title: Process evaluation of a promotora de salud intervention for improving hypertension outcomes for Latinos living in a rural U.S.-Mexico border region.
abstract: Hypertension is a growing public health problem for U.S.-Mexico border Latinos, who commonly experience low levels of awareness, treatment, and control. We report on a process evaluation that assessed the delivery of Corazón por la Vida, a 9-week promotora de salud-led curriculum to help Latinos manage and reduce hypertension risks in two rural/frontier counties in the New Mexico border region. Ninety-six adults participated in the program, delivered in three waves and in three communities. We assessed program delivery and quality, adherence, exposure, and participant responsiveness. Participant outcome measures included self-reported eating and physical activities and assessment of community resources. Findings suggest that the program was fully delivered (99%) and that most participants (81.7%) were very satisfied with the educational sessions. The average participant attendance for educational sessions was 77.47%. We found significant differences in self-reported behavioral changes depending on the number of sessions completed: The higher the dose of sessions, the better the self-reported outcomes. These findings suggest that a promotora-led curriculum may be useful for promoting self-management of chronic disease in rural/frontier border Latino populations. Future evaluation should focus on training and implementation adaptations within evidence-based chronic disease programs for diverse Latino communities.
authors.affiliation: 1University of New Mexico, Albuquerque, NM, USA.
authors.forename: Victoria
authors.initials: V
authors.lastname: Sánchez
authors.forename: Lisa
authors.initials: L
authors.lastname: Cacari Stone
authors.forename: Maurice L
authors.initials: ML
authors.lastname: Moffett
authors.forename: PhoungGiang
authors.initials: P
authors.lastname: Nguyen
authors.forename: Michael
authors.initials: M
authors.lastname: Muhammad
authors.forename: Sean
authors.initials: S
authors.lastname: Bruna
authors.forename: Rita
authors.initials: R
authors.lastname: Urias-Chauvin
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006293:Health Promotion; D006630:Hispanic or Latino; D006801:Humans; D006973:Hypertension / Q000178:diet therapy / Q000188:drug therapy / Q000208:ethnology; D008297:Male; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D009516:New Mexico; D017063:Outcome Assessment, Health Care; D058996:Quality Improvement; D012423:Rural Health; D057566:Self Report
keywords: Latino; border health; hypertension; process evaluation; promotoras de salud; rural health