Evaluation of an Integrated Health Promotion Program for a low‐income urban population: Findings and lessons learned

Abstract

Objectives To evaluate a multicomponent pilot program for low‐income individuals with, or at risk for, hypertension, diabetes, and/or overweight. Design Pre‐post evaluation including baseline and follow‐up assessments, satisfaction surveys, program utilization data, and focus groups. Sample The evaluation included 138 participants. The majority were Latinx (88%), female (82%), born outside the United States (80%), and had not graduated from high school (52%). The most common health conditions were hypertension (59%), overweight or obesity (55%), high cholesterol (53%), and diabetes (34%). Measurements Engagement in program activities, health indicators (e.g., blood pressure), and behavior change. Qualitative data focused on perceptions of the program and its impacts. Intervention The program offered a number of health promotion services, including consultation with a nurse and a community health worker (CHW), health and nutrition talks, subsidized farm shares, cooking classes, exercise classes, and home visits. Results There were improvements in general health, blood pressure, and knowledge and behavior related to disease management and healthy eating. Conclusions Program success was attributed to the wide range of complementary program components. The staffing model was also a strength: the CHW/nurse collaboration combined clinical expertise with cultural, language, and community knowledge to create a program that was accessible and empowering.

Recipes for Health: A Community-Based Nutrition and Culinary Intervention

“…Additional research reiterates that cooking classes allow low-income families to access healthier foods and increase food-preparation skills [ 14 ]. Low-income individuals have higher rates of chronic disease which leads to fair/poor health, activity limitations, and even a younger death when compared with those of higher incomes [ 15 ]. To allow for low-income individuals who may not have access to a computer or smartphone to participate, future studies could be conducted in person.…”

Health promotion intervention delivered by trained community health workers (CHWs) for obesity prevention and control among adult people: a scoping review protocol

“…CHWs aim to reduce the prevalence of populations at risk of NCDs, such as overweight and obese populations. 10 Study rationale NCD management efforts can be conducted in health facilities and in the community. CHWs can achieve the management of obesity in the community.…”

“…Most health promotion interventions delivered by trained CHWs in the community are centred on the control and loss of weight. CHWs aim to reduce the prevalence of populations at risk of NCDs, such as overweight and obese populations 10…”

“…CHWs aim to reduce the prevalence of populations at risk of NCDs, such as overweight and obese populations. 10 …”

The Impact of Health Education Using Tae' Language on Knowledge and Attitudes of Pregnant Women About Danger Signs of Pregnancy

“…Melalui metode ceramah dan diskusi terjadi komunikasi terbuka antara pemberi dan penerima informasi (Nurmala IRF, 2018). Berdasarkan penelitian Weiss bahwa penyaluran informasi melalui komunikasi terbuka secara umum berdampak signifikan dalam meningkatkan pengetahuan dan perilaku dalam sasaran dalam mengelola penyakit dan pengaturan diet sehat masyarakat (Weiss et al, 2021).…”