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. 2021 Jul;38(4):571-578.
doi: 10.1111/phn.12839. Epub 2020 Nov 20.

Evaluation of an Integrated Health Promotion Program for a low-income urban population: Findings and lessons learned

Linda Weiss  1 , Elizabeth Quint  2 , Christopher Leto  2 , Ivana Vaughn  1 , Alba Redrovan  2 , Marta Fernandes  2 , Kianna Lamourt  2 , Colin Edgar  2 , Ada Reso  1
Affiliations

Evaluation of an Integrated Health Promotion Program for a low-income urban population: Findings and lessons learned

Linda Weiss et al. Public Health Nurs. 2021 Jul.

Abstract

Objectives: To evaluate a multicomponent pilot program for low-income individuals with, or at risk for, hypertension, diabetes, and/or overweight.

Design: Pre-post evaluation including baseline and follow-up assessments, satisfaction surveys, program utilization data, and focus groups.

Sample: The evaluation included 138 participants. The majority were Latinx (88%), female (82%), born outside the United States (80%), and had not graduated from high school (52%). The most common health conditions were hypertension (59%), overweight or obesity (55%), high cholesterol (53%), and diabetes (34%).

Measurements: Engagement in program activities, health indicators (e.g., blood pressure), and behavior change. Qualitative data focused on perceptions of the program and its impacts.

Intervention: The program offered a number of health promotion services, including consultation with a nurse and a community health worker (CHW), health and nutrition talks, subsidized farm shares, cooking classes, exercise classes, and home visits.

Results: There were improvements in general health, blood pressure, and knowledge and behavior related to disease management and healthy eating.

Conclusions: Program success was attributed to the wide range of complementary program components. The staffing model was also a strength: the CHW/nurse collaboration combined clinical expertise with cultural, language, and community knowledge to create a program that was accessible and empowering.

Keywords: disease management; health promotion; minority health; nutrition; program evaluation.

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