247023 Outcomes from a non-traditional model of health education for interconceptional African American women at risk for adverse birth outcomes: ClubMom

Tuesday, November 1, 2011

Kay Adams, MPH , Improving Pregnancy Outcomes Program, Alameda County Public Health Department, San Leandro, CA
Dana Cruz Santana, MSW, MPH, CHES , Improving Pregnancy Outcomes Program, Alameda County Public Health Department, San Leandro, CA
Dana Edelman, MPH, CHES , March of Dimes, California Chapter, San Francisco, CA
Maura Georges, MPH, MSW , March of Dimes, California Chapter, San Francisco, CA
Peyton Mason-Marti, MPH , March of Dimes, California Chapter, San Francisco, CA
The Improving Pregnancy Outcomes Program (IPOP) is a National Healthy Start Initiative project established to reduce infant mortality in Alameda County, California. Findings from IPOP focus groups indicated that low-income, interconceptional African American women desired a health education home to commune with peers, receive education in a non-stigmatizing manner, build relationships, and have fun.

With grant support from the March of Dimes, California Chapter, IPOP established three monthly ‘ClubMom' venues. The club-like atmosphere helped women feel supported as they engaged in health education. Outreach workers and peer leaders implemented sessions on nutrition, relationships, exercise, family planning and mental health. Staff were available to participants via text or phone on an ongoing basis.

Throughout the one year grant period, 143 pregnant/parenting women participated in 26 ClubMom sessions. There was a significant increase in participant knowledge about stress and depression (35% pre-ClubMom vs. 61% post) and nutrition and exercise (26% vs. 65%). Social support for relationship issues increased (70% vs. 91%). Motivation to seek help for relationship issues increased (57% vs. 91%) and twice as many women knew where they could go for help with nutrition and exercise (39% vs. 78%).

ClubMom successfully implemented a model that changed the context in which young, low-income African American women receive health education. The program expanded its capacity to deliver culturally specific health promotion services to a population challenged with barriers to care. Participants successfully increased their social support, access to health information, knowledge of community resources and were motivated to seek health promoting services.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
1.Describe attributes of a non-traditional health education program that could be desirable to marginalized populations of women in underserved communities. 2.List factors that can influence ongoing participation in group health education. 3.Discuss successful facilitation strategies within the context of a health education home.

Keywords: Community Health Programs, Underserved Populations

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Interim Director of the Improving Pregnancy Outcomes Program for the Alameda County Public Health Department and I contributed to the writing of this abstract.
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.