitators to implementation must be recognized and understood. Addressing these barriers through targeted implementation strategies at the adopter and organizational level can facilitate improved program implementation and lead the way for scale-up and dissemination.

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Section: Introductionmentioning

confidence: 99%

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Haughton

Takemoto

Schneider

et al. 2020

Implement Sci Commun

Self Cite

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“…The peer leader model was generally well received by participants from both Latino intervention churches, possibly reflecting comfort with the community health promoter or promotora model that has been used extensively in Latin America and in the United States among Latino immigrant populations to address disparities. 36 Most Latino peer leaders reported feeling comfortable speaking about HIV with people inside and outside the church. Latino peer leaders also reported speaking with up to 20 people within their social network about HIV-related stigma, particularly family members, which was a higher number compared to African American participants.…”

Section: Discussionmentioning

confidence: 99%

Process Evaluation of a Peer-Driven, HIV Stigma Reduction and HIV Testing Intervention in Latino and African American Churches

et al. 2017

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Purpose: Faith-based organizations may be effective in addressing HIV-related disparities, but few interventions have been implemented across diverse churches. The Facilitating Awareness to Increase Testing for HIV (FAITH) intervention harnessed peer leadership to decrease HIV stigma and promote HIV testing in African American and Latino congregations. A pilot study found more consistent effects among Latino congregations. This process evaluation evaluates implementation of FAITH to better understand the pilot study's findings.Methods: Data sources included HIV education and peer leader workshop evaluation forms, participant views of the community's perspective of HIV, and peer leader follow-up interviews. Data were triangulated with systematic observation notes and analyzed using process-related themes of recruitment, reach, context, implementation, dose-delivered, and fidelity.Results: At the Latino churches (compared to the African American church), facilitators spent more time addressing community-based misconceptions about HIV. The peer leader model was well received, especially among Latino participants, and most said that after the workshop they felt comfortable speaking with others about HIV-related topics. Latino peer leaders reported speaking with up to 20 people within their social networks (particularly with family members); African Americans reported up to 4. Implementation challenges at the African American church may have contributed to the limited intervention effects. Nevertheless, we found the peer motivator model feasible and acceptable across diverse faith settings.Conclusion: Peer-based models within faith settings are promising for addressing HIV. However, differences among groups in HIV knowledge, social network characteristics and norms, and church preferences may influence overall effectiveness.

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“…Economic and linguistic barriers to accessing care (Perez‐Escamilla et al, 2010 ), poor information translation across minority populations and languages (Wilkin & Ball‐Rokeach, 2011 ), structural racism in immigrant‐focused policies (Philbin et al, 2018 ), and high burdens of chronic disease (Centers for Disease Control and Prevention, 2015 ; Perez‐Escamilla et al, 2010 ) all contribute to the experience of Latinx communities in the US healthcare system. To diminish these disparities, CHWs have participated in diverse initiatives, such as preventing and managing chronic diseases (Ayala et al, 2017 ; Goebel et al, 2021 ; Haughton et al, 2015 ; Kunz et al, 2017 ; Kutcher et al, 2015 ; Taverno Ross et al, 2021 ) and increasing access to local healthcare and social services (Carter‐Pokras et al, 2011 ; Cupertino et al, 2013 ; Documet et al, 2016 ; Macia et al, 2016 ; Matthew et al, 2020 ; Webber et al, 2016 ). Although drastically different in setting, focus, and medium of training, CHW programs are becoming critical to the health and wellness of local Latinx communities.…”

Section: Introductionmentioning

confidence: 99%

Design, implementation, and evaluation of community health worker training programs in Latinx communities: A scoping review

Lee

Matthew

Orpinas

2022

Journal Community Psychology

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This review examines the current reporting trends of program design, implementation, and evaluation of training programs for Latinx community health workers. Five scholarly databases were searched using a scoping review methodology to identify articles describing training programs for Latinx community health workers. The timeframe was 2009 to 2021. We identified 273 articles, with 59 meeting inclusion criteria. Researchers thematically coded the articles to identify reporting strategies related to program design, implementation, and evaluation. Findings suggest a lack of consensus in reporting elements critical to program resources, instructor qualifications, frequency and length of training implementation, theoretical background, and pedagogical tools associated with the training program. We offer detailed reporting recommendations of community health worker training programs to support the consistent dissemination of promising practices and facilitate the initiation of new programs for Latinx community health workers.

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Community Health Workers Promoting Physical Activity

Cited by 14 publications

References 23 publications

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Process Evaluation of a Peer-Driven, HIV Stigma Reduction and HIV Testing Intervention in Latino and African American Churches

Design, implementation, and evaluation of community health worker training programs in Latinx communities: A scoping review

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