ArticleThe Diabetes educator2014
"The Promotora Explained Everything": Participant Experiences During a Household-Level Diabetes Education Program.
Article in The Diabetes educator, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05560893 (El Corazon de La Comunidad Study - The Purpose of This Research Study is to Develop, Implement, and Evaluate a Community-based Approach to Bolstering the Health and Efficacy of Community Service Providers), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.
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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.
El Corazon de La Comunidad Study - The Purpose of This Research Study is to Develop, Implement, and Evaluate a Community-based Approach to Bolstering the Health and Efficacy of Community Service Providers
Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers and facilitators of self-management of diabetes amongst people experiencing socioeconomic deprivation: A systematic review and qualitative synthesis.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Acceptability of community health worker and peer supported interventions for ethnic minorities with type 2 diabetes: a qualitative systematic review.Frontiers in clinical diabetes and healthcare · 2024Pooled it
- Patients' Perspectives on Social Barriers to Care and the Acceptability and Impact of a Community Health Worker Program in Outpatient Ophthalmology.Clinical ophthalmology (Auckland, N.Z.) · 2025Article
- Relationships for Social Change: The Value of the Promotora Framework in Navigating Systems of Employment.Journal of marital and family therapy · 2025Article
- A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial.JMIR research protocols · 2023Article
- Saving a seat at the table for community members: co-creating an attachment-based intervention for low-income Latinx parent-youth dyads using a promotor/a model.Research in psychotherapy (Milano) · 2022Article
- Using a Culturally Tailored Intervention to Increase Colorectal Cancer Knowledge and Screening among Hispanics in a Rural Community.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2018Article
- Cultural Norms in Conflict: Breastfeeding Among Hispanic Immigrants in Rural Washington State.Maternal and child health journal · 2016Article
- The feasibility, acceptability, and preliminary effectiveness of a Promotora-Led Diabetes Prevention Program (PL-DPP) in Latinas: a pilot study.The Diabetes educator · 2015Article
- Tailoring Teaching of Diabetes Self-management Behaviors for Adults Facing Social and Economic Challenges: A Qualitative Study.Diabetes, obesity, and cardiometabolic CAREArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeThe purpose of this study is to describe participant experiences of a household-level, community health worker-led intervention to improve diabetes-related health behaviors and outcomes.
methodsThe Home Health Parties (HHP) aimed to improve diabetes self-management among Hispanics living in a rural, agricultural area in eastern Washington State. Trained promotores (community health workers) delivered a series of education sessions and distributed incentives to support diabetes-related behavior change. Open-ended, semi-structured questionnaires were administered to a random sample of 40 HHP participants. Qualitative methods were used to code and analyze the interview transcripts.
resultsFour primary themes emerged from interviews: (1) participants' desire for improving knowledge about diabetes; (2) experiences of building skills for diabetes management; (3) developing social support; and (4) embracing household-level change.
conclusionThis study shows that involving family members and increasing social support are effective strategies for improving health behaviors and chronic health outcomes among vulnerable Hispanics living with diabetes. Our findings demonstrate several important considerations regarding the design of diabetes management interventions for rural Hispanic populations including the following: (1) promotores are critical as they provide social support and encourage behavior change by building relationships based on trust and cultural understanding; (2) well-designed tools that provide step-by-step examples of healthy behaviors, such as cookbooks, and tools that aid participants to monitor behavior change, such as pedometers and glucose monitors, serve to build skills and improve confidence to achieve goals; and (3) targeting households is a promising strategy for individual and family lifestyle changes that benefit the entire family unit.
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