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Area of Science:

  • Community Health Interventions
  • Public Health
  • Health Disparities

Background:

  • Older Latinas face unique health challenges impacting physical activity, nutrition, and mental well-being.
  • Community health programs utilizing lay health workers (promotoras) can bridge gaps in healthcare access.
  • The RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework provides a robust model for evaluating public health interventions.

Purpose of the Study:

  • To evaluate a promotora-led community health program for Latinas aged 50+ using the RE-AIM framework.
  • To assess the program's impact on physical activity, nutrition, and stress management.
  • To identify facilitators and barriers to program adoption, implementation, and maintenance.

Main Methods:

  • A mixed-methods evaluation was conducted at participant and organizational levels.
  • The study focused on the efficacy, adoption, implementation, and maintenance components of the RE-AIM model.
  • Data collection likely involved surveys, interviews, and program records.

Main Results:

  • The program demonstrated effectiveness in improving eating behaviors and physical activity.
  • Participants experienced a significant reduction in depressive symptoms.
  • Promotoras reported motivation and adequate preparation, though implementation challenges were noted, with suggestions for childcare and mental well-being support.

Conclusions:

  • The promotora delivery model is a promising approach for sustainable community health programs.
  • Both promotoras and participants expressed enthusiasm for continuing and leading future programs.
  • The RE-AIM framework effectively guided the evaluation of this community health initiative.