Online Program

Vida PURA: Training Promotores to do Screening and Brief Intervention to Reduce Unhealthy Drinking among Latino Day Laborers

Wednesday, November 4, 2015 : 8:30 a.m. - 8:50 a.m.

India J. Ornelas, PhD, Health Services, University of Washington, Seattle, WA
Samantha Serrano, MS, Health Services, University of Washington, Seattle, WA
Vanessa Torres, MPH, Health Services, University of Washington, Seattle, WA
Latino day laborers are at increased risk for unhealthy drinking, yet are unlikely to receive treatment due to their limited access to health care.  Screening and brief intervention (SBI) is known to reduce drinking in primary care, however because health care access is limited for Latino immigrants, traditional brief interventions are unlikely to reach this population.  Vida PURA is a culturally adapted intervention that consists of promotores providing SBI at a day labor worker center.  Promotores are members of the community they serve, therefore they are familiar and connected with their community which enhances participant comfort and trust with intervention delivery.  In our pilot test of the intervention, promotores were trained on patterns of unhealthy drinking, consequences of unhealthy drinking, and motivational interviewing techniques.  Promotores’ audio recorded their brief interventions which were rated by other research staff using the Motivational Interviewing Treatment Integrity scale.  The review included counting the number of open-ended and close-ended questions, reflections, and the ratio of reflections to total questions, as well as identifying MI adherent and non-adherent behaviors.  Recordings were also used to provide ongoing feedback to promotores throughout the intervention. Initial results indicate that promotores can be trained to provide SBI and that Latino day laborers are open to receiving these services in a community setting.  Further analyses will assess the impact of the intervention on reducing unhealthy drinking.

Learning Areas:

Administer health education strategies, interventions and programs
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe Vida PURA, a culturally adapted intervention to reduce unhealthy drinking among Latino day laborers Explain how promotores were trained to provide screening and brief intervention at a day labor worker center Assess whether promotores met fidelity requirements for the intervention, including minimum proficiency in motivational interviewing

Keyword(s): Alcohol Use, Community Health Workers and Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in public health practice and research in Latino communities for 15 years, including planning, implementing and evaluating community health worker interventions
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.