Promotoras in Mental Health

Stacciarini, Jeanne‐Marie R.; Rosa, Ana Cláudia Ferreira; Ortiz, Melissa; Munari, Denize Bouttelet; Uicab, Gloria; Balam, Maricela

doi:10.1097/fch.0b013e3182464f65

Cited by 46 publications

(16 citation statements)

References 34 publications

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“…More empiric evidence, however, is needed to demonstrate the impact of promotoras in the communities where they work and live - especially in addressing mental health promotion (Viswanathan, Kraschnewski et al 2010). There is still a dearth of understanding regarding the scope and potential of promotoras’ impact in the area of mental health problems(Stacciarini, Rosa et al 2012)…”

Section: Introductionmentioning

confidence: 99%

Results From a Pilot Promotora Program to Reduce Depression and Stress Among Immigrant Latinas

Tran

Ornelas

Kim

et al. 2013

Health Promotion Practice

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The stressful experiences that Latino immigrants face throughout the migration process to the United States put them at increased risk for poor mental health. Latinas are at heightened risk due to stigma, limited access to mental health resources, domestic violence, and gender role expectations. In addition, for those who live in new immigrant settlement areas, such as the Southeast, these disparities are magnified by even fewer culturally appropriate services and limited social support. This study evaluates the impact of ALMA (Amigas Latinas Motivando el Alma/Latina Friends Motivating the Soul), a pilot promotora intervention offered in three North Carolina counties to improve mental health among Latinas by offering coping skills training. The intervention trained community-based promotoras to conduct outreach to Latina women in their social network (compañeras). Using a pre–post test design, we assessed the mental health outcomes of compañeras. Compañeras improved on the following outcomes: depressive symptoms, attitudes of depression treatment, perceived and acculturative stress, perceived social support, and positive coping responses. Our findings suggest that promotora interventions, such as ALMA, that focus on building self-care strategies can be valuable to reducing preclinical symptoms and addressing health care disparities that are exacerbated by unavailable or underused mental health services.

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Section: Introductionmentioning

confidence: 99%

Results From a Pilot Promotora Program to Reduce Depression and Stress Among Immigrant Latinas

Tran

Ornelas

Kim

et al. 2013

Health Promotion Practice

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“…29 Community health workers, or promotoras, can be an effective bridge to help elicit parent involvement in health promotion, prevention, and increasing access to health care has been highlighted in the literature. 30 Research suggests that mentoring programs can promote positive youth development 31–32 in areas such as high-risk and violent behaviors, academic/educational outcomes, and career/employment outcomes. 32–34 There is less research on outcomes of mentoring specific to Latino/a youth, but preliminary findings are positive.…”

Section: Discussionmentioning

confidence: 99%

Using Community-Based Participatory Research and Human-Centered Design to Address Violence-Related Health Disparities Among Latino/a Youth

Kia‐Keating

Santacrose

Liu

et al. 2017

Family &Amp; Community Health

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High rates of exposure to violence and other adversities among Latino/a youth contributes to health disparities. The current paper addresses the ways in which community-based participatory research (CBPR) and human centered design (HCD) can help to engage communities in dialogue and action. We present a project exemplifying how community forums, with researchers, practitioners, and key stakeholders, including youth and parents, integrated HCD strategies with a CBPR approach. Given the potential for power inequities between these groups, CBPR+HCD acted as a catalyst for reciprocal dialogue and generated potential opportunity areas for health promotion and change. Future directions are described.

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“…Poorer psychological functioning has been associated with increased asthma morbidity [37] and similar associations are also seen in obesity [38, 39]. The impact of the CHW intervention on psychological functioning remains unclear [40] and requires further investigation.…”

Section: Discussionmentioning

confidence: 99%

Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development

et al. 2016

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BackgroundThe objective of this study was to design and test the feasibility and impact of a community health worker (CHW) intervention for comorbid asthma and obesity.MethodsUsing a proof of concept study design, we collected pre/post outcomes from a single intervention cohort of urban low-income in a single community area. A community-based participatory research approach was employed. Forty-six children and their caregivers were recruited. Children were 5–12 years old with physician-diagnosed asthma and body mass index (BMI) > 85%. Families were offered 12 home visits from CHWs that integrated asthma and obesity core curriculums. The primary asthma outcome was asthma control, measured via the Childhood Asthma Control Test (cACT). The primary obesity outcome was child body mass index (BMI).ResultsFamilies received a median of 10 out of the 12 home visits over 1 year. At 1 year, there was a significant improvement in the number of children with controlled asthma as measured via cACT (85.7% at 1 year compared to 61.9% at baseline, p = 0.01). Activity limitations and emergency utilization were reduced while inhaler technique improved (p < 0.01 for all). Child BMI z-score was reduced: mean = 1.97 (SD 0.79) at 1 year compared to mean = 2.13 (SD 0.40) at baseline, p < 0.01. No association was seen between change in child BMI and change in asthma control. Worse baseline child depression scores were associated with less improvement in asthma control (p = 0.003) and higher baseline caregiver post-traumatic stress disorder scores were associated with increased child BMI (p = 0.012).ConclusionsThe CHW intervention has promise for improving asthma and weight outcomes in high-risk children with comorbid asthma and obesity; this model warrants further development and investigation.

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Promotoras in Mental Health

Cited by 46 publications

References 34 publications

Results From a Pilot Promotora Program to Reduce Depression and Stress Among Immigrant Latinas

Results From a Pilot Promotora Program to Reduce Depression and Stress Among Immigrant Latinas

Using Community-Based Participatory Research and Human-Centered Design to Address Violence-Related Health Disparities Among Latino/a Youth

Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development

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