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In the United States, socioeconomic disparities are a reality that shapes the challenges many communities of color experience. Throughout the globe, community-based initiatives have been explored as a way to reduce several barriers that contribute to social inequalities. One in particular, the Promotora framework, has been widely used to improve health outcomes. However, it has yet to be explored to maximize socioeconomic opportunities. The Launch Program, a pre-COVID-19 pilot study, aimed to investigate the experiences of LatinX people in one of the first community programs designed to offer a Promotora-led intervention supporting socioeconomic goals. Researchers collected qualitative data via focus groups from 25 LatinX participants who completed the program. Using narrative thematic analysis, the study explored the potential of a liberatory framework to address employment barriers. Results from this study highlight the benefits of adopting a culturally responsive intervention as a valuable tool in reducing socioeconomic disparities within LatinX populations.
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http://dx.doi.org/10.1111/jmft.70000 | DOI Listing |
At the request of the farmworker advocacy group, Campesinos Sin Fronteras (CSF) in Yuma County, Arizona, we created fotonovelas (comic books) to provide information and education to farmworkers and their families on the prevention of exposures to pesticides in the home. Our process included an informal needs assessment, the creation of draft scripts in English and Spanish, the recruitment of student artists to draw candidate fotonovelas, the review of fotonovelas by promotoras de salud (community health workers), and review by a focus group of farmworkers. These efforts resulted in the production of two fotonovelas for distribution to farmworkers and established a framework and process for future educational and training programs to reduce pesticide exposures on the U.
View Article and Find Full Text PDFPurpose: To design and pilot a tailored intervention to enhance type 2 diabetes mellitus (T2DM) outcomes in an under-resourced Midwestern community. Design: One group pre-post feasibility study guided by Social Cognitive Theory and the Center for Latino Adolescent and Family Health's social determinants of health (SDOH) framework.
Methods: A community-health-academic partnership of three nonprofit organizations, nurses, researchers, and promotoras (community health workers) developed an intervention program to help people in their community prevent and manage T2DM and mitigate adverse SDOH.
J Marital Fam Ther
January 2025
Department of Counseling and Family Sciences, Loma Linda University, Loma Linda, CA, USA.
In the United States, socioeconomic disparities are a reality that shapes the challenges many communities of color experience. Throughout the globe, community-based initiatives have been explored as a way to reduce several barriers that contribute to social inequalities. One in particular, the Promotora framework, has been widely used to improve health outcomes.
View Article and Find Full Text PDFJMIR Res Protoc
November 2024
Faculty of Human Sciences and Education, University of Zaragoza, Huesca, Spain.
Background: Health Promoting Schools (HPS) have emerged as a powerful framework to promote healthy behaviors in many countries. However, HPS still present several challenges, highlighting the excessive workload involved in the accreditation, design, implementation, and evaluation processes. In this sense, a resource to facilitate the implementation processes may have a positive impact on the support of HPS.
View Article and Find Full Text PDFInt J Qual Methods
September 2024
University of California, Irvine, Department of Family Medicine, School of Medicine, Irvine, California, USA.
Community Health Workers, promotores, and navigators (henceforth, CHWs) emerged as critical members of the public health workforce addressing social, economic, and health inequities worsened by the COVID-19 pandemic. While there is increasing appreciation for and utilization of CHW models, and recognition of the importance of tailoring and innovating these models during the pandemic, few studies have examined the processes of change by which CHW models operated during the COVID-19 pandemic, and factors that facilitated or constrained CHW health equity efforts. This protocol paper describes and reflects on the research methodology used in our qualitative study focused on CHWs.
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