142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

301193
Helping communities help themselves:The roles of peer health leaders in a farmer's market to provide culturally tailored nutrition and diabetes education

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 12:30 PM - 12:50 PM

Tonya Roberson, DTR, MPH , Department of Medicine, Section of General Internal Medicine, University of Chicago, Chicago, IL
Marla Solomon, RD, LD/N, CDE , Pediatric Endocrinology, Children's Hospital of University of Illinois, Chicago, IL
Monica Peek, MD, MPH , Department of Medicine, Section of General Internal Medicine, The University of Chicago, Chicago, IL
Marshall H. Chin, MD, MPH , Department of Medicine, Section of General Internal Medicine, University of Chicago, Chicago, IL
Yolanda O'Neal, MS , Department of Medicine, University of Chicago Medicine, Chicago, IL
Daniel Rowell , Department of Medicine, University of Chicag Medicine, Chicago, IL
Nora Geary, MPH, MSW , Section of General Internal Medicine, University of Chicago Medicine, Chicago, IL
Background

Chicago’s South Side is a working-class African-American community, with disproportionate rates of diabetes. Community-based strategies to provide nutrition education can be effective, but are often not sustainable because they rely on volunteer health professionals (e.g. dieticians, certified diabetes educators) rather than community members themselves.

Program Description

We developed an innovative, culturally-tailored program to train peer health leaders to lead nutrition tours at a local farmer’s market (located within a food desert), and provide education about nutrition and diabetes.  Community members were recruited through multiple venues (e.g. health clinics, community centers). A multi-disciplinary team developed the curriculum, which was taught by a registered dietician. Peer health leaders were given a complete script and farmer’s market tour guidelines.

36 community members completed the training and  pre/post surveys were administered to measure their knowledge .The majority were African American (83%) and female (69%). Approximately one-third (37%) had type 2 diabetes and 14% were graduates of our team’s diabetes education program. The average age was 45 years (range: 17 – 74).

Conclusion

To date, over 200 community members have participated in the weekly tours led by these peer health educators and the program has been very successful. Local politicians (e.g, alderman, governor, state representatives) have noted the program and the feedback from the peer leaders and community members have been uniformly positive. The combination of peer health educators and a community resource for healthy food (e.g. farmer’s market) is a promising venue to provide sustainable, culturally-tailored diabetes and nutrition education within low-income African-American communities.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Program planning
Public health or related education

Learning Objectives:
Demonstrate how peer health education can be sustainable and successfully draw community members in a community setting to increase nutrition knowledge.

Keyword(s): Community-Based Partnership & Collaboration, Food Security

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Tonya has over five years of medical and social sciences research experience, backed by twelve years of clinical nutrition/food service systems management. Her research interests include patient education and activation interventions for patients with diabetes in underserved communities and efforts to link patients with community resources that will help them combat their disease. Organizing efforts and outreach work to educate audiences about the importance of making healthier lifestyle choices.
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.