Deborah Koniak?Griffin|Mary Lynn Brecht|Sumiko Takayanagi|Juan Villegas|Marylee Melendrez|Héctor Balcázar
A community health worker-led lifestyle behavior intervention for Latina (Hispanic) women: Feasibility and outcomes of a randomized controlled trial
University of California, Los Angeles|University of California, Los Angeles|University of California, Los Angeles|University of California, Los Angeles|University of California, Los Angeles|The University of Texas at El Paso
lowincome latinas hispanics face risk cardiovascular disease due high rates overweightobesity sedentary lifestyle factors limited access health care language barriers may prevent delivery health promotion messages targeted approaches including integration community health workers may required promote healthy lifestyle prevent chronic disease underserved ethnic minority groups term commonly used refer female community health workers latino communities promotoras study evaluates outcomes feasibility promotoraled lifestyle behavior intervention overweight immigrant latinas community prevention model employed planning implementing study randomized controlled trial design used community advisory board provided expertise evaluating feasibility study implementation community important guidance sample comprised 223 women aged 3564 years predominantly low income 8th grade education culturally tailored lifestyle behavior intervention included group education 8 classes based upon su corazon su vida followed 4 months individual teaching coaching home visits telephone calls control group received comparable length educational program followup contacts evaluations conducted baseline 6 9 months using dietary habits questionnaire accelerometer readings physical activity clinical measures body mass index weight waist circumference blood pressure lipids blood glucose data collected january 2010 august 2012 women intervention group improved significantly dietary habits waist circumference physical activity comparison control group treatment dosage effect observed weight waist circumference knowledge heart disease increased high attendance classes participation individual teaching counseling sessions high retention rates support feasibility acceptability promotoraled lifestyle behavior intervention findings demonstrate lifestyle behaviors risk factors overweight latina women may improved promotoraled lifestyle behavior intervention feasibility implementing intervention community settings engaging promotoras facilitators supported