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An Ecological Model Using Promotores de Salud to Prevent Cardiovascular Disease on the US-Mexico Border: The HEART Project

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Authors: Hector Balcázar, Sherrie Wise, E. Lee Rosenthal, Cecilia Ochoa; Jose Rodriguez; Diana Hastings; Leticia Flores, Lorraine Hernandez, Maria Duarte-Gardea

To address cardiovascular disease risk factors among Hispanics, a community model of prevention requires a comprehensive approach to community engagement. The objectives of our intervention were to reduce cardiovascular disease risk factors in Hispanics living in 2 low-income areas of El Paso, Texas, and to engage the community in a physical activity and nutrition intervention. Drawing on lessons learned in phase 1 (years 2005-2008) of the HEART Project, this new phase of the study used an iterative, community-based process to develop an intervention based on an ecological framework. New community partners were introduced and community health workers delivered several elements of the intervention, including the curriculum entitled “Mi Corazón, Mi Comunidad” (“MiCMiC” [My Heart, My Community]). Collaboration with 2 new community partners, the YWCA and the Department of Parks and Recreation, were instrumental in the process of community-based participatory research. HEART phase 2 includes a multilevel ecological model to address cardiovascular disease risk among Hispanics. Future similarly targeted initiatives can benefit from an ecological approach that also embraces the promotora model.

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Resource Topic: Care Teams, Community Case Management, Community Health Workers/Volunteers, Minority Population, Program Design

Resource Type: Case studies, Research

Year: 2012

Region:

Country: United States of America

Publisher May Restrict Access: No

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