Understanding the success of Promotoras in increasing chronic disease screening

Kerstin Mulle Reinschmidt, Jennifer B. Hunter, M. Lourdes Fernández, Charles R. Lacy-Martínez, Jill G De Zapien, Joel Meister

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

The purpose of this qualitative study was to elicit information on why a promotora (or, community health worker (CHW)) increased adherence to chronic disease screening among women along the U.S.-Mexico border. After completion of the intervention, women and clinic staff who participated in the promotora phase of a randomized, controlled study answered structured, open-ended questionnaires. Clinicians from two non-participating clinics were also interviewed. Content analysis found that the promotora's roles included health education and the facilitation of routine and follow-up care. Clients appreciated the promotora's socio-cultural characteristics, as well as her personal skills and qualities, and described her as a trained, natural helper whose personalized support removed barriers to health care and helped women to take care of themselves. Most clinicians recommended working with a CHW to increase adherence to chronic disease prevention practices. A CHW can play a crucial role on a health care team and interventions should tap into this resource.

Original languageEnglish (US)
Pages (from-to)256-264
Number of pages9
JournalJournal of Health Care for the Poor and Underserved
Volume17
Issue number2
DOIs
StatePublished - May 2006

Fingerprint

Chronic Disease
Disease
worker
health
Cultural Characteristics
health care
community
Aftercare
Patient Care Team
helper
Mexico
Health Education
health promotion
content analysis
staff
Delivery of Health Care
questionnaire
resources
Surveys and Questionnaires

Keywords

  • Adherence
  • Community health worker
  • Community-based intervention
  • Hispanic
  • Promotora
  • Self-efficacy
  • Self-reliance
  • U.S.-Mexico border
  • Women's chronic disease screening

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy
  • Social Sciences (miscellaneous)

Cite this

Understanding the success of Promotoras in increasing chronic disease screening. / Reinschmidt, Kerstin Mulle; Hunter, Jennifer B.; Fernández, M. Lourdes; Lacy-Martínez, Charles R.; De Zapien, Jill G; Meister, Joel.

In: Journal of Health Care for the Poor and Underserved, Vol. 17, No. 2, 05.2006, p. 256-264.

Research output: Contribution to journalArticle

Reinschmidt, Kerstin Mulle ; Hunter, Jennifer B. ; Fernández, M. Lourdes ; Lacy-Martínez, Charles R. ; De Zapien, Jill G ; Meister, Joel. / Understanding the success of Promotoras in increasing chronic disease screening. In: Journal of Health Care for the Poor and Underserved. 2006 ; Vol. 17, No. 2. pp. 256-264.
@article{99840504c8e740f08b084d82c4580bd3,
title = "Understanding the success of Promotoras in increasing chronic disease screening",
abstract = "The purpose of this qualitative study was to elicit information on why a promotora (or, community health worker (CHW)) increased adherence to chronic disease screening among women along the U.S.-Mexico border. After completion of the intervention, women and clinic staff who participated in the promotora phase of a randomized, controlled study answered structured, open-ended questionnaires. Clinicians from two non-participating clinics were also interviewed. Content analysis found that the promotora's roles included health education and the facilitation of routine and follow-up care. Clients appreciated the promotora's socio-cultural characteristics, as well as her personal skills and qualities, and described her as a trained, natural helper whose personalized support removed barriers to health care and helped women to take care of themselves. Most clinicians recommended working with a CHW to increase adherence to chronic disease prevention practices. A CHW can play a crucial role on a health care team and interventions should tap into this resource.",
keywords = "Adherence, Community health worker, Community-based intervention, Hispanic, Promotora, Self-efficacy, Self-reliance, U.S.-Mexico border, Women's chronic disease screening",
author = "Reinschmidt, {Kerstin Mulle} and Hunter, {Jennifer B.} and Fern{\'a}ndez, {M. Lourdes} and Lacy-Mart{\'i}nez, {Charles R.} and {De Zapien}, {Jill G} and Joel Meister",
year = "2006",
month = "5",
doi = "10.1353/hpu.2006.0066",
language = "English (US)",
volume = "17",
pages = "256--264",
journal = "Journal of Health Care for the Poor and Underserved",
issn = "1049-2089",
publisher = "Johns Hopkins University Press",
number = "2",

}

TY - JOUR

T1 - Understanding the success of Promotoras in increasing chronic disease screening

AU - Reinschmidt, Kerstin Mulle

AU - Hunter, Jennifer B.

AU - Fernández, M. Lourdes

AU - Lacy-Martínez, Charles R.

AU - De Zapien, Jill G

AU - Meister, Joel

PY - 2006/5

Y1 - 2006/5

N2 - The purpose of this qualitative study was to elicit information on why a promotora (or, community health worker (CHW)) increased adherence to chronic disease screening among women along the U.S.-Mexico border. After completion of the intervention, women and clinic staff who participated in the promotora phase of a randomized, controlled study answered structured, open-ended questionnaires. Clinicians from two non-participating clinics were also interviewed. Content analysis found that the promotora's roles included health education and the facilitation of routine and follow-up care. Clients appreciated the promotora's socio-cultural characteristics, as well as her personal skills and qualities, and described her as a trained, natural helper whose personalized support removed barriers to health care and helped women to take care of themselves. Most clinicians recommended working with a CHW to increase adherence to chronic disease prevention practices. A CHW can play a crucial role on a health care team and interventions should tap into this resource.

AB - The purpose of this qualitative study was to elicit information on why a promotora (or, community health worker (CHW)) increased adherence to chronic disease screening among women along the U.S.-Mexico border. After completion of the intervention, women and clinic staff who participated in the promotora phase of a randomized, controlled study answered structured, open-ended questionnaires. Clinicians from two non-participating clinics were also interviewed. Content analysis found that the promotora's roles included health education and the facilitation of routine and follow-up care. Clients appreciated the promotora's socio-cultural characteristics, as well as her personal skills and qualities, and described her as a trained, natural helper whose personalized support removed barriers to health care and helped women to take care of themselves. Most clinicians recommended working with a CHW to increase adherence to chronic disease prevention practices. A CHW can play a crucial role on a health care team and interventions should tap into this resource.

KW - Adherence

KW - Community health worker

KW - Community-based intervention

KW - Hispanic

KW - Promotora

KW - Self-efficacy

KW - Self-reliance

KW - U.S.-Mexico border

KW - Women's chronic disease screening

UR - http://www.scopus.com/inward/record.url?scp=33745026958&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745026958&partnerID=8YFLogxK

U2 - 10.1353/hpu.2006.0066

DO - 10.1353/hpu.2006.0066

M3 - Article

VL - 17

SP - 256

EP - 264

JO - Journal of Health Care for the Poor and Underserved

JF - Journal of Health Care for the Poor and Underserved

SN - 1049-2089

IS - 2

ER -