科研之友
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摘要
Background %26lt;br%26gt;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. %26lt;br%26gt;Methods %26lt;br%26gt;Drawing on lessons learned in phase 1 (years 2005-2008) of the HEART Project, we 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 %26quot;Mi Corazon, Mi Comunidad%26quot; (%26quot;MiCMiC%26quot; [My Heart, My Community]). We received feedback from the project%26apos;s Community Health Academy and Leadership Council throughout the development process and established a policy agenda that promotes integration of community health workers into the local and state workforce. %26lt;br%26gt;Outcome %26lt;br%26gt;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. We enrolled 113 participants in the first cohort; 78% were female, and the mean age was 41 years. More than 50% reported having no health insurance coverage. Seventy-two (60%) participants attended 1 or more promotora-led Su Corazen, Su Vida sessions, and 74 (62%) participants attended 1 or more of the 15 exercise classes. %26lt;br%26gt;Interpretation %26lt;br%26gt;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.
- 出版日期2012-1
