The Role of Lay Health Advisors in Cardiovascular Risk Reduction: A Review
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Interventions are needed to reduce the negative impact of cardiovascular disease. The combination of health risks for disease, disability, and mortality, particularly among underserved populations, might be best addressed with programs designed to enhance awareness and development of resources within a context of community support. The objectives of this review were to: (1) provide a comprehensive review and evaluation of the roles, evaluation, and effectiveness of LHA in community-based programs with an emphasis on cardiovascular risk reduction; and (2) provide recommendations for future research involving LHA in such programs. Computer and manual searches were conducted of articles in the English-language literature from 1980 to 2007. Twenty articles were evaluated, which emphasized the role of the LHA in cardiovascular risk reduction. A review of research literature provides a starting point for determining salient approaches for intervention and evaluation, issues related to program implementation and sustainability, and strengths and limitations of existing approaches.
- American Heart Association. (2006). Heart disease and stroke statistics–2006 update: A report from the American Heart Association statistics committee and stroke statistics subcommittee. Circulation, 113(6), e85–e151. CrossRef
- Andrews, J. O., Felton, G., Wewers, M. E., & Heath, J. (2004). Use of community health workers in research with ethnic minority women. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing/Sigma Theta Tau, 36(4), 358–365.
- Balcazar, H., Alvarado, M., Hollen, M. L., Gonzalez-Cruz, Y., Hughes, O., Vazquez, E., et al. (2006). Salud para su corazon-NCLR: A comprehensive promotora outreach program to promote heart-healthy behaviors among hispanics. Health promotion practice, 7(1), 68–77. CrossRef
- Benjamin, E. J., Jessup, M., Flack, J. M., Krumholz, H. M., Liu, K., Nadkarni, V. M., et al. (2005). Discovering the full spectrum of cardiovascular disease: Minority health summit 2003: Report of the outcomes writing group. Circulation, 111(10), e124–e133. CrossRef
- Campbell, M. K., Tessaro, I., DeVellis, B., Benedict, S., Kelsey, K., Belton, L., et al. (2002). Effects of a tailored health promotion program for female blue-collar workers: Health works for women. Preventive Medicine, 34(3), 313–323. CrossRef
- Castro, F. G., Barrera, M., Jr., & Martinez, C. R., Jr. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5(1), 41–45. CrossRef
- Centers for Disease Control and Prevention. (2006). Health United States 2006, executive summary. Retrieved December 1, 2006, from http://www.cdc.gov/nchs/data/hus/hus06.pdf#executivesummary.
- Debate, R. D., & Plescia, M. (2005). I could live other places, but this is where I want to be: Support for natural helper initiatives. International Quarterly of Community Health Education, 23(4), 327–339. CrossRef
- Earp, J. A., Viadro, C. I., Vincus, A. A., Altpeter, M., Flax, V., Mayne, L., et al. (1997). Lay health advisors: A strategy for getting the word out about breast cancer. Health Education & Behavior, 24(4), 432–451. CrossRef
- Eng, E., Parker, E. A., & Harlan, C. (1997). Lay health advisors: A critical link to community capacity building (special issue). Health Education & Behavior, 24, 407–510. CrossRef
- Eng, E., & Young, R. (1992). Lay health advisors as community change agents. Family and Community Health, 15(1), 24–40.
- Farquhar, S. A., & Michael, Y. L. (2004). Poder es Salud/Power for health: An application of the community health worker model in Portland, Oregon. Journal of Interprofessional Care, 18(4), 445–447. CrossRef
- Fedder, D. O., Chang, R. J., Curry, S., & Nichols, G. (2003). For the patient. 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 and Disease, 13(1), 146.
- Fleury, J., & Lee, S. M. (2006). The social ecological model and physical activity in African American women. American Journal of Community Psychology, 37(1–2), 129–140. CrossRef
- Hatch, J. W., Cunningham, A. C., Woods, W. W., & Snipes, F. C. (1986). The fitness through churches project: Description of a community-based cardiovascular health promotion intervention. Hygie, 5(3), 9–12.
- Kanders, B. S., Ullmann-Joy, P., Foreyt, J. P., Heymsfield, S. B., Heber, D., Elashoff, R. M., et al. (1994). The black American lifestyle intervention (BALI): The design of a weight loss program for working-class African American women. Journal of the American Dietetic Association, 94(3), 310–312. CrossRef
- Keller, & Gonzales (2009). Camina por salud: Walking in Mexican American women. Applied Nursing Research (in press).
