title: Barriers and facilitators for promotoras' success in delivering pesticide safety education to Latino farmworker families: La Familia Sana.
abstract: Despite widespread use of lay health advisor (LHA) programs, factors related to success of LHAs remain largely unexamined. This study describes experiences and personal transformations of LHAs (promotoras de salud) in a pesticide safety education program targeting farmworker families in North Carolina, using postintervention in-depth interviews conducted with 17 LHAs. LHAs identified assets and barriers that affected their success. LHAs also described increases in self-efficacy and empowerment resulting in perceived improvements in ability to teach and impact their community. Such positive changes are essential benefits to the LHAs. Evaluations that address these topics are needed to better understand continuity and attrition in LHA programs.
authors.affiliation: Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina 27157, USA.
authors.forename: Grisel
authors.initials: G
authors.lastname: Trejo
authors.forename: Thomas A
authors.initials: TA
authors.lastname: Arcury
authors.forename: Joseph G
authors.initials: JG
authors.lastname: Grzywacz
authors.forename: Janeth
authors.initials: J
authors.lastname: Tapia
authors.forename: Sara A
authors.initials: SA
authors.lastname: Quandt
mesh_terms: D000328:Adult; D000383:Agriculture; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D009657:North Carolina; D016273:Occupational Exposure; D016272:Occupational Health / Q000193:education*; D010575:Pesticides / Q000633:toxicity*; D015397:Program Evaluation; D020377:Self Efficacy; D012944:Social Support; D000078329:Workforce
chemical_list: D010575:Pesticides