A promotora de salud model for addressing cardiovascular disease risk factors in the US-Mexico border region.

摘要: INTRODUCTION In 2002, the National Heart, Lung, and Blood Institute partnered with Health Resources Services Administration's (HRSA's) Bureau of Primary Care Office Rural Policy to address cardiovascular health in US-Mexico border region. From 2003 through 2005, 2 agencies agreed conduct an intervention program using Salud para su Corazon promotores de salud (community workers) high-risk Hispanic communities served by community centers (CHCs) region reduce risk factors improve behaviors. METHODS Promotores from each CHC delivered lessons curriculum Your Life. Four implemented a 1-group pretest-posttest study design. Educational sessions were for 3 months. To test Corazon-HRSA objectives, CHCs conducted assessed behavioral clinical outcomes at baseline, months, 6 12 months after intervention. A 2-sample paired t analyses variance used evaluate differences baseline postintervention. RESULTS Changes heart-healthy behaviors observed, as they have been previous studies, lending credibility effectiveness setting. Positive changes also observed low-density lipoprotein cholesterol level, triglyceride waist circumference, diastolic blood pressure, weight, glycated hemoglobin (HbA1c). CONCLUSION Results suggest that integrating into practices is promising strategy culturally competent effective service delivery. build coalitions partnerships community. The initiative was successful helping develop infrastructure support workforce