243157 La Familia Sana Promotora Program, an in-depth examination of factors affecting Promotoras' self-perceived effectiveness and personal development

Tuesday, November 1, 2011

Grisel Trejo, MPH , Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC
Sara A. Quandt, PhD , Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC
Introduction: Promotoras can play an integral role in providing information about occupational health to members of their communities. Pesticide exposure through occupational and residential pathways causes short and long-term health problems to farmworkers and their families. The North Carolina Farmworkers Project and Wake Forest University School of Medicine collaborated on a project that uses promotoras to teach farmworker families about agricultural and residential pesticide safety. Methods: Seventeen promotoras in six eastern North Carolina counties were trained to provide pesticide safety training to 661 Latino families. Promotoras recruited families and taught them using a six-lesson curriculum of culturally appropriate material designed for low-literacy, Spanish-speaking adults. The curriculum had previously been shown efficacious in a randomized trial. The promotoras were women from their community who varied in their prior experiences working in the community. At the end of the project, an in-depth interview was administered to each Promotora to evaluate personal development and changes in self-perception. Results: The in-depth interviews revealed a range of personal development and self-perception changes. Greater perceived personal development and success in teaching were associated with length of time as a Promotora in the program and prior experience as a promotora or outreach worker. Large social networks and support from family were also associated with greater satisfaction and perceived effectiveness as a promotora. Conclusion: Better understanding of promotora characteristics and diversity may help the public health community understand and shape the outcomes and dissemination of future Promotora programs used to promote occupational safety and health.

Learning Areas:
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research

Learning Objectives:
Objective: Describe the difference in self-perceived personal development between first-time promtoras and those with prior community outreach or promotora experience. Objective: Describe how social networks and support from family are associated with greater satisfaction and self-perceived effectiveness as a promotora.

Keywords: Lay Health Workers, Latinos

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I manage the La Familia Sana Promotora Program and have been part of the evaluation process.
Any relevant financial relationships? No

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.