Results: 3069
Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. (2011)
This research tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control. Using an empowerment-based approach, community health workers provided participants with diabetes self-management education and regular home visits, and accompanied them to a clinic visit during the 6-month intervention period. This studyRead more…
Adapting the popular opinion leader intervention for Latino young migrant men who have sex with men. (2006)
Young Latino migrant men who have sex with men are at high risk for HIV infection. The Popular Opinion Leader intervention, shown to be effective with White gay men, was adapted by the Farmworker Justice Fund, Inc., for this Latino migrant population. This project, called the Young Latino Promotores, wasRead more…
Providing health care to low-income women: a matter of trust. (2004)
Trust is an important indicator of quality in patient-provider relationships and predicts adherence to certain protective health behaviours. It has been relatively unexplored among low-income or minority women. We explored health care experiences that influence patient trust among low-income women in the USA with respect to professionals and lay health workersRead more…
Effects of a culturally grounded community-based diabetes prevention program for obese Latino adolescents. (2012)
The purpose of this study was to test the feasibility and preliminary effects of a culturally grounded, community-based diabetes prevention program among obese Latino adolescents. Fifteen obese Latino adolescents completed a 12-week intervention that included weekly lifestyle education classes delivered by bilingual/bicultural promotoras and three, 60-minute physical activity sessions per week.Read more…
African American Community Breast Health Education: A Pilot Project. (2006)
This paper reports the results of a project designed to examine the effectiveness of a Train the Trainer breast health education and screening program for African American, elderly and underserved women residing in the greater Nashville area. The project aimed to identify a cadre of women from the community willingRead more…
Pasa la voz (spread the word): using women’s social networks for HIV education and testing. (2010)
Pasa la Voz (spread the word) is a human immunodeficiency virus (HIV) prevention methodology inspired by respondent-driven sampling (RDS) that uses social networks to access hard-to-reach populations. As field testing showed the approach to be efficacious among at-risk women in West Texas and Southern New Mexico, we set out toRead more…
Church-Based Breast Cancer Screening Education: Impact of Two Approaches on Latinas Enrolled in Public and Private Health Insurance Plans (2007)
The Tepeyac Project is a church-based health promotion project that was conducted from 1999 through 2005 to increase breast cancer screening rates among Latinas in Colorado. Previous reports evaluated the project among Medicare and Medicaid enrollees in the state. In this report, we evaluate the program among enrollees in theRead more…
Lay Health Advisor Interventions Among Hispanics/Latinos: (2007)
With an expanding Hispanic/Latino community in the United States, practitioners and researchers working to promote health and prevent disease have relied on lay health advisor (LHA) models to address a variety of health issues. The primary goal of this systematic review was to explore how LHA approaches have been usedRead more…
Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial. (2011)
This research was designed to evaluate the effect of a culturally sensitive diabetes self-management education program that uses a low-cost, peer-educator format (Project Dulce) on glucose control and metabolic parameters in low-income Mexican Americans with type 2 diabetes. This randomized trial, using the Project Dulce model of culturally sensitive, peer-led education,Read more…
Nike-Footed Health Workers deal with the problems of adolescent pregnancy. (1992)
Working principally to prevent repeat teen pregnancy, improve birth outcomes to teen mothers, and build adolescent parenting skills, the Nike (sneaker)-Footed Health Worker Project (NFHW) draws trainees from the target population of parenting adolescents. The Nike-Footed Health Worker Project is designed to allow adolescent mothers to complete high school whileRead more…
The impact of community health worker training and programs in NYC. (2006)
The Northern Manhattan Community Voices Collaborative is committed to improving health care in Harlem, Washington Heights, Inwood, and low-income communities in New York City, large parts of which are home to many immigrants to the U.S. The collaborative developed a program to train and integrate community health workers (CHWs) intoRead more…
Evaluating the efficacy of lay health advisors for increasing risk-appropriate Pap test screening: a randomized controlled trial among Ohio Appalachian women. (2011)
Cervical cancer is a significant health disparity among women in Ohio Appalachia. The goal of this study was to evaluate the efficacy of a lay health advisor (LHA) intervention for improving Papanicolaou (Pap) testing rates, to reduce cervical cancer, among women in need of screening. Women from 14 Ohio Appalachian clinicsRead more…
Detroit’s East Side Village Health Worker Partnership: community-based lay health advisor intervention in an urban area. (1998)
In recent years, there have been few reports in the literature of interventions using a lay health advisor approach in an urban area. Consequently, little is known about how implementation of this type of community health worker model, which has been used extensively in rural areas, may differ in anRead more…
Customizing survey instruments and data collection to reach Hispanic/Latino adults in border communities in Texas. (2010)
This research sought to modify an instrument and to use it to collect information on smoking knowledge, attitudes, beliefs, and behaviors among Hispanics/Latinos, and to adapt survey methods to obtain high participation levels. Promotoras (outreach workers) conducted face-to-face interviews. Strategic, targeted, carefully designed methods and surveys can achieve high reach andRead more…
Role development of community health workers: an examination of selection and training processes in the intervention literature. (2009)
Research evaluating community health worker (CHW) programs inherently involves these natural community leaders in the research process, and often represents community-based participatory research (CBPR). Interpreting the results of CHW intervention studies and replicating their findings requires knowledge of how CHWs are selected and trained. There was inconsistent reporting of selection andRead more…
Community health worker intervention to decrease cervical cancer disparities in Hispanic women. (2010)
U.S. Hispanic women suffer a disproportionate burden of cervical cancer, with incidence and mortality rates almost twice that of whites. Community health workers, or promotoras, are considered a potential strategy for eliminating such racial and ethnic health disparities. The current study is a randomized trial of a promotora-led educational interventionRead more…
Promotores as researchers: expanding the promotor role in community-based research. (2011)
The community health worker, known as promotor in the Hispanic community, is an accepted member of the public health team whose core role is that of bridging target communities with health services. However, the promotor’s role in research has not been considered a core function of their work. This articleRead more…
Texas’ Community Health Workforce: From State Health Promotion Policy to Community-level Practice (2005)
In 1999, Texas became the first state in the nation to recognize these workers and their contributions to keeping Texans healthy. This paper examines a state health promotion policy that culminated in a training and certification program for promotores and the impact of this program on the lay health educationRead more…
New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team. (2010)
This article assesses the value of using telecommunications with Promotoras (paraprofessional outreach workers) and an expert medical team of registered nurses (RNs) and endocrinologists in an at-risk type 2 diabetic Hispanic population recruited for a telemedicine feasibility project from a free clinic. A Promotoras is the primary educator and theRead more…
Tobacco cessation services through community health workers for Spanish-speaking populations. (2006)
Partnerships were established with the University of Arizona’s Healthcare Partnership to train promotores–Spanish-speaking community health workers–as tobacco cessation counselors. Tobacco Free El Paso certified promotores to help identify tobacco users and offer tobacco cessation counseling services. Participants who completed Técnicas Básicas, Treatment Specialist, and Déjate de ese Vicio certifications significantlyRead more…
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