Online Program

Leveraging collaborative partnerships to implement an evidence-based and culturally-appropriate chronic disease prevention and management program among Latinos

Tuesday, November 3, 2015 : 4:50 p.m. - 5:10 p.m.

Fernando Pineda-Reyes, BS, CREA Results, Wheat Ridge, CO
Kevin Kamis, MPH, CPC Community Health, Aurora, CO
Diane Medina, CREA Results, Wheat Ridge, CO
Kelly Fletcher, MPHc, CPC Community Health, Aurora, CO
Raymond Estacio, MD, FACP, CPC Community Health, Aurora, CO
Stephanie Coronel-Mockler, MPH, CHES, CPC Community Health, Aurora, CO
The Community Heart Health Actions for Latinos at Risk (CHARLAR) is a twelve-week health education program led by Community Health Workers (CHWs) and aimed at reducing cardiovascular disease (CVD) disparities experienced by Denver-area Latinos. The program is implemented through an interdisciplinary collaboration comprised of a team of medical and public health professionals at the Colorado Prevention Center (an academically-led non-profit affiliated with local health systems); CREA Results (a community-based organization (CBO) with expertise working with Denver’s Latino communities); and the Community Advisory Committee, (a community group that provides programmatic input to ensure the community’s needs are met). The program is grounded in a community-based participatory model and utilizes an evidence-based curriculum addressing CVD risk factors and self-management techniques such as goal-setting. Participants receive a pre-post program CVD and diabetes assessment followed by tailored counseling from medical professionals.  In 2014, the recently released American Heart Association/American College of Cardiology CVD guidelines were incorporated into the program through the integration of a decision support tool that calculates 10-year CVD risk and generates evidence-based medical recommendations. Participants identified as at-risk for CVD also receive additional telephonic counseling from CHARLAR’s CHWs to connect participants to formal care and refer them to navigation services. To date, approximately 1100 individuals have completed the program, and participants have consistently demonstrated improvement in CVD risk factors. For six years, CHARLAR has successfully bridged medical providers, public health practitioners, CHWs, and CBOs to deliver a culturally-appropriate and effective chronic disease prevention and management program to a high-risk population.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe a successful collaboration between CHWs, public health practitioners, and medical professionals to deliver a comprehensive chronic disease prevention and management program to a high-risk population. Discuss the utilization of clinical guidelines in the community setting through the use of an electronic decision support tool.

Keyword(s): Community Health Workers and Promoters, Community-Based Partnership & Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the founder/managing partner and lead CHW/Promotor de Salud of CREA Results. Our work is in partnerships with academic researchers, government agencies and public health service agencies to address disparities and inequalities in health and health care of underserved populations and low socio-economic status-communities and always incorporates the CHWs/Promotores de Salud Model. We have created and managed over 50 programs and health campaigns working with a team of more than 30 CHWs/Promotores.
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.