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Diabetes Educ. 2007 Jun;33 Suppl 6:172S-178S.

The impact of promotoras on social support and glycemic control among members of a farmworker community on the US-Mexico border.

Author information

1
The Mel and End Zuckerman College of Public Health, University of Arizona, Tucson (Ms Ingram, Ms Bradford)
2
Campesinos Sin Fronteras, Somerton, Arizona (Ms Torres, Ms Redondo)
3
Sunset Community Health Center, Somerton, Arizona (Dr Wang)
4
The Robert Wood Johnson Foundation Diabetes Initiative, National Program Office, St Louis, Missouri (Dr O’Toole).

Abstract

PURPOSE:

The purpose of this study is to describe the effect of a promotora-driven intervention to build social support as a means to affect self-management behaviors and clinical outcomes in a farmworker community on the US-Mexico border.

METHODS:

Promotoras implemented a community-based intervention that included support groups, home/hospital visits, telephone support, and advocacy to people with diabetes. A 12-month pre/post study design was used to investigate the relationship between promotora contact, perceived support, and clinical outcomes. Clinical data were gathered from 70 participants during routine physician visits. A pre/post questionnaire was used to measure perceived support and self-management practices.

RESULTS:

Glycosylated hemoglobin (HbA1c) levels decreased 1% among high-risk participants. Improved HbA1c level was associated with promotora advocacy and participation in promotora-led support groups. Participants reported increased support from family and friends and more comfort speaking about diabetes (la enfermedad) with family and friends.

CONCLUSIONS:

These findings document improvement in both clinical and social health indicators for Mexican Americans in a farmworker community when a promotora model is used to provide and facilitate culturally relevant support for diabetes self-management practices.

PMID:
17620398
DOI:
10.1177/0145721707304170
[Indexed for MEDLINE]

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