Promotora Nutrition Empowerment Initiative: A Culturally and Linguistically-Centered Education Program for Promotoras De Salud (Community Health Workers) to Foster Community Health Education and Outreach in Texas Border Colonias

Bustillos, Brenda; John, Julie St.; Sharkey, Joseph R.; Castillo, Maura Velázquez

doi:10.1016/j.jand.2013.06.242

Cited by 3 publications

(13 citation statements)

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“…The health focus of boundary-spanning activities in the 30 articles was wide ranging (see Table 2 ). The majority were located in the USA (17) [ 38 – 52 ] or England (7) [ 53 – 59 ]. Two articles were from the Netherlands [ 27 , 60 ], one Australia [ 61 ] and one New Zealand [ 62 ].…”

Section: Resultsmentioning

confidence: 99%

“…The search did not produce any articles using the term boundary spanners for community-based people (in contrast with health management literature, as noted above). People fulfilling boundary-spanning roles in the community were described as “engaged insider” [ 43 ], “bridging role within the clinic” [ 54 ], “cultural bridge” [ 38 , 41 , 52 , 59 ], “nexus” [ 46 ], “intermediary” [ 27 ], “connector” [ 48 , 63 , 65 ] “psychosocial bridge” [ 48 ] and “trusted liaison” [ 50 ].…”

Section: Resultsmentioning

confidence: 99%

“…Where health services use community-based boundary spanners as a solution to a workforce shortage problem [ 46 , 62 , 65 , 67 ], the boundary spanners are valued due to physical location in the marginalised community setting where it is difficult to recruit health workers. In the articles related to a connection or trust discrepancy between the health service and the community, their similarity to the community members being served is the reason for the health service using them [ 38 , 43 , 50 , 54 , 56 , 57 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some used existing training programs such as the City and Guilds Health Trainer Qualification [ 53 ]. Other articles [ 38 , 47 , 50 ] discussed development and impact of training boundary spanners.…”

Section: Resultsmentioning

confidence: 99%

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Community boundary spanners as an addition to the health workforce to reach marginalised people: a scoping review of the literature

2018

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BackgroundHealth services in high-income countries increasingly recognise the challenge of effectively serving and engaging with marginalised people. Effective engagement with marginalised people is essential to reduce health disparities these populations face. One solution is by tapping into the phenomenon of boundary-spanning people in the community—those who facilitate the flow of ideas, information, activities and relationships across organisation and socio-cultural boundaries.MethodsA scoping review methodology was applied to peer-reviewed articles to answer the question: “How do health services identify, recruit and use boundary spanners and what are the outcomes?” The review was conducted in seven databases with search terms based on community-based boundary spanning, marginalised people and health services.FindingsWe identified 422 articles with the screening process resulting in a final set of 30 articles. We identified five types of community-based boundary spanning: navigators, community health workers, lay workers, peer supporters and community entities. These range from strong alignment to the organisation through to those embedded in the community. We found success in four domains for the organisation, the boundary spanner, the marginalised individuals and the broader community. Quantifiable outcomes related to cost-savings, improved disease management and high levels of clinical care. Outcomes for marginalised individuals related to improved health knowledge and behaviours, improved health, social benefits, reduced barriers to accessing services and increased participation in services. We identified potential organisational barriers to using boundary spanners based on organisational culture and staff beliefs.ConclusionsCommunity boundary spanners are a valuable adjunct to the health workforce. They enable access to hard to reach populations with beneficial health outcomes.Maintaining the balance of organisational and community alignment is key to ongoing success and diffusion of this approach.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Community boundary spanners as an addition to the health workforce to reach marginalised people: a scoping review of the literature

2018

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“…These groups collaborate and support each other to promote health and social justice. CBPR in Latinx (the gender‐inclusive version of Latina or Latino) communities has been successful in addressing specific health conditions or health behaviors (i.e., screening for cancer, managing chronic diseases, preventing alcohol abuse, educating communities about healthy eating, breastfeeding, parenting, and sexual health; Ayón, Peña, & Naddy, ; Bustillos & Sharkey, ; Harris‐Luna & Badr, ; Nuño, Martinez, Harris, & García, ; Staten, Scheu, Bronson, Peña, & Elenes, ; Sun, Mann, Eng, Downs, & Rhodes, ). Community health workers, or promotores de salud in the Latinx community, play a central role in CBPR.…”

Section: Introductionmentioning

confidence: 99%

A multistakeholder evaluation of Lazos Hispanos: An application of a community‐based participatory research conceptual model

Orpinas

Matthew

Bermúdez

et al. 2019

Journal Community Psychology

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The goal of Lazos Hispanos is to enhance the health and well‐being of the Latinx community through promotoras, who connect community members with service providers for multiple health and social needs. A community‐based participatory research conceptual model framed the multimethod evaluation of promotoras, service providers, and community participants at baseline and at the 1‐year follow up. The promotoras increased their self‐efficacy and knowledge, felt a strong sense of commitment to the community, viewed themselves as a bridge between participants and providers, and felt empowered by their new role. Service providers valued the promotoras as their ambassadors in the community and Lazos Hispanos as central to connecting service providers, promotoras, and community members; they noted that this collaboration increased their accountability with the Latinx community. This multistakeholder evaluation highlights the depth of positive changes achieved during the first year and the challenges of a community‐embedded project and the benefits and possibilities of calling upon theoretically informed evaluation models.

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A Scoping Review of the Community Health Worker Model Used for Food Systems Interventions Within the United States

et al. 2022

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ObjectiveTo document and analyze the food systems interventions delivered by community health workers (CHW) serving as educators within the United States (U.S.)Data SourceTen databases (ie, Agricola, CAB Abstracts, CINAHL, ERIC, Proquest Social Science and Education, Proquest Theses and Dissertations, PubMed, Scopus, SocIndex, Web of Science) and gray-literature repositories were searched for publications between 2005-2020.Study Inclusion and Exclusion CriteriaEnglish-language and U.S. studies included with CHW as educators or facilitators for food systems interventions. Food systems defined as processes of production, processing, distribution, marketing, access, preparation, consumption, and disposal of food products. Studies excluded for clinical settings; non-adult CHWs; CHWs with medical or public health credentials; and programming guides, reviews, and commentaries.Data ExtractionVariables included CHW and intervention description, priority population, food system processes, and targeted and unexpected outcomes.Data SynthesisData were analyzed by the lead investigator and described narratively.ResultsOf 43 records, CHWs educated for consumption (n = 38), preparation (n = 33), and food access (n = 22) to improve health of priority populations. Community health workers educated for the highest number of food system processes in garden-based interventions. Programs reached many underserved racial and socioeconomic populations.ConclusionsThe CHW model has been used to educate in interventions for all food systems processes and reached many diverse underserved audiences. Future work must explore garden-based food systems education and CHWs as community change agents.

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Promotora Nutrition Empowerment Initiative: A Culturally and Linguistically-Centered Education Program for Promotoras De Salud (Community Health Workers) to Foster Community Health Education and Outreach in Texas Border Colonias

Cited by 3 publications

References 0 publications

Community boundary spanners as an addition to the health workforce to reach marginalised people: a scoping review of the literature

Community boundary spanners as an addition to the health workforce to reach marginalised people: a scoping review of the literature

A multistakeholder evaluation of Lazos Hispanos: An application of a community‐based participatory research conceptual model

A Scoping Review of the Community Health Worker Model Used for Food Systems Interventions Within the United States

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