Translating public health knowledge into practice: development of a lay health advisor perinatal tobacco cessation program.
The value of lay health advisor (LHA) interventions as an effective approach toward ameliorating racial, ethnic and/socioeconomic health disparities has been noted by researchers and policy makers. Translating scientific knowledge to bring state-of-the-art health promotion/disease prevention innovation to underserved populations is critical for addressing these health disparities. This article examines the experiences of a community-academic partnership in designing, developing, and implementing an evidence-based, LHA-driven perinatal tobacco cessation program for low-income, predominately African American and Hispanic women. A multimethod process evaluation was conducted to analyze three essential domains of program implementation: (1) fit of the tobacco cessation program into the broader project context, (2) feasibility of program implementation, and (3) fidelity to program implementation protocols. Findings indicate that project partners have largely succeeded in integrating an evidence-based tobacco cessation program into a community-based maternal and infant health project. The successful implementation of this intervention appears to be attributable to the following two predominant factors: (1) the utilization of a scientifically validated tobacco cessation intervention model and (2) the emphasis on continuous LHA training and capacity development.
English
Kevin C
KC
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. ke72@columbia.edu
Merzel
Cheryl
C
Moon-Howard
Joyce
J
D000328:Adult; D001741:Black or African American; D055812:Community-Based Participatory Research / Q000379:methods; D003159:Community-Institutional Relations; D003253:Consultants; D019033:Delivery of Health Care, Integrated; D055317:Evidence-Based Practice; D005240:Feasibility Studies; D005260:Female; D006284:Health Plan Implementation / Q000379:methods; D006293:Health Promotion / Q000379:methods*; D054625:Healthcare Disparities / Q000592:standards; D006630:Hispanic or Latino; D006801:Humans; D058436:Knowledge Management; D011203:Poverty; D016730:Program Development; D020340:Tobacco Use Cessation / Q000379:methods*; D054928:Validation Studies as Topic