- Keyserling, T. C., Samuel-Hodge, C. D., Ammerman, A. S., Ainsworth, B. E., Henriquez-Roldan, C. F., Elasy, T. A., et al. (2002). A randomized trial of an intervention to improve self-care behaviors of African American women with type 2 diabetes: Impact on physical activity. Diabetes Care, 25(9), 1576–1583. CrossRef
- Kim, S., Flaskerud, J. H., Koniak-Griffin, D., & Dixon, E. L. (2005). Using community-partnered participatory research to address health disparities in a Latino community. Journal of Professional Nursing, 21(4), 199–209. CrossRef
- Kim, S., Koniak-Griffin, D., Flaskerud, J. H., & Guarnero, P. A. (2004). The impact of lay health advisors on cardiovascular health promotion: Using a community-based participatory approach. The Journal of Cardiovascular Nursing, 19(3), 192–199.
- Lacey, L., Tukes, S., Manfredi, C., & Warnecke, R. B. (1991). Use of lay health educators for smoking cessation in a hard-to-reach urban community. Journal of Community Health, 16(5), 269–282. CrossRef
- Lewin, S., Dick, J., Pond, P., Zwarenstein, M., Aja, G., Van Wyk, B., et al. (2005). Lay health workers in primary care and community health: A systematic review. The Cochrane Database of Systematic Reviews, (1), CD004015.
- Lewis, C. E., Raczynski, J. M., Heath, G. W., Levinson, R., Hilyer, J. C., Jr., & Cutter, G. R. (1993). Promoting physical activity in low-income African American communities: The PARR project. Ethnicity and Disease, 3(2), 106–118.
- Lopez, V. A., & Castro, F. G. (2006). Participation and program outcomes in a church-based cancer prevention program for Hispanic women. Journal of Community Health, 31(4), 343–362. CrossRef
- Marin, G., Burhansstipanov, L., Connell, C. M., Gielen, A. C., Helitzer-Allen, D., Lorig, K., et al. (1995). A research agenda for health education among underserved populations. Health Education Quarterly, 22(3), 346–363.
- Martijn, C., de Vries, N. K., Voorham, T., Brandsma, J., Meis, M., & Hospers, H. J. (2004). The effects of AIDS prevention programs by lay health advisors for migrants in the Netherlands. Patient Education and Counseling, 53(2), 157–165. CrossRef
- Martin, M. A., Hernandez, O., Naureckas, E., & Lantos, J. (2006). Reducing home triggers for asthma: The Latino community health worker approach. The Journal of Asthma, 43(5), 369–374. CrossRef
- McNabb, W., Quinn, M., Kerver, J., Cook, S., & Karrison, T. (1997). The PATHWAYS church-based weight loss program for urban African American women at risk for diabetes. Diabetes Care, 20(10), 1518–1523. CrossRef
- McQuiston, C., Choi-Hevel, S., & Clawson, M. (2001). Protegiendo nuestra comunidad: Empowerment participatory education for HIV prevention. Journal of Transcultural Nursing, 12(4), 275–283. CrossRef
- Minkler, M., & Wallerstein, N. (1997). Improving health through community organization and community building. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research, and practice (2nd ed.). San Francisco: Jossey-Bass.
- Navarro, A. M., Rock, C. L., McNicholas, L. J., Senn, K. L., & Moreno, C. (2000). Community-based education in nutrition and cancer: The por la vida cuidandome curriculum. Journal of Cancer Education, 15(3), 168–172.
- Perez-Stable, E. J., Otero-Sabogal, R., Sabogal, F., & Napoles-Springer, A. (1996). Pathways to early cancer detection for Latinas: En accion contra el cancer. Health Education Quarterly, 23, S41–S59.
- Poston, W. S. C., I. I., Haddock, C. K., Olvera, N. E., Suminski, R. R., Reeves, R. S., Dunn, J. K., et al. (2001). Evaluation of culturally appropriate intervention to increase physical activity. American Journal of Health Behavior, 25(4), 396–406.
