Empowering Promotores de Salud to engage in Community-Based Participatory Research.
Empowering Promotores de Salud to engage in Community-Based Participatory Research.
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DOI：
10.1080/15562948.2013.759034
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发表时间：
2013-01
影响因子：
1.2
通讯作者：
Ellerbeck EF
中科院分区：
文献类型：
--
作者：
Cupertino AP;Suarez N;Cox LS;Fernández C;Jaramillo ML;Morgan A;Garrett S;Mendoza I;Ellerbeck EF
拉美裔移民不太可能参与解决影响他们自己社区的健康相关问题。在一些国家，社区卫生工作者在解决服务不足社区的健康问题上发挥了重要作用。本文的目的是描述一项以社区为基础的培训计划的开发、实施和评估，该计划使推广者能够确定最近拉美裔移民的健康需求。促进者能够根据最近拉美裔移民的需求制定干预措施。拉美裔社区成员参加了一个30小时的培训计划。在3个月的时间里，提供了15次两小时的培训。培训包括实地工作，并伴随着领导、组织、人际交流和调查实施方面的技能发展。培训结束后，促进者进行了旨在确定社区卫生需求的住户调查。评估采用了量化措施来跟踪推销员的拉票活动和对健康行为的评估。在参加培训计划的22名推销员中，15人(68.18%)完成了培训计划。在3个月内，促销员进行了105次家庭调查，发现获得医疗保健的机会很少，缺乏保险(78.6%)，水果和蔬菜的日消费量低(73%)，经常接触烟草烟雾(31.7%)。我们的研究证明了招募和聘用推销员以确定拉美裔社区内的健康优先事项的可行性。这第一步将为今后以社区为基础的干预措施的发展提供信息。
Latino immigrants are less likely to be involved in addressing health-related issues affecting their own community. Community health workers have played a significant role in addressing the health of underserved communities in several countries. The objective of this article is to describe the development, implementation and evaluation of a community-based training program that empowers promotores to identify the health needs of recent Latino immigrants. Promotores were able to develop interventions based on the needs of recent Latino immigrants. Latino community members participated in a 30-hour training program. Training was provided in 15 two-hour sessions over 3 months. Training included field work accompanied by skills development in leadership, organization, interpersonal communication, and survey implementation. Upon completion of the training, promotores conducted household surveys designed to identify community health needs. The evaluation employed quantitative measures to track promotores’ canvassing activities and assessment of health behaviors. Out of the 22 promotores enrolled in the training program, 15 (68.18%) completed the training program. Within 3 months, promotores administered 105 household surveys and identified poor access to health care, lack of insurance (78.6%), low daily consumption of fruits (73%) and vegetables (37.5%) and frequent exposure to tobacco smoke (31.7%). Our study demonstrated the feasibility of recruiting and engaging promotores to identify health priorities within the Latino community. This initial step will inform the development of future community-based interventions.