&lt;I&gt;Promotoras de Salud&lt;/I&gt;: Roles, Responsibilities, and Contributions in a Multisite Community-Based Randomized Controlled Trial

Messias, De Anne K. Hilfinger; Parra‐Medina, Deborah; Sharpe, Patricia A.; Trevino, Laura; Koskan, Alexis; Morales-Campos, Daisy

doi:10.1891/1540-4153.11.2.62

Cited by 40 publications

(32 citation statements)

References 25 publications

(37 reference statements)

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“…Promotoras, or community health workers, are individuals from the target population who are engaged and participate in outreach and health promotion efforts for the research study. Promotoras have often been employed in the implementation of culturally sensitive interventions for Latinos, as promotoras constitute a bridge between the community (and the values embraced by the community) and the researchers (60). …”

Section: Pa Promotion Among Racial and Ethnic Minoritiesmentioning

confidence: 99%

Promoting Physical Activity among Underserved Populations

Mendoza-Vasconez

Linke

Muñoz

et al. 2016

Curr Sports Med Rep

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Underserved populations, including racial/ethnic minorities, individuals with low socioeconomic status, and individuals with physical disabilities, are less likely to engage in sufficient moderate to vigorous physical activity (MVPA) and are thus at increased risk of morbidity and mortality. These populations face unique challenges to engaging in MVPA. Learning how to overcome these challenges is a necessary first step in achieving health equity through health promotion research. In this review of the literature, we discuss issues and strategies that have been used to promote MVPA among individuals from underserved populations, focusing on recruitment, intervention delivery, and the use of technology in interventions. Physical activity promotion research among these vulnerable populations is scarce. Nevertheless, there is preliminary evidence of efficacy in the use of certain recruitment and intervention strategies including tailoring, cultural adaptation, incorporation of new technologies, and multilevel and community-based approaches for physical activity promotion among different underserved populations.

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Section: Pa Promotion Among Racial and Ethnic Minoritiesmentioning

confidence: 99%

Promoting Physical Activity among Underserved Populations

Mendoza-Vasconez

Linke

Muñoz

et al. 2016

Curr Sports Med Rep

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“…Promotoras or Community Health Advisors have been employed in health promotion studies in many different racial/ethnic communities, including indigenous communities (Ramirez, McAlister et al 1995, Navarro, Raman et al 2007, Han, Lee et al 2009, Kobetz, Menard et al 2009, Nguyen, Love et al 2010, Nelson, Lewy et al 2011, Maxwell, Danao et al 2013, Messias, Parra-Medina et al 2013, Pelcastre-Villafuerte, Ruiz et al 2014). To our knowledge, this is one of the first studies that employed promotoras for conducting research among indigenous immigrants from Mexico that have settled in California.…”

Section: Discussionmentioning

confidence: 99%

Building Capacity to Address Women's Health Issues in the Mixtec and Zapotec Community

Maxwell¹,

Young²,

Vega³

et al. 2015

Women's Health Issues

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Introduction Mixtecs and Zapotecs are indigenous populations from Mexico. Many are unable to read and write and speak only their native non-written languages, Mixteco and Zapoteco. About half of California's indigenous farm worker population is estimated to be Mixteco-speaking (82,000-125,000), and about 20,000 Mixtecs and a smaller number of Zapotecs live in Ventura County. Objectives A community-academic partnership conducted mixed-methods research with the aims of (1) collecting preliminary data on women's health needs; (2) training promotoras to assist with this effort; and (3) engaging community members and obtaining their input through community dialogues. Methods Promotoras who were bilingual in Spanish and either Mixteco or Zapoteco were trained to conduct surveys that included questions on breast feeding and receipt of breast and cervical cancer screening exams. Barriers to and facilitators of women obtaining these cancer screening tests were discussed in small groups. Results In 2013, 813 Mixtec and Zapotec women completed surveys. Although most women reported breast feeding (94%), and receipt of a pelvic exam (85%) and a breast exam (72%), only 44% of women 40 years and older had ever heard of and 33% had ever had a mammogram. Community members recommended offering free mammograms on the weekend by female providers, having women accompanied by promotoras who can translate, conducting door-to-door outreach, advertising cancer screening on the radio and providing small incentives to women. Discussion Trained bi-lingual promotoras can assist in increasing the capacity of indigenous communities to conduct collaborative research by engaging community members and collecting local data.

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“…21,22 The University of Texas Health Science Center at San Antonio Institutional Review Board approved the research.…”

Section: Methodsmentioning

confidence: 99%

English Language Proficiency and Physical Activity among Mexican-Origin Women in South Texas and South Carolina

Salinas¹,

Messias²,

Morales-Campos³

et al. 2014

hpu

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Objectives To examine the relationship between English language proficiency (ELP), physical activity and physical activity-related psychosocial measures (i.e. exercise self-efficacy, exercise social support, perceptions of environmental supports) among Mexican-origin women in South Carolina and Texas. Design Adjusted robust regression and interaction modeling to evaluate baseline questionnaire data on self-reported ELP with CHAMPS leisure-time moderate-to-vigorous physical activity (MVPA), accelerometry data, Physical Activity Self-Efficacy, Physical Activity Social Support and Environmental Support for Physical Activity in 118 Mexican-origin women. Results The adjusted regression revealed a significant association between ELP and perceived physical activity self-efficacy (β= 234.2, p=.004), but not with physical activity social support. In South Carolina, CHAMPS leisure-time MVPA (411.4 versus 114.3 minutes, p<.05) was significantly different between women in the high ELP quartile and those in the very low quartile. Among high ELP Mexican-origin women, participants in Texas reported significantly higher MVPA measured by accelerometry (p=.042) than those in South Carolina. Conclusion Our findings indicate that ELP was associated with physical activity and that contextual factors may also play a role.

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<I>Promotoras de Salud</I>: Roles, Responsibilities, and Contributions in a Multisite Community-Based Randomized Controlled Trial

Cited by 40 publications

References 25 publications

Promoting Physical Activity among Underserved Populations

Promoting Physical Activity among Underserved Populations

Building Capacity to Address Women's Health Issues in the Mixtec and Zapotec Community

English Language Proficiency and Physical Activity among Mexican-Origin Women in South Texas and South Carolina

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