Skip to main content
Erschienen in: Journal of Community Health 2/2008

01.04.2008 | Original Paper

Training Community Health Workers to be Advocates for Health Promotion: Efforts Taken by a Community-Based Organization to Reduce Health Disparities in Cardiovascular Disease

verfasst von: Carla Boutin-Foster, Kimberly S. George, Tonya Samuel, Marilyn Fraser-White, Humberto Brown

Erschienen in: Journal of Community Health | Ausgabe 2/2008

Einloggen, um Zugang zu erhalten

Abstract

Compared to white adults, blacks are less likely to be aware of their cardiovascular risk factors and are less likely to respond appropriately to signs and symptoms of a myocardial infarction or stroke. This fact highlights the need for better dissemination of health information about cardiovascular disease among communities of color. Community health workers (CHWs) are important resources for disseminating health information. Recognizing this important role of CHWs, the Greater Southern Brooklyn Health Coalition and its community and academic partners developed a workshop designed to educate CHWs about the risk factors, signs and symptoms of cardiovascular disease. The purpose of this workshop was to educate CHWs so that they themselves could be better informed and thus, be in a better position to educate their respective clients. The resulting workshop, Taking Action Against Cardiovascular Disease in Our Communities: A Training for Service Providers, was a half-day workshop attended by 70 CHWs from various community service organizations. Approximately 97% of attendees said that the workshop met their expectations. More than half said they learned the signs and symptoms of cardiovascular disease and about 90% said that they received clear and concrete information that they could use with their clients. These evaluations also provided critiques regarding aspects of the workshop that could be improved upon and other information which will be used as a formative tool in developing future educational initiatives. In conclusion, this workshop demonstrated that it was feasible to develop effective community programs targeted at educating CHWs about cardiovascular disease.
Literatur
1.
Zurück zum Zitat Sundquist, J., Winkleby, M. A., & Pudaric, S. (2001). Cardiovascular disease risk factors among older black, Mexican-American, and white women and men: An analysis of NHANES III, 1988–1994. Third National Health and Nutrition Examination Survey. Journal of the American Geriatrics Society, 49, 109–116.PubMedCrossRef Sundquist, J., Winkleby, M. A., & Pudaric, S. (2001). Cardiovascular disease risk factors among older black, Mexican-American, and white women and men: An analysis of NHANES III, 1988–1994. Third National Health and Nutrition Examination Survey. Journal of the American Geriatrics Society, 49, 109–116.PubMedCrossRef
2.
Zurück zum Zitat Mensah, G. A. (2005). Eliminating disparities in cardiovascular health: Six strategic imperatives and a framework for action. Circulation 111, 1332–1336.PubMedCrossRef Mensah, G. A. (2005). Eliminating disparities in cardiovascular health: Six strategic imperatives and a framework for action. Circulation 111, 1332–1336.PubMedCrossRef
3.
Zurück zum Zitat Folsom, A. R., Cook, T. C., Sprafka, J. M., Burke, G. L., Norsted, S. W., & Jacobs, D. R., Jr. (1991). Differences in leisure-time physical activity levels between blacks and whites in population-based samples: The Minnesota Heart Survey. Journal of Behavioral Medicine, 14, 1–9.PubMedCrossRef Folsom, A. R., Cook, T. C., Sprafka, J. M., Burke, G. L., Norsted, S. W., & Jacobs, D. R., Jr. (1991). Differences in leisure-time physical activity levels between blacks and whites in population-based samples: The Minnesota Heart Survey. Journal of Behavioral Medicine, 14, 1–9.PubMedCrossRef
4.
Zurück zum Zitat Patterson, B. H., Harlan, L. C., Block, G., & Kahle, L. (1995). Food choices of whites, blacks, and Hispanics: Data from the 1987 National Health Interview Survey. Nutrition and Cancer, 23, 105–119.PubMedCrossRef Patterson, B. H., Harlan, L. C., Block, G., & Kahle, L. (1995). Food choices of whites, blacks, and Hispanics: Data from the 1987 National Health Interview Survey. Nutrition and Cancer, 23, 105–119.PubMedCrossRef
5.
