Lay health worker as interventionist training: reflective writing in US family health promotion practice.

Lay health worker-led health promotion interventions are well received within racial and ethnic minority communities. Increasing numbers of trained lay health workers will be needed to meet global health goals. The purpose of this process evaluation was to gain insights about how lay health worker a...

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Publicado en:Health Promotion International Vol. 36; no. 6; pp. 1739 - 1753
Autores principales: Meiers, Sonja J, Dyce, Evan, Wieland, Mark L, Patten, Christi, Clark, Matthew M, Hanza, Marcelo M K, Bronars, Carrie, Nigon, Julie A, Sia, Irene G
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2021
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      pub: Oxford University Press / USA
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        atl: Lay health worker as interventionist training: reflective writing in US family health promotion practice.
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        au:
          Meiers, Sonja J
          Dyce, Evan
          Wieland, Mark L
          Patten, Christi
          Clark, Matthew M
          Hanza, Marcelo M K
          Bronars, Carrie
          Nigon, Julie A
          Sia, Irene G
        affil: Department of Graduate Nursing, Winona State University , Rochester, MN 55904, USA
      sug:
        subj:
          Community Health Workers
          Nutrition
          Physical Activity
          Health Behavior
          Behavioral Changes
          Clinical Trials
          Research Subject Recruitment
          Immigrants
          Refugees
          Human
          Descriptive Statistics
          Data Analysis Software
          Content Analysis
          Reflection
          Writing
      ab: Lay health worker-led health promotion interventions are well received within racial and ethnic minority communities. Increasing numbers of trained lay health workers will be needed to meet global health goals. The purpose of this process evaluation was to gain insights about how lay health worker as interventionists used theory-based approaches within a nutrition and physical activity health behavior change intervention in a clinical trial enrolling immigrant and refugee families. Data were comprised of ongoing reflective writing statements from four health workers about their implementation of the intervention. Using content analysis three themes emerged: (i) encouraging setting of small, family focused and relevant goals, (ii) being flexible in content delivery and (iii) being personally transformed (i.e. gained a sense of meaning from their experience). Lay health worker interventionist reflections on practice revealed they delivered the intervention within the primacy of the family partnering relationship by attending to unique family needs, and adjusting educational content and goal setting accordingly. Our results provide guidance for training and process evaluation of lay health worker intervention delivery in ethnically and racially diverse populations. Incorporating real-time reflection upon what was learned about skills of facilitating family motivation and family confidence enhanced affective learning and may be useful in future research studies and health promotion practice. The processes identified including setting small goals, flexibility and personal transformation could be considered in future lay health worker-delivered health promotion interventions.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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