266242 Promotoras and EPICO: Education to promote improved cancer outcomes

Monday, October 29, 2012

Julie Ann St. John, MA, MPH, CHWI , Center for Community Health Development, School of Rural Public Health, TAMHSC, San Benito, TX
Chris Beaudoin, PhD , Department of Communication, College of Liberal Arts, Texas A&M University, College Station, TX
ÉPICO: Education to Promote Improved Cancer Outcomes is a training program on prevention, treatment and healthy survivorship for colorectal, breast and cervical cancers among at-risk residents living along the Texas-Mexico border. The focal strategy is to train and utilize promotores to deliver tailored education that improves access to comprehensive cancer services for Hispanic residents. Project activities include: 1) project promotores enroll and complete CHW instructor program; 2) promotores trained in focus group moderation; 3) promotores conducted focus groups to inform training module development; 4) development of bilingual training modules; 5) pilot test trainings and curriculum revision; 6) conduct training sessions and evaulations; and 7) promotores implement tailoring-based training in their outreach activities and administer evaluation tool. To date, as part of the project, six part-time promotores became Texas Department of State Health Services certified Community Health Worker Instructors, who then had a key role in developing and delivering nine different cancer training modules providing certified CHW CEUs. Approximately 500+units of training were provided April-September to promotores who are currently educating an estimated 5,000 residents through their daily outreach activities. Additional activities for year two include: packaging curriculum and deliver trainings to promotores in six urban-centers in Texas; analyzing evaluation data; and disseminating results. The specific aims ÉPICO include: 1) equip promotores to educate residents on prevention, treatment, and survivorship issues related to colorectal, breast, and cervical cancers; 2) enable promotores to use tailoring strategies to improve their outreach efforts; and 3) increase residents' prevention, treatment, and healthy survivorship behaviors.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Communication and informatics
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research

Learning Objectives:
1) Describe the role of promotoras in this cancer prevention, treatment, and survivorship training program. 2) Define and discuss message tailoring in the context of promotora-delivered cancer education . 3) Evaluate and discuss the sustainability and replicability of utilizing message tailoring and promotores in delivering a cancer education, prevention, and training program to at risk, vulnerable populations.

Keywords: Lay Health Workers, Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the project manager (and PI on one project) and have several years experience in public health research. I have also trained, supervised, and worked with promotores for the past ten years.
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.