Volume 10 Supplement 1

7th Annual Conference on the Science of Dissemination and Implementation in Health

Open Access

Promotoras (community health workers) improve heart health among Latinos in rural and urban settings

  • Katrina Kubicek1, 4Email author,
  • Marisela Robles1,
  • Lourdes Baezconde-Garbanati2,
  • Melinda Cordero-Barazaga3 and
  • Michele D Kipke1, 2, 4
Implementation Science201510(Suppl 1):A55

https://doi.org/10.1186/1748-5908-10-S1-A55

Published: 14 August 2015

The project was aimed at reducing cardiovascular health disparities by implementing an evidence-based curriculum (Su Corazón Su Vida) delivered by promotoras in underserved communities. This 11-session intervention was designed to promote heart health through interactive exercises and promoting healthy lifestyle choices.

Objectives

Twenty-five promotoras were trained in the curriculum; they in turn reached 750 Latino participants through community workshops. In order to reach Latinos in both urban and rural settings, we focused on both rural (Kern County) and urban (Los Angeles) communities in Southern California.

Methods

A community-engaged research approach was taken as it involved the collaboration of a research institution and a community-based organization. Promotoras obtained human subjects certification, were trained on research protocols, obtained informed consent, collected de-identified pre and post data from community participants, and contributed to data interpretation as community advisory board members.

Results

Compared to baseline, 3-month follow-up data indicate community participants made significant changes in: 1) the amount of physical activity performed (p < 0.001); 2) consumption of fruits and vegetables (p < 0.001); and 4) the proportion who implemented lifestyle changes in their households to decrease their risk for cardiovascular disease (p < 0.001).

Discussion

This project adds to the evidence-base that promotoras can be important players in the field of dissemination and implementation science while also ensuring cultural competency - important when considering health disparities. As trusted and known members of the community, protmotoras can effectively recruit and retain community members into evidence-based programs. Also, promotoras can be active partners in research with appropriate training and supervision. A 12-month follow-up with community participants is currently underway.

Funding source

This project was supported through a contract with the Altarum Institute and a grant from the National Institute of Heart, Lung and Blood Institute (GS10F0231K/HHSN268200900114U).

Authors’ Affiliations

(1)
Community Engagement Program, Southern California Clinical and Translational Science Institute, University of Southern California
(2)
Department of Preventive Medicine, Keck School of Medicine, University of Southern California
(3)
Vision y Compromiso
(4)
Division of Research on Children, Youth and Families, Children's Hospital Los Angeles

Copyright

© Kubicek et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Advertisement