title: Promotoras' roles in integrative validity and treatment fidelity efforts in randomized controlled trials.
abstract: Promotoras from the communities in which interventions are implemented can be effective contributors to validity and fidelity efforts. This article describes a 48-week randomized controlled trial Madres para la Salud (Mothers for Health) and illustrates the use of promotoras as collaborative members of the research team to contribute to attaining integrative validity and treatment fidelity. Madres para la Salud implements a culturally tailored physical activity program to effect changes in body fat, systemic and fat tissue inflammation, and depression symptoms. The significance of Madres para la Salud treatment validity and fidelity processes includes cultural tailoring of a social support intervention, and a promotora model to incorporate initial and ongoing fidelity monitoring.
authors.affiliation: College of Nursing and Health Innovation, Arizona State University, Phoenix, Arizona 85004, USA. colleen.keller@asu.edu
authors.forename: Colleen
authors.initials: C
authors.lastname: Keller
authors.forename: Kathie
authors.initials: K
authors.lastname: Records
authors.forename: Kathryn
authors.initials: K
authors.lastname: Coe
authors.forename: Barbara
authors.initials: B
authors.lastname: Ainsworth
authors.forename: Sonia
authors.initials: S
authors.lastname: Vega López
authors.forename: Allison
authors.initials: A
authors.lastname: Nagle-Williams
authors.forename: Paska
authors.initials: P
authors.lastname: Permana
mesh_terms: D001823:Body Composition; D003150:Community Health Workers; D054521:Cultural Competency; D003866:Depressive Disorder; D015444:Exercise / Q000502:physiology* / Q000523:psychology; D005260:Female; D006265:Health Care Coalitions; D006293:Health Promotion / Q000592:standards*; D006302:Health Services Research; D006630:Hispanic or Latino; D006801:Humans; D007249:Inflammation / Q000378:metabolism*; D008297:Male; D009035:Mothers; D010348:Patient Care Team; D016032:Randomized Controlled Trials as Topic; D016387:Women's Health