title: Farmworkers at the border: a bilingual initiative for occupational health and safety.
abstract: OBJECTIVE
  Bilingual and bicultural occupational health and safety interventions for Hispanic farmworkers are extremely rare and, because of language barriers and cultural differences, issues important to their health and safety on the job remain unaddressed. We designed, conducted, and assessed the first bilingual occupational health and safety education program for farmworkers attending High School Equivalency Programs (HEPs).
  
  
  METHODS
  We took an interdisciplinary participatory approach by integrating educators and researchers with a community advisory board to guide development, evaluation, and implementation of Work Safely-Trabaje con Cuidado Curriculum (Curriculum), a bilingual occupational health and safety curriculum. We created a quasi-experimental design using mixed-method evaluation (quantitative and qualitative elements) via pre- and posttest comparisons, follow-up surveys, and focus groups assessing the Curriculum effect on knowledge, safety risk perception (SRP), and safety behavior. Focus groups and follow-up surveys reflected success and acceptance of the Curriculum among participating farmworkers under the study's logic model.
  
  
  RESULTS
  Completion of the Curriculum resulted in statistically significant improvements in the combined score of knowledge and SRP at the posttest (p = 0.001) and follow-up survey (p = 0.02) in the intervention group. After completing this study, the Curriculum was permanently adopted by the two high school equivalency sites involved.
  
  
  CONCLUSIONS
  The participatory approach resulted in integration of community and applied research partnership. The potential to expand use of this Curriculum by other HEP sites can further assess effectiveness and external validity among underserved minority groups.
authors.affiliation: Division of Occupational and Environmental Health Sciences, University of Texas-Houston, School of Public Health at Brownsville, Brownsville, TX, USA. martha.soledad10@gmail.com
authors.forename: Martha Soledad Vela
authors.initials: MS
authors.lastname: Acosta
authors.forename: Lee
authors.initials: L
authors.lastname: Sechrest
authors.forename: Mei-Kuang
authors.initials: MK
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000383:Agriculture / Q000379:methods / Q000592:standards*; D003479:Curriculum; D005260:Female; D006266:Health Education / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D007373:Interinstitutional Relations; D008297:Male; D008875:Middle Aged; D019303:Multilingualism; D016272:Occupational Health; D012449:Safety; D055815:Young Adult