Using lay health workers: Case study of a community-based prenatal intervention

Meister, Joel S.; Warrick, Louise H.; Zapien, Jill Guernsey de; Wood, Anita

doi:10.1007/bf01321723

Cited by 80 publications

(38 citation statements)

References 19 publications

(1 reference statement)

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“…The CLS program sought to modify factors influencing Pap testing through a culturally competent program delivered by lay health workers (LHWs) to Hispanic women 50 and older in farmworker communities. The LHW model is based on peer health education in which community members deliver educational messages and connect women with health care resources [24–32] and has been effectively used to increase access to health services including Pap test screening [27,30,33–37]. The CLS program used Community Guide recommended approaches including one-on-one education and small media strategies for increasing screening [38].…”

Section: Research-tested Intervention Approaches In Hispanic Communitiesmentioning

confidence: 99%

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Fernández

Savas

Lipizzi

et al. 2014

Gynecologic Oncology

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Purpose Hispanic women in Texas have among the highest rates of cervical cancer incidence and mortality in the country. Increasing regular Papanicolaou test screening and HPV vaccination are crucial to reduce the burden of cervical cancer among Hispanics. This paper presents lessons learned from community-based cervical cancer control programs in Texas and highlights effective intervention programs, methods and strategies. Methods We reviewed and summarized cervical cancer control efforts targeting Hispanic women in Texas, focusing on interventions developed by researchers at the University of Texas, School of Public Health. We identified commonalities across programs, highlighted effective methods, and summarized lessons learned to help guide future intervention efforts. Results Community-academic partnerships were fundamental in all steps of program development and implementation. Programs reviewed addressed psychosocial, cultural, and access barriers to cervical cancer control among low-income Hispanic women. Intervention approaches included lay health worker (LHW) and navigation models and used print media, interactive tailored media, photonovellas, client reminders, one-on-one and group education sessions. Conclusions Small media materials combined with LHW and navigation approaches were effective in delivering Pap test screening and HPV vaccination messages and in linking women to services. Common theoretical methods included in these approaches were modeling, verbal persuasion, and facilitating access. Adaptation of programs to an urban environment revealed that intensive navigation was needed to link women with multiple access barriers to health services. Collectively, this review reveals 1) the importance of using a systematic approach for planning and adapting cervical cancer control programs; 2) advantages of collaborative academic-community partnerships to develop feasible interventions with broad reach; 3) the use of small media and LHW approaches and the need for tailored phone navigation in urban settings; and 4) coordination and technical assistance of community-based efforts as a way to maximize resources.

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Section: Research-tested Intervention Approaches In Hispanic Communitiesmentioning

confidence: 99%

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Fernández

Savas

Lipizzi

et al. 2014

Gynecologic Oncology

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“…11 12 In general, the literature indicates that promotores can increase access to the target audience and improve accessibility to health care resources. 12 13 The approach has been applied in cancer and cardiovascular disease risk reduction programmes for Latinos with promising results, [14][15][16] although rigorous evaluations are rare.…”

Section: Promotor Approach Recruitment and Trainingmentioning

confidence: 99%

Evaluation of a culturally appropriate smoking cessation intervention for Latinos

Woodruff

2002

Tob Control

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Background: Many believe that smoking cessation programmes for Latinos should be tailored to the values and beliefs of the culture. However, randomised studies of culturally appropriate smoking cessation interventions with Latinos are rare. Methods: Latino smokers (n = 313) were randomised to an intervention condition or a comparison group. The intervention was a three month programme based on social cognitive constructs and delivered in the smoker's home by trained lay health advisors, or promotores. Comparison group participants were referred to the California Smoker's Helpline in Spanish. Predictors of abstinence among all participants also were examined. Results: About one week post-intervention, validated (carbon monoxide) past week abstinence rates were more than twice as high in the intervention group (20.5%) than in the comparison (8.7%) (p < 0.005). The pattern of results held for self reported abstinence, and after recoding dropouts to non-abstinence. The primary predictor of abstinence was number of cigarettes smoked per day at baseline, a common measure of addiction. Conclusions: The culturally appropriate intervention facilitated abstinence in Latino smokers, at least in the short term. Strengths and weaknesses of the study are discussed.

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“…Indeed, interest in promotores programs has been particularly prominent in low income countries in which the formal health system has failed to provide adequate care for low-income groups (Hadley, Cunningham, & Hargraves, 2006). Studies indicate that promotores have been shown to be effective in reaching minority populations, particularly those with barriers to accessing health care resources (Woodruff, Talavera, & Elder, 2002) (Lewin, 2005; Meister, Warrick, de Zapien, & Wood, 1992; Mock et al, 2007). The Institute of Medicine report “Unequal Treatment” recommends community health workers to improve use of preventive and primary care services (Lewin, 2005; Lewin, et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Empowering Promotores de Salud to Engage in Community-Based Participatory Research

Cupertino

Suárez

Cox

et al. 2013

Journal of Immigrant & Refugee Studies

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Background Latino immigrants are less likely to be involved in addressing health-related issues affecting their own community. Community health workers have played a significant role in addressing the health of underserved communities in several countries. Objective The objective of this article is to describe the development, implementation and evaluation of a community-based training program that empowers promotores to identify the health needs of recent Latino immigrants. Promotores were able to develop interventions based on the needs of recent Latino immigrants. Methods Latino community members participated in a 30-hour training program. Training was provided in 15 two-hour sessions over 3 months. Training included field work accompanied by skills development in leadership, organization, interpersonal communication, and survey implementation. Upon completion of the training, promotores conducted household surveys designed to identify community health needs. The evaluation employed quantitative measures to track promotores’ canvassing activities and assessment of health behaviors. Results Out of the 22 promotores enrolled in the training program, 15 (68.18%) completed the training program. Within 3 months, promotores administered 105 household surveys and identified poor access to health care, lack of insurance (78.6%), low daily consumption of fruits (73%) and vegetables (37.5%) and frequent exposure to tobacco smoke (31.7%). Conclusion Our study demonstrated the feasibility of recruiting and engaging promotores to identify health priorities within the Latino community. This initial step will inform the development of future community-based interventions.

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Using lay health workers: Case study of a community-based prenatal intervention

Cited by 80 publications

References 19 publications

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Cervical cancer control for Hispanic women in Texas: Strategies from research and practice

Evaluation of a culturally appropriate smoking cessation intervention for Latinos

Empowering Promotores de Salud to Engage in Community-Based Participatory Research

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