Accelerating Best Practices in Peer Support Around the World

Latino

10.14.19

Home Visit Intervention Promotes Lifestyle Changes: Results of an RCT in Mexican Americans

Am J Prev Med. 2019 Sep 27. pii: S0749-3797(19)30307-1. [Pubmed Abstract]

Vidoni ML, Lee M, Mitchell-Bennett L, Reininger BM

Introduction
Hispanic populations are less likely that other ethnicities to meet physical activity guidelines. Community health worker (CHW) outreach is an effective delivery method for behavior change messages owing to shared culture, language, and life experience. This study examined the efficacy of a CHW-delivered intervention, Tu Salud ¡Si Cuenta! (Your Health Matters!) at Home Intervention, to promote physical activity among Mexican Americans.

Study Design
RCT.

Setting and Participants
Mexican Americans living along the Texas-Mexico border from June 2010 to April 2013.

Intervention
Eligible adults were randomized into intervention (n=250) or standard care (n=250). Intervention participants received 6 monthly CHW visits that included education, motivation, and support for lifestyle changes. Standard care was potentially exposed to a…

9.27.16

Improving Diabetes Care and Outcomes with CHWs

Fam Pract. 2016 Oct;33(5):523-8. [Pubmed Abstract]

Improving diabetes care and outcomes with community health workers
Kane EP, Collinsworth AW, Schmidt KL, Brown RM, Snead CA, Barnes SA, Fleming NS, Walton JW

Background
Type II diabetes continues to be a major health problem in USA, particularly in minority populations. The Diabetes Equity Project (DEP), a clinic-based diabetes self-management and education program led by community health workers (CHWs), was designed to reduce observed disparities in diabetes care and outcomes in medically underserved, predominantly Hispanic communities.

Objective
The purpose of this study was to evaluate the impact of the DEP on patients’ clinical outcomes, diabetes knowledge, self-management skills, and quality of life.

Methods
The DEP was implemented in five community clinics from 2009 to 2013 and 885 patients completed at least two visits with the CHW. Student’s paired t-tests were used to compare baseline clinical indicators with…

6.10.15

Nuevo Amanecer: RCT of a Community-Based, Peer-Delivered Stress Management Intervention for Latinas with Breast Cancer

Am J Public Health. 2015 Jul;105 Suppl 3:e55-63. [Pubmed Abstract]

Nuevo amanecer: results of a randomized controlled trial of a community-based, peer-delivered stress management intervention to improve quality of life in Latinas with breast cancer
Nápoles AM, Ortíz C, Santoyo-Olsson J, Stewart AL, Gregorich S, Lee HE, Durón Y, McGuire P, Luce J

Objectives
We evaluated a community-based, translational stress management program to improve health-related quality of life in Spanish-speaking Latinas with breast cancer.

Methods
We adapted a cognitive-behavioral stress management program integrating evidence-based and community best practices to address the needs of Latinas with breast cancer. Spanish-speaking Latinas with breast cancer were randomly assigned to an intervention or usual-care control group. Trained peers delivered the 8-week intervention between February 2011 and February 2014. Primary outcomes were breast cancer-specific quality of life and distress, and…

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