Online Program

A cross-border model for cancer prevention, treatment, and survivorship through the use of community health workers/promotores in the lower Rio Grande valley

Monday, November 4, 2013

Denise Adame, MPH, CHWI, Center for Community Health Development, Texas A&M School of Rural Public Health, College Station, TX
Julie Ann St. John, MA, MPH, DrPH, 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
Katharine Nimmons, MSc, MPH, Center for Community Health Development - National CHW Training Center, TX A&M School of Rural Public Health, College Station, TX
Hispanic residents of the Lower Rio Grande Valley (LRGV) on the Texas-Mexico border experience significant barriers in adopting preventive health behaviors to decrease their risk for cancer. Barriers include lack of education and information, low socioeconomic status, lack of health insurance, language, and low health literacy. Consequently, Hispanics are less likely to engage in preventive behaviors for cancer prevention (such as screening) and are often diagnosed and treated at later stages. However, Hispanic residents tend to benefit from culturally appropriate interventions to increase cancer prevention, treatment, and survivorship. ÉPICO: Education to Promote Improved Cancer Outcomes utilizes promotores to address major barriers related to cancer by conducting outreach and providing tailored education to the residents of the LRGV. ÉPICO aims to increase the delivery of comprehensive cancer services through development of a replicable, sustainable tailored training program for promotores. Being trusted, indigenous members of the target communities, promotores can be effective in delivering important health information to underserved, at-risk populations. Bicultural promotores use tailored strategies in English and Spanish to improve cancer prevention, treatment, and healthy survivorship behaviors among residents. The promotora model—as demonstrated in the ÉPICO project—of cancer prevention, treatment, and survivorship education is a culturally relevant and appropriate intervention for health education, promotion, and behavior change in bicultural and transnational settings such as those underserved and resource-poor areas s found on both sides of the U.S./Mexico border.

Learning Areas:

Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe the role of promotores in delivering culturally appropriate to increase cancer prevention, treatment, and survivorship. Describe how EPICO serves as a model for sharing health education and behavior change information in a bicultural and transnational setting

Keyword(s): Lay Health Workers, Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the graduate assistant on the project and have been working with community health workers for the past couple of years. I am currently working on my master's degree in public health with a focus on health promotion and community health sciences and I have completed a Texas state certified community health worker instructor course
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.

Back to: 3310.0: Student Awards