Zurück zum Zitat Glanz, K., Lewis, F. M., & Rimer, B. K. (1997). Health behavior and health education: Theory, research, and practice (2nd ed.). San Francisco: Jossey-Bass. Glanz, K., Lewis, F. M., & Rimer, B. K. (1997). Health behavior and health education: Theory, research, and practice (2nd ed.). San Francisco: Jossey-Bass.
6.
Zurück zum Zitat Behera, S. K., Winkleby, M. A., & Collins, R. (2000). Low awareness of cardiovascular disease risk among low-income African-American women. American Journal of Health Promotion, 14, 301–305, iii.PubMed Behera, S. K., Winkleby, M. A., & Collins, R. (2000). Low awareness of cardiovascular disease risk among low-income African-American women. American Journal of Health Promotion, 14, 301–305, iii.PubMed
7.
Zurück zum Zitat Nash, I. S., Mosca, L., Blumenthal, R. S., Davidson, M. H., Smith, S. C., Jr., & Pasternak, R. C. (2003). Contemporary awareness and understanding of cholesterol as a risk factor: Results of an American Heart Association national survey. Archives of Internal Medicine, 16, 1597–1600.CrossRef Nash, I. S., Mosca, L., Blumenthal, R. S., Davidson, M. H., Smith, S. C., Jr., & Pasternak, R. C. (2003). Contemporary awareness and understanding of cholesterol as a risk factor: Results of an American Heart Association national survey. Archives of Internal Medicine, 16, 1597–1600.CrossRef
8.
Zurück zum Zitat Knight, E., Bohn, R. L., Wang, P. S., Glynn, R. J., Mogun, H., & Avorn, J. (2001). Predictors of uncontrolled hypertension in ambulatory patients. Hypertension, 38, 809–814.PubMedCrossRef Knight, E., Bohn, R. L., Wang, P. S., Glynn, R. J., Mogun, H., & Avorn, J. (2001). Predictors of uncontrolled hypertension in ambulatory patients. Hypertension, 38, 809–814.PubMedCrossRef
9.
Zurück zum Zitat Mosca, L., Mochari, H., Christian, A., et al. (2006). National study of women’s awareness, preventive action, and barriers to cardiovascular health. Circulation, 113, 525–534.PubMedCrossRef Mosca, L., Mochari, H., Christian, A., et al. (2006). National study of women’s awareness, preventive action, and barriers to cardiovascular health. Circulation, 113, 525–534.PubMedCrossRef
10.
Zurück zum Zitat Barnhart, J. M., Cohen, O., Kramer, H. M., Wilkins, C. M., & Wylie-Rosett, J. (2005). Awareness of heart attack symptoms and lifesaving actions among New York City area residents. Journal of Urban Health, 82, 207–215.PubMed Barnhart, J. M., Cohen, O., Kramer, H. M., Wilkins, C. M., & Wylie-Rosett, J. (2005). Awareness of heart attack symptoms and lifesaving actions among New York City area residents. Journal of Urban Health, 82, 207–215.PubMed
11.
Zurück zum Zitat Clark, L. T., Ferdinand, K. C., Flack, J. M., et al. (2001). Coronary heart disease in African Americans. Heart Disease, 3, 97–108.PubMedCrossRef Clark, L. T., Ferdinand, K. C., Flack, J. M., et al. (2001). Coronary heart disease in African Americans. Heart Disease, 3, 97–108.PubMedCrossRef
12.
Zurück zum Zitat Barnett, E., & Halverson, J. (2000). Disparities in premature coronary heart disease mortality by region and urbanicity among black and white adults ages 35–64, 1985–1995. Public Health Reports, 115, 52–64.PubMed Barnett, E., & Halverson, J. (2000). Disparities in premature coronary heart disease mortality by region and urbanicity among black and white adults ages 35–64, 1985–1995. Public Health Reports, 115, 52–64.PubMed
13.
Zurück zum Zitat Poduri, A., & Grisso, J. A. (1998). Cardiovascular risk factors in economically disadvantaged women: A study of prevalence and awareness. Journal of the National Medical Association, 90, 531–536.PubMed Poduri, A., & Grisso, J. A. (1998). Cardiovascular risk factors in economically disadvantaged women: A study of prevalence and awareness. Journal of the National Medical Association, 90, 531–536.PubMed
14.
Zurück zum Zitat Friedman, A. R., Butterfoss, F. D., Krieger, J. W., et al. (2006). Allies community health workers: Bridging the gap. Health Promotion Practice, 7, 96S–107S.PubMedCrossRef Friedman, A. R., Butterfoss, F. D., Krieger, J. W., et al. (2006). Allies community health workers: Bridging the gap. Health Promotion Practice, 7, 96S–107S.PubMedCrossRef
15.
