Online Program

Disseminating an effective intervention from reserach into the real-world to reduce adverse health effects of pesticide exposure among indigenous farmwokers

Monday, November 2, 2015

Nargess Shadbeh, JD, Farmworker Program, Oregon Law Center, Portland, OR
Indigenous farmworkers from southern states of Mexico have been a significant portion of Oregon’s agricultural labor-intensive work force in the past three decades. For much of this time, their health and safety priorities were ignored, in part because of the mistaken belief that providing training in Spanish was simply good enough.  Over the past 12 years with the support through NIOSH, NIH and NIMHD, this partnership has assisted indigenous farmworkers to help identify their health and safety priorities, and bring the workers' own considerable expertise to the table to create and test solutions to the problem of pesticides exposure.  The partnership with indigenous farmworkers created an effective tool kit consisting of a promotores curriculum and a film in three indigenous languages aside from Spanish.  The training kits are not only culturally and linguistically appropriate, but have proven effective in improving workers' level of knowledge and intent to use the information. In this dissemination phase our multi-disciplinary partnership is establishing routes to help sustain the intervention beyond the life of this Project by creating new partnerships with clinics, labor union, educational sites as well as possibly the industry.   We have assessed and analyzed various sites based on farmworkers’ own recommendation as possible participating organizations. We have tested the training at the sites to determine factors that contribute to adoption, implementation, adaptations and finally sustainability of the intervention tools. This is a unique study with a focus on occupational health and safety taking research into practice, implementation and evaluation of dissemination.

Learning Areas:

Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Occupational health and safety
Planning of health education strategies, interventions, and programs
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the analysis and assessments involved in identifying participating sites for possible adoption and implementation of an effective intervention. Compare the factors that led some participating sites to adopt and implement the Project's interventions vs. other sites that were unable to adopt and/or implement the intervention. Describe and compare preliminary results of exit surveys among agricultural workers whom received the training at various participating sites. Identify the factors that can potentially lead to sustainability of an effective intervention.

Keyword(s): Community-Based Research (CBPR), Occupational Health and Safety

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the PI on a community based participatory research study that has been funded through NIOSH, NIH and NIMHD for 12 years with a focus on reducing adverse health effects of pesticide exposure among indigenous farmworkers. In this phase,we are working on dissemination models to make the intervention sustainable for the communities. This study led by indigenous farmworkers themselves has put reserach to practice and works on sustainability solutions.
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.