Perspectives on Latino lay health promoter programs: Maryland, 2009

Am J Public Health. 2011 Dec;101(12):2281-6. doi: 10.2105/AJPH.2011.300317. Epub 2011 Oct 20.

Abstract

Objectives: We examined common barriers and best practices in the design, implementation, monitoring, and evaluation of Latino lay health promoter programs.

Methods: Ten lay health promoter program coordinators serving Maryland Latinos were recruited in 2009 through snowball sampling for in-depth semistructured interviews with a bilingual and bicultural researcher. Program coordinators were asked about recruitment, selection, training, and supervision; key program elements; and evaluation. Analyses were conducted to identify common themes.

Results: Respondents had worked up to 13 years in programs focused on such areas as awareness of healthy lifestyles and reducing risk of illness. Coordinators looked for Latino leaders with team-building skills and a desire to help the community. Six programs compensated promoters with stipends; 4 paid an hourly wage. Promoters were usually trained in monthly meetings that actively engaged them. Most programs conducted site visits, practice sessions, and performance evaluations.

Conclusions: Our findings indicate that successful health promoter programs require needs assessments, formation of a target population advisory board, identification of appropriate promoters, and a significant amount of training. These findings can be used to guide future programs in the identification, recruitment, and training of health promoters as well as in program monitoring.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Community Health Workers* / education
  • Female
  • Health Promotion*
  • Hispanic or Latino*
  • Humans
  • Maryland
  • Personnel Selection
  • Poverty
  • Program Evaluation