Incorporating what Promotoras Learn: Becoming Role Models to Effect Positive Change
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Promotoras (community health workers) play an important health promotion role and must be continuously trained, but little is known about how much of their learning they actually put into practice. This non-randomized, longitudinal study examined knowledge and home environmental outcomes of an asthma and healthy homes training offered to promotoras using a train-the-trainer model. Eighty-five promotoras received the training and pre- and post-test surveys were used to measure training outcomes. Results showed a statistically significant increase in asthma and healthy home-related knowledge (P < .001). At 12-months post-intervention, a majority of the promotoras (69%) reported they made household changes to improve their indoor environment as a result of the training. This study suggests that effective trainings can improve promotoras knowledge and behaviors for the promotion of healthy homes in the community. Further evaluation is needed to investigate whether these trainings allow promotoras to serve as role models within their communities “by educating through example” and thereby enhance their credibility as health educators.
KeywordsPromotoras Community health workers Asthma Healthy homes Health promotion
This project was completed with funds obtained from: Border 2012 Environmental Protection Agency/Border Environmental Cooperation Commission (Grant No. B2012 R6 2008) and the Centers for Disease Control, Texas Department of State Health Services, Texas Asthma Control Program (Contract No. 2010-034647).
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