248209 Building science translation in a community environment for heart health promotion: The El Paso community health worker HEART border project

Wednesday, November 2, 2011

Hector Balcazar, MS, PhD , El Paso, Regional Campus, UT Health Science Center-School of Public Health, EL Paso, TX
Hendrick de Heer, PhD, MPH , ent of Physical Therapy and Athletic Training, College of Health and Human Services, Northern Arizona University, Flagstaff, AZ
E. Lee Rosenthal, PhD , Department of Health Promotion-College of Health Science, University of Texas at El Paso, El Paso, TX
Sherrie Wise, MPH , El Paso Regional Campus, UT Health Science Center Houston, School of Public Health, El Paso, TX
Thom Taylor, PhD , University of Texas at El Paso, Department of Psychology, El Paso Texas
Marķa Duarte-Gardea, PhD, RD , Department of Public Health Sciences, University of Texas at El Paso, El Paso, TX
The HEART project in El Paso, Texas is a community-based participatory research (CBPR) facilitated by community health workers (promotores de salud) that has been in the community for close to 6 years delivering a variety of health promotion strategies. These strategies have utilized several conceptual frameworks and research designs to build CVD risk reduction opportunities for underserved and underinsured Hispanic/Mexican-origin populations. In this presentation, we describe several key features of the HEART project including: 1) results of HEART phase 1 for testing a conceptual framework applied to the border environment using structural equation modeling, in which influences where established beyond the individual by examining a series of contextual factors, social resources and psychosocial responses based on a randomized control trial (RCT); 2) results of a meditational analysis to examine the usefulness of the Health Belief Model in mediating heart healthy self-reported responses of nutrition behaviors with the same RCT design; 3) comparative results of a baseline evaluation utilizing a control community not participating in HEART phase 2, and finally, a response to translation by examining how HEART Phase 2 participants are reducing their risk factors by engaging in a 4-month environmental and behavioral restructuring intervention of nutrition and physical activity behaviors. The results of the different strategies highlighted under both phases of HEART, demonstrate how a variety of research strategies can yield valuable insights related to how risk reduction of CVD can be initiated among Hispanic/Mexican origin border communities that are engaged in research translation within a CBPR approach.

Learning Areas:
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Social and behavioral sciences

Learning Objectives:
To compare a variety of research strategies related to the implementation of CVD risk reduction facilitated by community health workers among Hispanic/Mexican origin border communities.

Keywords: Community Health Promoters, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Co-Principal investigator of the project that is being presented.
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.