The Impact of Promotoras on Social Support and Glycemic Control Among Members of a Farmworker Community on the US-Mexico Border

Ingram, Maia; Torres, Emma; Redondo, Flor; Bradford, Gail; Wang, Chin; O’Toole, Mary L.

doi:10.1177/0145721707304170

Cited by 83 publications

(89 citation statements)

References 15 publications

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“…Implementation through communitybased organizations, however, does not preclude linkage of PS with clinical care. One promotora program among migrant farm workers was successful in developing linkages with a local community health center to enhance clinical services for participants (57). Reciprocally, in PS programs implemented through health care settings, supporters may provide natural linkages from those settings to the communities they serve.…”

Section: Organizational Issuesmentioning

confidence: 99%

Peer Support in Health Care and Prevention: Cultural, Organizational, and Dissemination Issues

Fisher

Coufal²,

Parada³

et al. 2014

Annu. Rev. Public Health

107

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As reviewed in the article by Perry and colleagues (2014) in this volume, ample evidence has documented the contributions of peer support (PS) to health, health care, and prevention. Building on that foundation, this article discusses characteristics, contexts, and dissemination of PS, including (a) fundamental aspects of the social support that is often central to it; (b) cultural influences and ways PS can be tailored to specific groups; (c) key features of PS and the importance of ongoing support and backup of peer supporters and other factors related to its success; (d ) directions in which PS can be expanded beyond prevention and chronic disease management, such as in mental health or interventions to prevent rehospitalization; (e) other opportunities through the US Affordable Care Act, such as through patientcentered medical homes and chronic health homes; and ( f ) organizational and policy issues that will govern its dissemination. All these demonstrate the extent to which PS needs to reflect its contexts-intended audience, health problems, organizational and cultural settings-and, thus, the importance of dissemination policies that lead to flexible response to contexts rather than constraint by overly prescriptive guidelines.

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Section: Organizational Issuesmentioning

confidence: 99%

Peer Support in Health Care and Prevention: Cultural, Organizational, and Dissemination Issues

Fisher

Coufal²,

Parada³

et al. 2014

Annu. Rev. Public Health

107

View full text Add to dashboard Cite

show abstract

“…The patient navigation component of the study helped ensure that patients and their families were made aware of and are put in contact with community structures, facilities, and programming in a practical and useful manner. The present study is one of the first to show the efficacy of using CHWs to implement successful active living and healthy eating interventions among a pediatric population as well as adding to growing literature that demonstrates the effective use of CHWs among persons living in low income communities to promote health and disease management strategies [18]- [20]. Our study is subject to the limitations of participants serving as their own controls; hence issues of self-selection and generalizability may exist.…”

Section: Discussionmentioning

confidence: 93%

Promoting Active Living and Healthy Eating among Inner-City Youth through Community Health Workers: From Clinic to Neighborhood

Subtirelu¹,

Rincon-Subtirelu²,

Pickett³

et al. 2014

Health

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The promotion of physical activity and healthy eating to prevent obesity among youth is a pressing challenge. The current study examined the feasibility of community health workers (CHWs) conducting a physical activity (PA) and healthy eating intervention strategy with links to community supports and programs. Youth aged 10 -18 years were recruited from three clinical sites serving inner-city families. Trained CHWs conducted assessment and counseling for PA and healthy eating among youth and their families and provided customized plans and navigation to neighborhood PA and nutrition programs. Measures of daily PA by self-report, weekday and weekend day sedentary behaviors, fruit and vegetable intake, avoidance of fatty foods, and avoidance of sugary drinks were assessed at baseline and follow-up. Twenty-five patients (mean age = 12.9 years) were exposed to ~9 months of intervention from baseline. Pre-and post-assessments revealed significant changes in reported PA, sedentary behaviors on weekdays, sedentary behaviors on weekend days, fruit and vegetable intake, avoidance of fatty foods, and avoidance of sugary drinks. Results demonstrated the feasibility of having CHWs effectively influenced the PA and eating behaviors of inner-city youth. Greater success was evident when assessment and counseling for PA and healthy eating were accompanied by navigation to neighborhood resources. The use of CHWs may be a cost-effective approach impacting the PA, sedentary, and dietary behaviors of youth. * Corresponding author. M. Subtirelu et al.2343

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“…A randomized, controlled intervention among 150 Mexican-American adults with diabetes living along the U.S.-Mexico border found that promotora-taught classes were effective in improving glycemic control (hemoglobin A1C) 6 months postintervention compared to a control group that received standard clinic care only (Lujan et al 2007). A demonstration project in a similar population reported greater improvement in glycemic control among those patients who participated more frequently in promotora-led support groups (Ingram et al 2007).…”

Section: Implications For the Futurementioning

confidence: 99%

Research and outreach can lessen the overall burden of diabetes in farmworkers

Kaiser¹,

Martin²,

Steinbergy³

2008

Cal Ag

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The Impact of Promotoras on Social Support and Glycemic Control Among Members of a Farmworker Community on the US-Mexico Border

Abstract: These findings document improvement in both clinical and social health indicators for Mexican Americans in a farmworker community when a promotora model is used to provide and facilitate culturally relevant support for diabetes self-management practices.

Cited by 83 publications

References 15 publications

Peer Support in Health Care and Prevention: Cultural, Organizational, and Dissemination Issues

Peer Support in Health Care and Prevention: Cultural, Organizational, and Dissemination Issues

Promoting Active Living and Healthy Eating among Inner-City Youth through Community Health Workers: From Clinic to Neighborhood

Research and outreach can lessen the overall burden of diabetes in farmworkers

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