Salud Para Su Corazón-NCLR: A Comprehensive Promotora Outreach Program to Promote Heart-Healthy Behaviors Among Hispanics

Abstract

This article describes results of year-1 implementation of the Salud Para Su Corazón (Health For Your Heart)—National Council of la Raza (NCLR) promotora (lay health worker) program for promoting heart-healthy behaviors among Latinos. Findings of this community outreach initiative include data from promotora pledges and self-skill behaviors, cardiovascular disease risk factors of Latino families, family heart-health education delivery, and program costs associated with promotora time. Participation included 29 trained promotoras serving 188 families from three NCLR affiliates in Escondido, California; Chicago, Illinois; and Ojo Caliente, New Mexico. Using several evaluation tools, the results showed that the promotora approach worked based on evidence obtained from the following indicators: changes in promotora’s pre-post knowledge and performance skills, progress toward their pledge goals following training, recruiting and teaching families, providing follow-up, and organizing or participating in community events. Strengths and limitations of the promotora model approach are also discussed.

Keywords

participatory research community outreach lay health workers Latino families cardiovascular health

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References

Alcalay, R. , Alvarado, M. , Balcazar, H. , Newman, A. , & Huerta, E. (1999). Salud Para Su Corazón: A community-based Latino cardiovascular disease prevention and outreach model. Journal of Community Health, 24, 359-379.

Alcalay, R. , Alvarado, M. , Balcazar, H. , Newman, E. , & Ortiz, G. (2000). Evaluation of a community-based Latino heart disease prevention program in metropolitan Washington, D.C. International Quarterly of Community Health Education, 3, 191-204.

Balcazar, H. , Alvarado, M. , Alcalay, R. , Huerta, E. , & Ortiz, G. (1999). Salud Para Su Corazón: A model program to promote cardiovascular health in Latinos. Medico Interamericano, 18(1), 18-23.

Balcazar, H. , Alvarado, M. , Alcalay, R. , Schindeldecker, M. , Newman, E. , Huerta, E. , et al. (2001). Salud Para Su Corazón: Evaluating cardiovascular health outreach activities in the Latino community. Medicine of the Americas, 2, 4-11.

Castro, F. , Elder, J. , Coe, K. , Tafoya-Barraza, H. , Moratto, S. , Campbell, N. , et al. (1995). Mobilizing churches for health promotion in Latino communities: Campañeros en la salud. Journal of the National Cancer Institute Monograms, 18, 127-135.

Corkery, E. , Palmer, C. , Foley, M. , Schechter, C. , Frisher, L. , & Roman, S. (1997). Effect of a bicultural community health worker on completion of diabetes education in a Hispanic population. Diabetes Care, 20(3), 254-257.

Eng, E. , Parker, E. , & Harlan, C. (1997). Lay health advisor intervention strategies: A continuum from natural helping to paraprofessional helping. Health Education & Behavior, 24, 413-417.

Flores, E. , Castro, F. , & Fernandez-Esquer, M. (1995). Social theory, social action, and intervention research: Implications for cancer prevention among Latinos. Monograms of the National Cancer Institute, 18, 101-108.

Kegler, M. , Stern, R. , Whitecrow-Ollis, S. , & Halinka, L. (2003). Assessing lay health advisor activity in an intervention to prevent lead poisoning in Native American children. Health Promotion Practice, 4, 189-196.

10.

Meister, J. , Warrick, L. , de Zapien, J. , & Word, A. (1992). Using lay health workers: Case study of a community-based prenatal intervention. Journal of Community Health, 17, 37-51.

11.

Minkler, M. , & Wallerstein, N. (2003). Community-based participatory research for health. San Francisco: Jossey-Bass.

12.

Moreno, C. , Alvarado, M. , Balcazar, H. , Newman, E. , Ortiz, G. , & Forrest, M. (1997). Heart disease education and prevention program, targeting immigrant Latinos: Using focus group responses to develop effective interventions. Journal of Community Health, 22, 435-450.

13.

National Heart, Lung , & Blood Institute . (1996). Latino community cardiovascular disease prevention and outreach initiative. Background report. Bethesda, MD: Public Health Service, National Institutes of Health.

14.

National Heart, Lung , & Blood Institute . (2002). Promotores: Energizing local communities for heart health. Findings from Salud Para Su Corazón implementation projects. Washington, DC: U.S. Department of Health & Human Services.

15.

Navarro, A. , Senn, K. , McNicholas, L. , Kaplan, R. , Roppe, B. , & Campo, M. (1998). Por la vida model intervention enhances use of cancer screening tests among Latinas. American Journal of Preventive Medicine, 15(1), 32-41.

16.

Pandey, D. K. , Labarthe, D. R. , Goff, D. C. , Chan, W. , & Nichaman, M. Z. (2001). Community-wide coronary heart disease mortality in Mexican Americans equals or exceeds that in non-Hispanic Whites: The Corpus Christi Heart Project. American Journal of Medicine, 110(2), 81-87.

17.

Perez-Stable, E. , Juarbe, T. , & Moreno-John, C. (2001). Cardiovascular disease. In M. Aguirre-Molina , C. Molina , & R. Zambrana (Eds.), Health issues in the Latino community (pp. 245-276). San Francisco: Jossey-Bass.

18.

Rainwater, D. L. , Mitchell, B. D. , Comuzzie, A. G. , VandeBerg, J. L. , Stern, M. P. , & MacCluer, J. W. (2000). Association among 5-year changes in weight, physical activity, and cardiovascular disease risk factors in Mexican Americans. American Journal of Epidemiology, 152(10), 974-982.

19.

Stern, M. P. , & Wei. M. (1999). Do Mexican Americans really have low rates of cardiovascular disease? Preventive Medicine, 29, S90-S95.

20.

Witmer, A. , Seifer, S. , Finocchio, L. , Leslie, J. , & O’Neil, E. (1995). Community health workers: Integral members of the health care work force. American Journal of Public Health, 85, 1055-1058.