181136 At the Border Crossing Boundaries: Community Health Workers/Promotores in the HEART of a Community-Based Randomized Trial

Wednesday, October 29, 2008: 9:30 AM

E. Lee Rosenthal, PhD , Department of Health Promotion-College of Health Science, University of Texas at El Paso, El Paso, TX
Hector Balcazar, MS, PhD , El Paso, Regional Campus, UT Health Science Center-School of Public Health, EL Paso, TX
Melissa Aguirre, BCH, CHES , Department of Health Promotion, Centro San Vicente, EL Paso, TX
Leticia Flores, MPH , Community Health Worker Program, El Paso Community College, El Paso, TX
Hendrik De Heer, MS , Department of Psychology, University of Texas at El Paso, El Paso, TX
Leslie Schulz, PhD , College of Health and Human Services, Executive Dean, Flagstaff, AZ
Souraya Hajjar, MPH , Community Health Worker Program, EPCC, El Paso, TX
The Health Education Awareness and Research Team (HEART) is a university and community partnership at the US-Mexico border (El Paso, Texas) funded by the National Institutes of Health National Center on Minority Health and Health Disparities. The HEART pilot assessed the outcomes of a Community Health Worker/Promotor (CHW/P) intervention based on the Salud Para Su Corazon curriculum. HEART took a community-based participatory research (CBPR) approach to a randomized controlled trial (RCT). A Community Health Advisory Council was formed early in the project to guide the project; this was coordinated by HEART partner Centro San Vicente in coordination with all HEART partners. In the early stages of the project, CHW/Ps gave input based on their own expertise; helping to enhance both the intervention and research design overall. The CHW Program at El Paso Community College, a partner in HEART, helped to support this effort and others to give voice to local CHW/P interests. A cornerstone of the project was a four month RCT where community members were assigned to an intervention group with CHW/Ps or a group without CHW/P contact. Utilizing RCT methodologies within the context of CBPR placed contrasting paradigms together. As challenges were identified, the multidisciplinary team, including university and community partners, CHW/Ps, and others, dialogued to identify issues and solutions. This pilot provided an opportunity to learn about partnership processes including in this case, the importance of learning about each others roles and respecting agency boundaries. This and other lessons learned are the focus of this paper.

Learning Objectives:
Participants will learn about challenges and related strategies for increasing integration of university and community partners participating in RCT within a CBPR context Participants will learn about barriers and opportunities for enhancing CHW/P participation in research efforts Participants will be able to identify the implementation steps in CHW/P cardiovascular risk reduction intervention among Hispanics at the US-Mexico border

Keywords: Community-Based Partnership, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Because I am an NIH-funded Co-Investigator on this grant funded by NIH
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Univ of Texas El Paso Comm Health Workers Employment (includes retainer)

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.