Department of Health Outcomes and Behaviors, Moffitt Cancer Center, Tampa, Florida 33612, USA.
J Public Health Manag Pract. 2013 Sep-Oct;19(5):E1-9. doi: 10.1097/PHH.0b013e318280012a.
The use of promotoras de salud is an increasingly widespread delivery approach for community-based health education and promotion programs targeting obesity-related lifestyle behaviors for Hispanic populations. Addressing a gap in the literature, this research examined the sustainability of promotora-led initiatives from the perspectives of those who plan, implement, and evaluate these programs. We conducted 24 in-depth interviews with program planners representing 22 promotora programs focused on Hispanic women's health in 10 states. Findings illustrated program planners' opinions regarding the components, logistics, and barriers to promotora program sustainability. Several participants challenged the notion of promotora program sustainability by reframing the issue as promoting individual promotoras' well-being and social mobility rather than maintaining their role in the program over time. Implications for community health planning, management, and policy include developing sustainability strategies during program planning stages and implementation of policies to more effectively integrate promotoras into existing health care systems at local, state, and national levels.
使用健康促进者是一种越来越广泛的交付方式，用于针对西班牙裔人口的与肥胖相关的生活方式行为的基于社区的健康教育和促进计划。本研究从计划、实施和评估这些计划的人员的角度出发，探讨了促进者主导计划的可持续性，填补了文献中的空白。我们对来自 10 个州的 22 个专注于西班牙裔妇女健康的促进者计划的 24 名计划者进行了深入访谈。研究结果说明了计划者对促进者计划可持续性的看法，包括其组成部分、后勤和障碍。一些参与者通过将问题重新定义为促进个体促进者的福祉和社会流动性，而不是随着时间的推移维持他们在计划中的角色，对促进者计划可持续性的概念提出了挑战。对社区卫生规划、管理和政策的影响包括在规划阶段制定可持续性战略，并实施政策，以便更有效地将促进者纳入地方、州和国家各级的现有医疗保健系统。
