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. 2010 Jan-Feb;36(1):98-108.
doi: 10.1177/0145721709352381. Epub 2009 Dec 11.

Project MATCH: training for a promotora intervention

Susan M Swider  1 , Molly Martin  1 , Carmen Lynas  1 , Steven Rothschild  1
Affiliations

Project MATCH: training for a promotora intervention

Susan M Swider et al. Diabetes Educ. 2010 Jan-Feb.

Abstract

Purpose: Adequate training and support are critical for community health workers (promotoras de salud in Spanish) to work effectively. Current literature on promotora training is limited by a focus on promotoras' knowledge and satisfaction immediately after training. The relevance of training to subsequent work performance and the need for ongoing training are rarely addressed. This article describes the training and evaluation components of a promotora intervention focused on diabetes self-management. Training Methods Project MATCH (the Mexican American Trial of Community Health Workers) is a clinical trial designed to test the effectiveness of an intensive, promotora-based intervention to improve disease self-management for Mexican Americans with diabetes. The MATCH investigators designed a multicomponent promotora training program that provided both initial and ongoing training. The investigators used multiple methods to determine promotoras' knowledge levels, initial competency in intervention delivery, and changes in this competency over time. Evaluation Methods and Results The evaluation results show that although the initial training provided a solid knowledge and skills base for the promotoras, the ongoing training was critical in helping them deal with both intervention-related and personal challenges.

Conclusions: The experiences of the MATCH study suggest that in addition to strong initial training, promotora interventions benefit from ongoing training and evaluation to ensure success.

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Figures

Figure 1
Figure 1
Training and Evaluation Summary
Figure 2
Figure 2
Role Play Evaluation Form
Figure 2
Figure 2
Role Play Evaluation Form
Figure 2
Figure 2
Role Play Evaluation Form
Figure 3
Figure 3
Promotora Improvements in Intervention Skills over Time as Assessed by Audiotape Review Note: Scores of 3 promotoras are averaged for each value.
See this image and copyright information in PMC

References

    1. Berman PA, Gwatkin DR, Burger SE. Community-based health workers: Head start or false start towards health for all? Soc Science Med. 1987;25(5):443–59. - PubMed
    1. Center for Policy Alternatives . Community health workers – A leadership brief on preventive health programs. Nov, 1998.
    1. Swider SM. Outcome effectiveness of community health workers: An integrative literature review. Public Health Nursing. 2002 Jan-Feb;19(1):11–20. - PubMed
    1. Rosenthal EL. The final report of the national community health advisor study. Annie E. Casey Foundation; Baltimore, MD: 1998.
    1. U.S. Department of Health and Human Services Community health workers national workforce study. 2007

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