Evidence map›Paper›PMID 20158973›Full record

Trial reportPreventing chronic disease2010

A promotores de salud intervention to reduce cardiovascular disease risk in a high-risk Hispanic border population, 2005-2008.

Héctor G Balcázar, Hendrik de Heer, Lee Rosenthal, Melissa Aguirre, Leticia Flores, Flor A Puentes, Victor M Cardenas, Maria O Duarte, Melchor Ortiz, Leslie O Schulz

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC
In one paragraph

Trial report in Preventing chronic disease, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 10 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 10 syntheses or guidelines pooled it, 112 citations in OpenAlex.

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  17. Perceptions of Community Health Workers (CHWs/PS) in the U.S.-Mexico border HEART CVD study.International journal of environmental research and public health · 2014
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  18. A path analysis of a randomized promotora de salud cardiovascular disease-prevention trial among at-risk Hispanic adults.Health education & behavior : the official publication of the Society for Public Health Education · 2012
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 2 countries.

Héctor G BalcázarUniversity of Texas at Houston Health Science Center, School of Public Health, El Paso Regional Campus, 1100 N Stanton St, El Paso, TX 79902, USA. hector.g.balcazar@uth.tmc.edu
Hendrik de Heer
Lee Rosenthal
Melissa Aguirre
Leticia Flores
Flor A Puentes
Victor M Cardenas
Maria O Duarte
Melchor Ortiz
Leslie O Schulz
The University of Texas at El Paso · USThe University of Texas Health Science Center at Houston · USEl Paso Community College · USHospital São Vicente · BRNorthern Arizona University · USTexas Department of State Health Services · US

Funding

Can Promotoras Change Outcomes for Chronic DiseasesR24MD001785 · NIMHD · UNIVERSITY OF TEXAS EL PASO · PI DUARTE-GARDEA, MARIA O. · 2005 to 2012
$4.0M
NIMHD NIH HHS R24 MD0001785-01NIMHD NIH HHS R24 MD001785
6 · The paper itself

Abstract

introductionThe high prevalence of cardiovascular disease (CVD) in the Hispanic population of the United States, together with low rates of health insurance coverage, suggest a potential cardiovascular health crisis. The objective of Project HEART (Health Education Awareness Research Team) was to promote behavior changes to decrease CVD risk factors in a high-risk Hispanic border population.

methodsProject HEART took place from 2005 through 2008 as a randomized community trial with a community-based participatory research framework using promotores de salud (community health workers). A total of 328 participants with at least 1 CVD risk factor were selected by randomizing 10 US Census tracts in El Paso, Texas, to either the experimental or the control group. The experimental group (n = 192) was assigned to a series of 8 health classes using the Su Corazón, Su Vida curriculum. After 2 months of educational sessions, the group was followed for 2 months. The control group (n = 136) was given basic educational materials at baseline, and no other intervention was used. Main outcomes of interest included changes in health behaviors and clinical measures.

resultsParticipants in the experimental group showed more awareness of CVD risk factors, more confidence in the control of these factors, and improved dietary habits (ie, lower salt and cholesterol intake, better weight-control practices) compared with the control group. Total cholesterol was 3% lower in the experimental than in the control participants, and nonhigh-density lipoprotein cholesterol and low-density lipoprotein cholesterol were both 5% lower.

conclusionThe HEART trial suggests that community health education using promotores de salud is a viable strategy for CVD risk reduction in a Hispanic border community.

Indexed as

Community Health WorkersCardiovascular DiseasesCommunity Health ServicesFemaleHealth EducationHealth PromotionHispanic or LatinoHumansMaleMiddle AgedPrevalencePublic HealthRisk FactorsTexasTime Factors

Identifiers

PMID20158973
PMCPMC2831782
OpenAlexW279493371

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.