University of Texas, School of Public Health, El Paso Regional Campus, 500 West University CH 400, El Paso, Texas 79968, USA.
Prev Chronic Dis. 2012;9:E35. doi: 10.5888/pcd9.110100. Epub 2012 Jan 12.
To address cardiovascular disease risk factors among Hispanics, a community model of prevention requires a comprehensive approach to community engagement. The objectives of our intervention were to reduce cardiovascular disease risk factors in Hispanics living in 2 low-income areas of El Paso, Texas, and to engage the community in a physical activity and nutrition intervention.
Drawing on lessons learned in phase 1 (years 2005-2008) of the HEART Project, we used an iterative, community-based process to develop an intervention based on an ecological framework. New community partners were introduced and community health workers delivered several elements of the intervention, including the curriculum entitled "Mi Corazón, Mi Comunidad" ("MiCMiC" [My Heart, My Community]). We received feedback from the project's Community Health Academy and Leadership Council throughout the development process and established a policy agenda that promotes integration of community health workers into the local and state workforce.
Collaboration with 2 new community partners, the YWCA and the Department of Parks and Recreation, were instrumental in the process of community-based participatory research. We enrolled 113 participants in the first cohort; 78% were female, and the mean age was 41 years. More than 50% reported having no health insurance coverage. Seventy-two (60%) participants attended 1 or more promotora-led Su Corazón, Su Vida sessions, and 74 (62%) participants attended 1 or more of the 15 exercise classes.
HEART phase 2 includes a multilevel ecological model to address cardiovascular disease risk among Hispanics. Future similarly targeted initiatives can benefit from an ecological approach that also embraces the promotora model.
为了解决西班牙裔人群的心血管疾病风险因素问题，社区预防模式需要采取全面的社区参与方法。我们干预的目标是降低德克萨斯州埃尔帕索 2 个低收入地区的西班牙裔人群的心血管疾病风险因素，并使社区参与到体育活动和营养干预中来。
借鉴 HEART 项目第 1 阶段（2005-2008 年）的经验教训，我们利用基于生态框架的迭代社区方法来制定干预措施。引入了新的社区合作伙伴，社区卫生工作者提供了干预措施的几个要素，包括题为“Mi Corazón, Mi Comunidad”（“MiCMiC”[我的心脏，我的社区]）的课程。在整个开发过程中，我们收到了项目社区卫生学院和领导委员会的反馈，并制定了一项政策议程，以促进将社区卫生工作者纳入当地和州劳动力队伍。
与 2 个新的社区合作伙伴 YWCA 和公园与娱乐部的合作，是社区参与式研究过程中的重要因素。我们在第一期课程中招收了 113 名参与者；78%是女性，平均年龄为 41 岁。超过 50%的人报告没有医疗保险。72（60%）名参与者参加了 1 次或多次由 promotora 领导的“Su Corazón, Su Vida”课程，74（62%）名参与者参加了 15 次或更多次锻炼课程。
HEART 第 2 阶段包括一个多层次的生态模型，以解决西班牙裔人群的心血管疾病风险。未来类似的有针对性的举措可以从生态方法中受益，该方法还可以接受 promotora 模式。
