161196 Project MATCH: Training for a Promotora Intervention

Tuesday, November 6, 2007

Susan M. Swider, PhD, APHN-BC , College of Nursing, Rush University Medical Center, Chicago, IL
Molly Martin, MD , Department of Preventive Medicine, Rush University Medical Center, Chicago, IL
Carmen Tumialan Lynas, PhD , Department of Preventive Medicine, Rush University Medical Center, Chicago, IL
Kristin Flynn Peters, PhD , Department of Preventive Medicine, Rush University Medical Center, Chicago, IL
Steven Rothschild, MD , Departments of Family Medicine and Preventive Medicine, Rush University Medical Center, Chicago, IL
Adequate training and support are critical for Promotoras to work effectively. MATCH(Mexican American Trial of Community Health workers) is a research study designed to test the effectiveness of an intensive, Promotora-based self management intervention to improve disease management for Latinos with diabetes. The MATCH Promotoras participated in a 2.5 day session on diabetes followed by 100 additional hours of training on diabetes, Promotora practice, and self management skills including: self-monitoring, environmental restructuring, social support, problem-solving/decision making, and stress management. The promotoras modeled these skills by developing their own self-management plans, building connection and camaraderie amongst the team. The existing knowledge and skills of the Promotoras were assessed on a daily basis and used to tailor training to address their specific learning needs. Promotoras were evaluated via role play and an observational assessment of competence, which documented increased skills, as well as areas for further training. Initial training was held in the target community. Ongoing training during the intervention phase of the study includes a bimonthly session to review the intervention protocol, answer Promotora questions, and discuss specific participant/case issues, as well as individual collaboration with the team's psychologist. All Promotora home visits are tape recorded allowing for further monitoring of the intervention. Comparison of these data with those from the initial training suggests that Promotora skills are increasing as the study and training progress. Implications of this intensive and ongoing training will be discussed, including cost, development of Promotora competency measures and replication of the MATCH intervention model.

Learning Objectives:
1. Recognize the need for intensive and ongoing training for Promotora practice 2. Recognize the need for formal self-management skills training for Promotora practice 3. Identify several possible outcome measures for Promotora training 4. Describe challenges in identifying Promotora competency measures

Keywords: Community Health Promoters, Education

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.