“The Promotora Explained Everything”

Details

• Alternative Title:
  Diabetes Educ
• Personal Author:
  Shepherd-Banigan, Megan ; Hohl, Sarah D. ; Vaughan, Catalina ; Ibarra, Genoveva ; Carosso, Elizabeth ; Thompson, Beti
• Description:
  Purpose
  
  The purpose of this study is to describe participant experiences of a household-level, community health worker-led intervention to improve diabetes-related health behaviors and outcomes.
  
  Methods
  
  The Home Health Parties (HHP) aimed to improve diabetes self-management among Hispanics living in a rural, agricultural area in eastern Washington State. Trained promotores (community health workers) delivered a series of education sessions and distributed incentives to support diabetes-related behavior change. Open-ended, semi-structured questionnaires were administered to a random sample of 40 HHP participants. Qualitative methods were used to code and analyze the interview transcripts.
  
  Results
  
  Four primary themes emerged from interviews: (1) participants’ desire for improving knowledge about diabetes; (2) experiences of building skills for diabetes management; (3) developing social support; and (4) embracing household-level change.
  
  Conclusion
  
  This study shows that involving family members and increasing social support are effective strategies for improving health behaviors and chronic health outcomes among vulnerable Hispanics living with diabetes. Our findings demonstrate several important considerations regarding the design of diabetes management interventions for rural Hispanic populations including the following: (1) promotores are critical as they provide social support and encourage behavior change by building relationships based on trust and cultural understanding; (2) well-designed tools that provide step-by-step examples of healthy behaviors, such as cookbooks, and tools that aid participants to monitor behavior change, such as pedometers and glucose monitors, serve to build skills and improve confidence to achieve goals; and (3) targeting households is a promising strategy for individual and family lifestyle changes that benefit the entire family unit.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Diabetes Mellitus Family Female Health Knowledge, Attitudes, Practice Hispanic Or Latino Home Care Services Humans Male Middle Aged Patient Education As Topic Program Evaluation Qualitative Research Self-Management Social Support Washington

  More +
• Source:
  Diabetes Educ. 40(4):507-515
• Pubmed ID:
  24793637
• Pubmed Central ID:
  PMC7497434
• Document Type:
  Journal Article
• Funding:
  T42 OH008433/OH/NIOSH CDC HHS/United States ; UL1 TR000042/TR/NCATS NIH HHS/United States ; TL1 TR000422/TR/NCATS NIH HHS/United States ; R24 MD001621/MD/NIMHD NIH HHS/United States ; T42OH008433/ACL/ACL HHS/United States ; P01 ES009601/ES/NIEHS NIH HHS/United States
• Volume:
  40
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:06458ef341ad65878e2e5672a97e27bf39a9dd44ce0ef1f9bc3725f871a0f8b8
• Download URL:
  https://stacks.cdc.gov/view/cdc/93861/cdc_93861_DS1.pdf
• File Type:
  [PDF - 78.79 KB ]