Balcazar Hector, Alvarado Matilde, Hollen Mary Luna, Gonzalez-Cruz Yanira, Hughes Odelinda, Vazquez Esperanza, Lykens Kristine
Division of Health Promotion and Behavioral Sciences at the University of Texas School of Public Health, El Paso Regional Campus at Houston, USA.
Health Promot Pract. 2006 Jan;7(1):68-77. doi: 10.1177/1524839904266799.
This article describes results of year-1 implementation of the Salud Para Su Corazón (Health For Your Heart)-National Council of la Raza (NCLR) promotora (lay health worker) program for promoting heart-healthy behaviors among Latinos. Findings of this community outreach initiative include data from promotora pledges and self-skill behaviors, cardiovascular disease risk factors of Latino families, family heart-health education delivery, and program costs associated with promotora time. Participation included 29 trained promotoras serving 188 families from three NCLR affiliates in Escondido, California; Chicago, Illinois; and Ojo Caliente, New Mexico. Using several evaluation tools, the results showed that the promotora approach worked based on evidence obtained from the following indicators: changes in promotora's pre-post knowledge and performance skills, progress toward their pledge goals following training, recruiting and teaching families, providing follow-up, and organizing or participating in community events. Strengths and limitations of the promotora model approach are also discussed.
本文介绍了“为您的心脏健康”（Salud Para Su Corazón）-全国拉美裔理事会（NCLR）社区健康工作者项目第一年的实施成果，该项目旨在促进拉丁裔群体养成有益心脏健康的行为习惯。这项社区外展倡议的结果包括社区健康工作者的承诺和自我技能行为数据、拉丁裔家庭的心血管疾病风险因素、家庭心脏健康教育的开展情况以及与社区健康工作者工作时间相关的项目成本。参与项目的有29名经过培训的社区健康工作者，他们为来自加利福尼亚州埃斯孔迪多、伊利诺伊州芝加哥和新墨西哥州奥霍卡连特的三个全国拉美裔理事会分支机构的188个家庭提供服务。通过使用多种评估工具，结果显示，基于从以下指标获得的证据，社区健康工作者模式取得了成效：社区健康工作者培训前后知识和操作技能的变化、培训后朝着承诺目标取得的进展、招募和教导家庭、提供后续跟进以及组织或参与社区活动。文中还讨论了社区健康工作者模式方法的优点和局限性。
