A community health worker-led lifestyle behavior intervention for Latina (Hispanic) women: Feasibility and outcomes of a randomized controlled trial

Koniak‐Griffin, Deborah; Brecht, Mary Lynn; Takayanagi, Sumiko; Villegas, Juan; Melendrez, Marylee; Balcázar, Héctor

doi:10.1016/j.ijnurstu.2014.09.005

Cited by 96 publications

(202 citation statements)

References 60 publications

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“…Given that even in occasional and light smokers alcohol consumption acts as a cue to smoke and facilitates the transition from experimental to current smoking (Chung & Joung, ), preventive interventions should target alcohol and tobacco co‐use during university years and young adulthood. This is in line with advancements in current body of evidence suggesting that prevention programmes may be more successful if targeting multiple health risk behaviours (Koniak‐Griffin et al., ; Noble, Paul, Turon, & Oldmeadow, ). Thus, comprehensive prevention activities against both behaviours may maximise their effects and should particularly focus on convivial settings in which the highest proportion of smoking and alcohol co‐use occurs.…”

Section: Relevance To Clinical Practicesupporting

confidence: 81%

The relationship between smoking and convivial, intimate and negative coping alcohol consumption in young adults

Kritsotakis

Konstantinidis

Androulaki

et al. 2017

Journal of Clinical Nursing

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Section: Relevance To Clinical Practicesupporting

confidence: 81%

The relationship between smoking and convivial, intimate and negative coping alcohol consumption in young adults

Kritsotakis

Konstantinidis

Androulaki

et al. 2017

Journal of Clinical Nursing

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“…This might have been especially important with respect to being able to ask questions that they may not have felt comfortable asking in the dental clinic. However, outcome results of promotora education programs are sometimes mixed, although some have proven effectiveness 42,43 . This study adds to the literature demonstrating that promotora interventions can be effective as well as acceptable.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness evaluation of Contra Caries Oral Health Education Program for improving Spanish‐speaking parents’ preventive oral health knowledge and behaviors for their young children

Hoeft

Barker

Shiboski

et al. 2016

Comm Dent Oral Epid

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Objectives To determine the effectiveness of the Contra Caries Oral Health Education Program (CCOHEP) for improving low-income, Spanish-speaking parents’ oral health knowledge and behaviors for their young children. Mexican American children in the United States suffer disproportionately high prevalence and severity of early childhood caries, yet few evaluated, theory-based behavioral interventions exist for this population. CCOHEP is a theory-based curriculum consisting of four 2-hour interactive classes designed for and by Spanish speakers and led by designated community health educators (promotoras). Topics included children’s oral hygiene, caries etiology, dental procedures, nutrition, child behavior management and parent skill-building activities. Methods Low-income Spanish-speaking parents/caregivers of children aged 0–5 years were recruited through community services in an agricultural city in California. Survey questions from the Oral Health Basic Research Facts Questionnaire measuring oral health related behaviors and knowledge were verbally administered before, immediately after, and 3 months after attendance at CCOHEP. Five questions measured aspects of parental tooth brushing for their children (frequency, using fluoridated toothpaste, brushing before bed, not drinking or eating after nighttime brushing, adult assistance), three questions measured other oral health behaviors, and 16 questions measured oral health-related knowledge. Analyses of within-person changes between pre- and posttests, and again between post-test and three month follow up consisted of McNemar’s test for binary outcomes and sign tests for ordinal outcomes. Results Overall, 105 caregivers participated in CCOHEP (n= 105 pretest, n=95 posttest, n=79 second posttest). At baseline, all parents self-reported doing at least one aspect of toothbrushing correctly, but only 13% reported performing all five aspects according to professional guidelines. At posttest, 44% of parents reported completing all aspects of tooth brushing according to professional guidelines (p<.001). Statistically significant improvements were seen in 4 aspects of toothbrushing (p≤.008) between pretest and posttest (all but adult assistance). The second posttest showed 3 of these improvements were maintained, while adult assistance and the other reported behaviors improved (p≤.008). Between pretest and posttest, checking child’s teeth monthly and frequency of sweet drinks consumption improved (p≤.008) while frequency of eating sweet foods did not change. Knowledge was high at baseline (mean 12.83 of 16), but 6 knowledge items improved significantly between pretest and posttest. Improvements were maintained at second posttest. Conclusions CCOHEP improved low-income Spanish-speaking parents’ oral hygiene knowledge and self-reported behaviors for their young children, and change was sustained 3 months after the end of the intervention. Future, more rigorous evaluation of the intervention is recommended.

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“…4,7 Programs for Latinos in general have shown positive results in increasing knowledge of CVD risk factors and improving biological markers; 8,9 however, these results tend to be modest and of limited sustainability. 10,11 The outcomes of these programs among Puerto Ricans exclusively are not known. Content, themes, duration and strategies of the programs have varied considerably, and their relevance to the Puerto Rican community is undetermined.…”

mentioning

confidence: 99%

“…Content, themes, duration and strategies of the programs have varied considerably, and their relevance to the Puerto Rican community is undetermined. Additionally, program attrition may impact its feasibility and success, 8,11 and this also has varied across Latino-wide programs.…”

mentioning

confidence: 99%

Perceptions and Motivations to Prevent Heart Disease among Puerto Ricans

Mattei¹,

Mendez²,

Falcón³

et al. 2016

Am J Hlth Behav

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Objectives We performed a qualitative assessment of Puerto Ricans’ knowledge and perceptions of cardiovascular disease (CVD), and motivations/barriers and preferences to participate in community/ clinical programs for CVD-prevention. Methods Four guided focus group discussions were conducted on a total of 24 Puerto Ricans, aged 40–60 years in Boston, MA. Results Participants were aware of CVD, but less knowledgeable about its prevention. They perceived it as serious, and either had CVD or knew someone who had it. They favored education and activities on nutrition, exercise, clinical advice, and social interaction, in weekly/ biweekly small-group sessions with other Latinos, led in Spanish by a familiar health professional, in a convenient community location. Age- and culture-specific program content and educational materials were preferred. A theme emerged on ‘personal or family motivations’ such as to become healthier and live longer so they would feel better and support their families, or to learn about CVD-prevention. Main barriers included family obligations, weather, safety concerns, transportation, and depressive mood. Conclusions Culturally-tailored CVD-prevention programs for Puerto Ricans should include multiple behavioral and social approaches, and draw on intrinsic motivators while reducing barriers to help enhance efficacy and sustainability.

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A community health worker-led lifestyle behavior intervention for Latina (Hispanic) women: Feasibility and outcomes of a randomized controlled trial

Cited by 96 publications

References 60 publications

The relationship between smoking and convivial, intimate and negative coping alcohol consumption in young adults

The relationship between smoking and convivial, intimate and negative coping alcohol consumption in young adults

Effectiveness evaluation of Contra Caries Oral Health Education Program for improving Spanish‐speaking parents’ preventive oral health knowledge and behaviors for their young children

Perceptions and Motivations to Prevent Heart Disease among Puerto Ricans

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