- Reinschmidt, K. M., Hunter, J. B., Fernandez, M. L., Lacy-Martinez, C. R., Guernsey de Zapien, J., & Meister, J. (2006). Understanding the success of promotoras in increasing chronic diseases screening. Journal of Health Care for the Poor and Underserved, 17(2), 256–264. CrossRef
- Resnicow, K., Braithewaite, R. L., Dilorio, C., & Glanz, K. (2002). Applying theory to culturally diverse and unique populations. In K. Glanz, B. K. Rimer, & M. Lewis (Eds.), Health behavior and health education: Theory, research and practice (3rd ed.). San Francisco: Wiley.
- Roman, L. A., Lindsay, J. K., Moore, J. S., & Shoemaker, A. L. (1999). Community health workers: Examining the helper therapy principle. Public Health Nursing, 16(2), 87–95. CrossRef
- Schorling, J. B., Roach, J., Siegel, M., Baturka, N., Hunt, D. E., Guterbock, T. M., et al. (1997). A trial of church-based smoking cessation interventions for rural African Americans. Preventive Medicine, 26(1), 92–101. CrossRef
- Smith, E. D., Merritt, S. L., & Patel, M. K. (1997). Church-based education: An outreach program for African Americans with hypertension. Ethnicity & Health, 2(3), 243–253. CrossRef
- Staten, L. K., Scheu, L. L., Bronson, D., Pena, V., & Elenes, J. (2005). Pasos adelante: The effectiveness of a community-based chronic disease prevention program. Preventing Chronic Disease, 2(1), A18.
- Sutherland, M., Barber, M., Harris, G., & Cowart, M. (1992). Health promotion in southern rural black churches: A program model. Journal of Health Education, 23(2), 109–111.
- Swider, S. M. (2002). Outcome effectiveness of community health workers: An integrative literature review. Public Health Nursing, 19(1), 11–20. CrossRef
- Tessaro, I. A., Taylor, S., Belton, L., Campbell, M. K., Benedict, S., Kelsey, K., et al. (2000). Adapting a natural (lay) helpers model of change for worksite health promotion for women. Health Education Research, 15(5), 603–614. CrossRef
- Teufel-Shone, N. I., Drummond, R., & Rawiel, U. (2005). Developing and adapting a family-based diabetes program at the US–Mexico border. Preventing Chronic Disease, 2(1), A20.
- Tudor-Locke, C., Myers, A. M., & Rodger, N. W. (2000). Formative evaluation of the first step to program: A practical intervention to increase daily physical activity. Canadian Journal of Diabetes Care, 24(4), 56–60.
- US Department of Health and Human Services. (2000). Su corazon, su vida. Bethesda (MD): National Institutes of Health, National Heart, Lung, and Blood Institute, NIH Publication No. 00-4087.
- Voorhees, C. C., Stillman, F. A., Swank, R. T., Heagerty, P. J., Levine, D. M., & Becker, D. M. (1996). Heart, body, and soul: Impact of church-based smoking cessation interventions on readiness to quit. Preventive Medicine, 25(3), 277–285. CrossRef
- Walker, D. G., & Jan, S. (2005). How do we determine whether community health workers are cost-effective? Some core methodological issues. Journal of Community Health, 30(3), 221–229. CrossRef
- Warrick, L. H., Wood, A. H., Meister, J. S., & de Zapien, J. G. (1992). Evaluation of a peer health worker prenatal outreach and education program for Hispanic farm worker families. Journal of Community Health, 17(1), 13–26. CrossRef
- Whitehorse, L., Manzano, R., Baezconde-Garbanati, L. A., & Hahn, G. (1999). Culturally tailoring a physical activity program for Hispanic women: Recruitment successes of la vida buena’s salsa aerobics. Journal of Health Education, 30, S18–S24.
- Wiist, W. H., & Flack, J. M. (1990). A church-based cholesterol education program. Public Health Reports (Washington, DC: 1974), 105(4), 381–388.
- Woodruff, S. I., Talavera, G. A., & Elder, J. P. (2002). Evaluation of a culturally appropriate smoking cessation intervention for Latinos. Tobacco Control, 11(4), 361–367. CrossRef
- The Role of Lay Health Advisors in Cardiovascular Risk Reduction: A Review
American Journal of Community Psychology
Volume 44, Issue 1-2 , pp 28-42
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Lay health advisors
- Cardiovascular risk reduction
- Community-based interventions
- Author Affiliations
- 1. College of Nursing & Healthcare Innovation, Arizona State University, 500 North 3rd Street, MC: 3020, Phoenix, AZ, 85004, USA
- 2. Division of Adolescent and School Health Centers for Disease Control and Prevention, Atlanta, GA, USA