Behavioral and subjective health changes in US and Mexico border residing participants in two promotora-led chronic disease preventive interventions

S. C. Carvajal, S. Huang, M. L. Bell, C. Denman, J. Guernsey de Zapien, E. Cornejo, J. Chang, Lisa Staten, C. Rosales

Research output: Contribution to journalArticle

Abstract

Chronic diseases are the primary health burden among Mexican-origin populations and health promotion efforts have not been able to change negative population trends. This research presents behavioral and subjective health impacts of two related community health worker (CHW) interventions conducted in the US-Mexico border region. Pasos Adelante (United States) and Meta Salud (Mexico) are 12-13 week CHW-led preventive interventions implemented with Mexico-origin adults. Curricula include active learning modules to promote healthy dietary changes and increasing physical activity; they also incorporate strategies to promote social support, empowerment and group exercise components responsive to their communities. Questionnaire data at baseline (N = 347 for Pasos; 171 for Meta Salud), program completion and 3-month follow-up were analyzed. Results showed statistically significant improvements in multiple reported dietary, physical activity and subjective health indicators. Furthermore, at follow-up across both cohorts there were ≥10% improvements in participants' meeting recommended physical activity guidelines, consumption of whole milk, days of poor mental health and self-rated health. While this study identifies some robust health improvements and contributes to the evidence base for these interventions current dissemination, the lack of change observed for some targeted behaviors (e.g. time sitting) suggests they may have stronger overall impacts with curricula refinement.

Original languageEnglish (US)
Pages (from-to)522-534
Number of pages13
JournalHealth Education Research
Volume33
Issue number6
DOIs
StatePublished - Dec 1 2018

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Diagnostic Self Evaluation
Mexico
Chronic Disease
Exercise
Disease
health
Curriculum
Health
Behavioral Research
Problem-Based Learning
Health Promotion
Social Support
Population
Mental Health
Milk
community
worker
behavioral research
curriculum
Guidelines

ASJC Scopus subject areas

  • Education
  • Public Health, Environmental and Occupational Health

Cite this

Behavioral and subjective health changes in US and Mexico border residing participants in two promotora-led chronic disease preventive interventions. / Carvajal, S. C.; Huang, S.; Bell, M. L.; Denman, C.; Guernsey de Zapien, J.; Cornejo, E.; Chang, J.; Staten, Lisa; Rosales, C.

In: Health Education Research, Vol. 33, No. 6, 01.12.2018, p. 522-534.

Research output: Contribution to journalArticle

Carvajal, S. C. ; Huang, S. ; Bell, M. L. ; Denman, C. ; Guernsey de Zapien, J. ; Cornejo, E. ; Chang, J. ; Staten, Lisa ; Rosales, C. / Behavioral and subjective health changes in US and Mexico border residing participants in two promotora-led chronic disease preventive interventions. In: Health Education Research. 2018 ; Vol. 33, No. 6. pp. 522-534.
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