142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Development and implementation of a culturally and linguistically-centered nutrition education program for promotora-researchers to foster community health education and outreach in Texas border colonias

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Brenda Bustillos, MS, RD, LD , Health Promotion and Community Health Sciences, Texas A&M Health Science Center, School of Public Health, College Station, TX
Joseph R. Sharkey, PhD MPH RD , Program for Research and Outreach-Engagement on Nutrition and Health Disparities, Texas A&M Health Science Center, School of Public Health, College Station, TX
Promotora-researchers expressed the need for nutrition-related knowledge and skill-building to better equip them in the Texas border colonias they serve, where health disparities, food insecurity, and obesity are critical problems within Mexican-origin populations. Efficacy of a collaborative community-based initiative, Promotora Nutrition Empowerment Initiative, was examined as an opportunity structure designed to empower promotoras to engage in nutrition education and outreach within their communities. An initiative was developed for seven promotora-researchers in the Construyendo Communidades Fronterizas Mas Sanas (Building Healthier Border Communities) research and outreach program. This collaborative, community-based effort provided a framework for evidence-based, culturally and linguistically-centered education and skill building modules aimed at: 1) increasing knowledge of nutrition and nutrition-related topics; 2) empowering promotoras to educate their communities; and 3) encouraging continued community education and outreach. Eight educational workshops were comprised of in-depth nutrition education modules with four hours of didactic education and hands-on activities per month (December 2012 – July 2013). Student’s paired sample t-test and Wilcoxon signed-rank test were used to compare pre- and post-test nutrition knowledge scores for each workshop. Nutrition knowledge scores were significantly improved (p=0.02) from pre- to post-test. Medial assessment focus group analysis suggested that nutrition education workshops provided: 1) intrinsic worth; 2) cultural and community focus; 3) personal and professional impact; and 4) empowerment. Results suggest that collaborative community efforts involving promotoras empower and allow for greater opportunities for outreach and delivery of evidence-based community health education to colonias residents. 

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Describe the role of the promotora-researcher. Identify theoretical and applied evidence-based concepts in the development of culturally and linguistically-centered nutrition education programs to empower promotoras. Design an evidence-based, community nutrition curriculum for promotora-researchers and the Mexican-origin population they serve.

Keyword(s): Nutrition, Community Health Workers and Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a second year DrPH student and have been actively involved in multiple federally funded grants focusing on nutrition and health disparities, nutrition curricula development and instruction, promotora-researcher empowerment, and hunger and food insecurity in Texas border colonias. My scientific interests have included the development of curricula and interventions to reduce risk of hunger and health disparities among Mexican-origin individuals.
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.

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