Zurück zum Zitat Fedder, D. O, Chang, R. J., Curry, S., & Nichols, G. (2003). The effectiveness of a community health worker outreach program on healthcare utilization of west Baltimore City Medicaid patients with diabetes, with or without hypertension. Ethnicity & Disease, 13, 22–27. Fedder, D. O, Chang, R. J., Curry, S., & Nichols, G. (2003). The effectiveness of a community health worker outreach program on healthcare utilization of west Baltimore City Medicaid patients with diabetes, with or without hypertension. Ethnicity & Disease, 13, 22–27.
16.
Zurück zum Zitat Corkery, E., Palmer, C., Foley, M. E., Schechter, C. B., Frisher, L., & Roman, S. H. (1997). Effect of a bicultural community health worker on completion of diabetes education in a Hispanic population. Diabetes Care, 20, 254–257.PubMedCrossRef Corkery, E., Palmer, C., Foley, M. E., Schechter, C. B., Frisher, L., & Roman, S. H. (1997). Effect of a bicultural community health worker on completion of diabetes education in a Hispanic population. Diabetes Care, 20, 254–257.PubMedCrossRef
17.
Zurück zum Zitat Swider, S. M. (2002). Outcome effectiveness of community health workers: An integrative literature review. Public Health Nursing, 19, 11–20.PubMedCrossRef Swider, S. M. (2002). Outcome effectiveness of community health workers: An integrative literature review. Public Health Nursing, 19, 11–20.PubMedCrossRef
18.
Zurück zum Zitat Birkel, R. C., Golaszewski, T., Koman, J. J. III, Singh, B. K., Catan, V., & Souply, K. (1993). Findings from the Horizontes Acquired Immune Deficiency Syndrome Education project: The impact of indigenous outreach workers as change agents for injection drug users. Health Education Quarterly, 20, 523–538.PubMed Birkel, R. C., Golaszewski, T., Koman, J. J. III, Singh, B. K., Catan, V., & Souply, K. (1993). Findings from the Horizontes Acquired Immune Deficiency Syndrome Education project: The impact of indigenous outreach workers as change agents for injection drug users. Health Education Quarterly, 20, 523–538.PubMed
19.
Zurück zum Zitat Krieger, J. W, Takaro, T. K., Song, L., & Weaver, M. (2005). The Seattle-King County Healthy Homes Project: A randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. American Journal of Public Health, 95, 652–659.PubMedCrossRef Krieger, J. W, Takaro, T. K., Song, L., & Weaver, M. (2005). The Seattle-King County Healthy Homes Project: A randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. American Journal of Public Health, 95, 652–659.PubMedCrossRef
20.
Zurück zum Zitat Schulz, A. J., Israel, B. A., Becker, A. B., & Hollis, R. M. (1997). It’s a 24-hour thing. A living-for-each-other concept: Identity, networks, and community in an urban village health worker project. Health Education & Behavior, 24, 465–480.CrossRef Schulz, A. J., Israel, B. A., Becker, A. B., & Hollis, R. M. (1997). It’s a 24-hour thing. A living-for-each-other concept: Identity, networks, and community in an urban village health worker project. Health Education & Behavior, 24, 465–480.CrossRef
21.
Zurück zum Zitat Felix-Aaron, K. L., Bone, L. R., Levine, D. M., & Rubin, H. R. (2002). Using participant information to develop a tool for the evaluation of community health worker outreach services. Ethnicity & Disease, 12, 87–96. Felix-Aaron, K. L., Bone, L. R., Levine, D. M., & Rubin, H. R. (2002). Using participant information to develop a tool for the evaluation of community health worker outreach services. Ethnicity & Disease, 12, 87–96.
22.
Zurück zum Zitat New York City, Department of Health and Mental Hygiene (2006). Community Health Profile. New York: NYC-DOH. New York City, Department of Health and Mental Hygiene (2006). Community Health Profile. New York: NYC-DOH.
23.
Zurück zum Zitat Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks: Sage Publishers, pp. 55–217. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks: Sage Publishers, pp. 55–217.
Metadaten
Titel
Training Community Health Workers to be Advocates for Health Promotion: Efforts Taken by a Community-Based Organization to Reduce Health Disparities in Cardiovascular Disease
verfasst von
Carla Boutin-Foster
Kimberly S. George
Tonya Samuel
Marilyn Fraser-White
Humberto Brown
Publikationsdatum
01.04.2008
Verlag
Springer US
Erschienen in
Journal of Community Health / Ausgabe 2/2008
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-007-9074-4

Weitere Artikel der Ausgabe 2/2008

Journal of Community Health 2/2008 Zur Ausgabe