262233 Promotoras as Home Health Educators

Tuesday, October 30, 2012 : 3:30 PM - 3:50 PM

Sylvia Jimenez, MPH , Public Affairs Department, Kaiser Permanente - Community Benefit Program, San Leandro, CA
Joseph Phaneuf, Medical Doctor - MD , Dermatology Department - Union City Medical Center, Kaiser Permanente, Union City, CA
This project will describe medical management of patients with diabetes by providing family based education on the benefits of good nutrition and adequate exercise to improve patient outcomes. The target population was Spanish Speaking diabetic patients who attended Ashland Free Clinic in the unincorporated area of Alameda County. The dietary recommendations were relevant and practical based on the types of food they normally eat. The project provided 72 home visits to 34 patients with home health education. Our trained health care educators/Promotoras visited these patients at their homes to provide customized, whole family interactive, diabetes education. Patients unable to host a home visit received diabetes education at the clinic. Our trained educators/promotoras promoted family support and effectively resolved any questions the patient and their family had about diet or exercise recommendations to help control their diabetes. Study target was to decrease HgA1C levels by 0.7 points in all patients. That was exceeded. The results, patients who completed this study showed a 2.0 point (on average) decrease in HgA1C levels. Measurement of success was a survey at the end of study to see if patients had followed dietary and exercise recommendations and if they had improved family support to help them with these recommendations. Of those patients who responded to this survey 94% noted that they had improved family support and had followed our dietary recommendations. In addition, 58% of respondents also noted they had followed our exercise recommendations to help improve their health as well as their diabetes.

Learning Areas:
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Describe methods for family support for diabetic patients. 2. List health education strategies for home visits.

Keywords: Diabetes, Health Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I over see the completion and outcomes of this grant and project.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Ashland Free Clinic Cilincal Community Grantee

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.