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Promotores de Salud are instrumental in identifying social and behavioral determinants of health in the Diabetes, Research, and Metabolic Studies (DREAMS) Project1 in Fort Worth, Texas

Mary Luna Hollen, PhD, RD1, Ximena Urrutia-Rojas, DrPH, RN1, Matt Stahl, BS1, Isabel Vecino, MD2, Enisa Arslanagic, MD2, and Maria G. Hernandez, CHW1. (1) Dept of Social & Behavioral Sciences, UNT Health Science Center School of Public Health, 3500 Camp Bowie Blvd. EAD1-730, Fort Worth, TX 76107, 817-735-5172, mhollen@hsc.unt.edu, (2) Dept of Internal Medicine, UNT Health Science Center, 3500 Camp Bowie Blvd., Fort Worth, TX 76107

The study utilizes promotores de salud to identify the social and behavioral determinants of health in Hispanic youth and families. Dimensions of culture, social parameters, and program process need to be better understood in the public health literature. The purpose of this study is to determine if concordance in the number of persons in the family household and the number of persons participating in the Diabetes, Research, and Metabolic Studies (DREAMS) Project1 pledge influences promotor-lead family session attendance by the family participant.

Previously identified overweight Hispanic children (n=240), at risk of diabetes and cardiovascular disease, and their family members were enrolled in Project1 in the spring of 2005 and randomly assigned to an intervention group (n=120) utilizing Salud para su Corazón and Diabetes-trained promotores de salud in family sessions and blingual culturally competent print material, or to a control group (n=120) receiving print material only.

Families in the intervention group participated in cultural and youth/family-oriented health promotion activities throughout the six-week family sessions conducted by promotores de salud as well as followup during the remainder of the six-month intervention period. A series of evaluation instruments called cuentamelo (tell me the story) quantitatively and qualitatively measure the program. Preliminary results will be available in the summer of 2006. Regression analyses will measure concordance in family members in the home and family members pledging to family session attendance. Results will support the role of promotores de salud in identifying social and behavioral determinants of health.

Learning Objectives:

Keywords: Environment,

Presenting author's disclosure statement:

Not Answered

Methodologies Used for Promoting Health and Reducing Health Disparities

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA