Journal of Community Health

, Volume 37, Issue 5, pp 1026–1031 | Cite as

Incorporating what Promotoras Learn: Becoming Role Models to Effect Positive Change

  • Rose L. Lucio
  • Genny Carrillo ZunigaEmail author
  • Yoon-Ho Seol
  • Norma Garza
  • Nelda Mier
  • Laura Trevino
Original Paper


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.


Promotoras 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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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Rose L. Lucio
    • 1
  • Genny Carrillo Zuniga
    • 2
    Email author
  • Yoon-Ho Seol
    • 3
  • Norma Garza
    • 1
  • Nelda Mier
    • 4
  • Laura Trevino
    • 5
  1. 1.School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  2. 2.Department of Environmental and Occupational Health, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  3. 3.Department of Health Informatics at the Medical College of GeorgiaGeorgia’s Health Sciences University, AugustaAugustaUSA
  4. 4.Department of Social and Behavioral Health, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  5. 5.Center for Housing and Urban Development, Colonias ProgramTexas A&M University, College of ArchitectureWeslacoUSA

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