Behavioral and subjective health changes in US and Mexico border residing participants in two promotora-led chronic disease preventive interventions.

Chronic diseases are the primary health burden among Mexican-origin populations and health promotion efforts have not been able to change negative population trends. This research presents behavioral and subjective health impacts of two related community health worker (CHW) interventions conducted i...

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Publicado en:Health Education Research Vol. 33; no. 6; pp. 522 - 535
Autores principales: Carvajal, S C, Huang, S, Bell, M L, Denman, C, Zapien, J Guernsey de, Cornejo, E, Chang, J, Staten, L K, Rosales, C
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        10.1093/her/cyy037
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        atl: Behavioral and subjective health changes in US and Mexico border residing participants in two promotora-led chronic disease preventive interventions.
      aug:
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          Carvajal, S C
          Huang, S
          Bell, M L
          Denman, C
          Zapien, J Guernsey de
          Cornejo, E
          Chang, J
          Staten, L K
          Rosales, C
        affil: Mel and Enid Zuckerman College of Public Health, Health Promotion Sciences & Arizona Prevention Research Center
      sug:
        subj:
          Chronic Disease Prevention and Control
          Chronic Disease Prevention and Control
          Community Health Workers Education
          Health Promotion Methods
          Health Behavior
          Program Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Hispanic Americans
          United States
          Mexico
          Chronic Disease Risk Factors
          Food Habits
          Life Style Changes
          Physical Activity
          Support, Psychosocial
          Empowerment
          Health Status Indicators
          Mental Health
          Curriculum Development
          Questionnaires
          Linear Regression
          Logistic Regression
          Data Analysis, Statistical Methods
          Confidence Intervals
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Chronic diseases are the primary health burden among Mexican-origin populations and health promotion efforts have not been able to change negative population trends. This research presents behavioral and subjective health impacts of two related community health worker (CHW) interventions conducted in the US–Mexico border region. Pasos Adelante (United States) and Meta Salud (Mexico) are 12–13 week CHW-led preventive interventions implemented with Mexico-origin adults. Curricula include active learning modules to promote healthy dietary changes and increasing physical activity; they also incorporate strategies to promote social support, empowerment and group exercise components responsive to their communities. Questionnaire data at baseline (N = 347 for Pasos ; 171 for Meta Salud), program completion and 3-month follow-up were analyzed. Results showed statistically significant improvements in multiple reported dietary, physical activity and subjective health indicators. Furthermore, at follow-up across both cohorts there were ≥10% improvements in participants' meeting recommended physical activity guidelines, consumption of whole milk, days of poor mental health and self-rated health. While this study identifies some robust health improvements and contributes to the evidence base for these interventions current dissemination, the lack of change observed for some targeted behaviors (e.g. time sitting) suggests they may have stronger overall impacts with curricula refinement.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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