Salud Para Su Carozón—A Latino Promotora-Led Cardiovascular Health Education Program

Spinner, Jovonni; Alvarado, Matilde

doi:10.1097/fch.0b013e3182465058

Cited by 20 publications

(25 citation statements)

References 12 publications

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“…20,21 This culturally-tailored intervention for Latinos, a NHLBI model curriculum, includes a variety of interactive teaching strategies. 22 Similarly positive outcomes are reported from a multi-site study involving culturally diverse, high-risk women attending a comprehensive heart care program within hospital clinics and healthcare centers.…”

Section: Introductionmentioning

confidence: 99%

Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas

Koniak‐Griffin

Brecht

2015

Journal of Cardiovascular Nursing

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Section: Introductionmentioning

confidence: 99%

Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas

Koniak‐Griffin

Brecht

2015

Journal of Cardiovascular Nursing

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“…First, CHW interventions have positive health outcomes for the population served. Systematic reviews, empirical studies and meta-analyses demonstrate that CHW interventions can improve, and have contributed to, a range of health issues, such as screening among immigrants 28,29,36,37 and other marginalized populations, 37 diabetes and asthma management, 36,38,39 healthy heart lifestyle, 40 maternal and child health services, 41 healthy eating habits, blood pressure reduction, patient enrolment in research, child development, early intervention services, 35,42,43 health care utilization, and some disease prevention and public health concerns. 36,44 Second, evaluations of CHW interventions have indicated their potential to reduce health disparities in marginalized populations.…”

Section: Evaluation Studiesmentioning

confidence: 99%

Community health workers in Canada and other high-income countries: A scoping review and research gaps

Najafizada

Bourgeault

Labonté

et al. 2015

Can J Public Health

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OBJECTIVES: Community health workers (CHWs) have been deployed to provide health-related services to their fellow community members and to guide them through often complex health systems. They help address concerns about how marginalized populations in many countries experience health inequities that are due, in part, to lack of appropriate primary health care services, possibly resulting in inappropriate use of higher-cost health services or facilities. This paper reviews studies on CHW interventions in a number of high-income countries, including Canada, to identify research gaps on CHW roles. METHODS:A scoping review using 68 sources of interventions involving CHWs was undertaken. The five-step Arksey and O'Malley model guided this review with the aim of summarizing research findings and identifying research gaps in the existing literature on CHWs in Canada (23 sources). A standardized extraction tool was employed to synthesize the literature. SYNTHESIS:We found that CHWs provide a wide range of health-related services but in a manner that, in Canada, is unrecognized and unregulated. In highincome countries, CHW interventions have contributed to health-related issues in communities and demonstrated potential to both reduce health inequity in marginalized populations and reduce the cost of medical services. CONCLUSION:CHWs are an under-recognized, and therefore underutilized, public health workforce, which has a promising capacity to reduce health inequities in marginalized populations in Canada. There is growing support to suggest that CHW roles need to be better integrated within the broader health and social services systems to enable their full potential to be realized.KEY WORDS: Community health workers; human resources; Canada La traduction du résumé se trouve à la fin de l'article.Can J Public Health 2015;106(3):e157-e164 doi: 10.17269/CJPH.106.4747C ommunity health workers (CHWs) have been deployed in most countries (whether low-, middle-or highincome) to provide health-related services to their fellow community members and to guide them through often complex health systems. They help to address concerns about how marginalized populations and communities in many countries experience health inequities that are due, in part, to lack of appropriate primary health care services, possibly resulting in inappropriate use of higher-cost health services or facilities. [1][2][3][4] The World Health Organization (WHO) defines CHWs as "members of communities where they work, selected by and answerable to the communities for their activities, supported by the health system but not necessarily a part of its organization, and have shorter training than professional workers." 5 The 2006 World Health Report identified the use of CHWs as an important strategy to address the growing shortage of health workers, particularly in low-resource settings, as well as to achieve the health-related Millennium Development Goals. 6 The key research priorities related to CHWs in these settings are to know more about their re...

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“…17,21 Risk factors that were commonly mentioned in our study, as well as others, include poor diet, lack of exercise, worries and stress, overweight, hypertension, high cholesterol, and access to medical care. 13,15,17,18,22 Participants in others studies were not aware of other common risk factors, 13,17 suggesting the need of conveying basic CVD information. In fact, one qualitative study purposely recruited Puerto Rican women with at least a high school education and without previous heart disease, to avoid bias in knowledge, but that study also showed that participants did not have proper knowledge or did not feel confident about it.…”

Section: Discussionmentioning

confidence: 99%

“…We used focus group discussions for this formative research because these have been effectively used to evaluate and understand a community’s knowledge, opinions, and needs to design culturally-appropriate programs. 14,15–17 …”

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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Salud Para Su Carozón—A Latino Promotora-Led Cardiovascular Health Education Program

Cited by 20 publications

References 12 publications

Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas

Awareness of Cardiovascular Disease and Preventive Behaviors Among Overweight Immigrant Latinas

Community health workers in Canada and other high-income countries: A scoping review and research gaps

Perceptions and Motivations to Prevent Heart Disease among Puerto Ricans

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