Program planners' perspectives of promotora roles, recruitment, and selection

Alexis Koskan, Deanne K. Hilfinger Messias, Daniela B. Friedman, Heather M. Brandt, Katrina M. Walsemann

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective. Program planners work with promotoras (the Spanish term for female community health workers) to reduce health disparities among underserved populations. Based on the Role-Outcomes Linkage Evaluation Model for Community Health Workers (ROLES) conceptual model, we explored how program planners conceptualized the promotora role and the approaches and strategies they used to recruit, select, and sustain promotoras. Design. We conducted semi-structured, in-depth interviews with a purposive convenience sample of 24 program planners, program coordinators, promotora recruiters, research principal investigators, and other individuals who worked closely with promotoras on United States-based health programs for Hispanic women (ages 18 and older). Results. Planners conceptualized the promotora role based on their personal experiences and their understanding of the underlying philosophical tenets of the promotora approach. Recruitment and selection methods reflected planners' conceptualizations and experiences of promotoras as paid staff or volunteers. Participants described a variety of program planning and implementation methods. They focused on sustainability of the programs, the intended health behavior changes or activities, and the individual promotoras. Conclusion. To strengthen health programs employing the promotora delivery model, job descriptions should delineate role expectations and boundaries and better guide promotora evaluations. We suggest including additional components such as information on funding sources, program type and delivery, and sustainability outcomes to enhance the ROLES conceptual model. The expanded model can be used to guide program planners in the planning, implementing, and evaluating of promotora health programs.

Original languageEnglish
Pages (from-to)262-279
Number of pages18
JournalEthnicity and Health
Volume18
Issue number3
DOIs
StatePublished - Jun 1 2013
Externally publishedYes

Fingerprint

Health
Program Evaluation
Job Description
health
Health Behavior
Vulnerable Populations
Hispanic Americans
Volunteers
Research Personnel
Interviews
program guide
sustainability
job description
worker
role expectation
program planning
Research
health behavior
evaluation
community

Keywords

  • community health workers
  • health program
  • intervention
  • promotores de salud
  • recruitment
  • selection

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Cultural Studies
  • Arts and Humanities (miscellaneous)

Cite this

Koskan, A., Hilfinger Messias, D. K., Friedman, D. B., Brandt, H. M., & Walsemann, K. M. (2013). Program planners' perspectives of promotora roles, recruitment, and selection. Ethnicity and Health, 18(3), 262-279. https://doi.org/10.1080/13557858.2012.730605

Program planners' perspectives of promotora roles, recruitment, and selection. / Koskan, Alexis; Hilfinger Messias, Deanne K.; Friedman, Daniela B.; Brandt, Heather M.; Walsemann, Katrina M.

In: Ethnicity and Health, Vol. 18, No. 3, 01.06.2013, p. 262-279.

Research output: Contribution to journalArticle

Koskan, A, Hilfinger Messias, DK, Friedman, DB, Brandt, HM & Walsemann, KM 2013, 'Program planners' perspectives of promotora roles, recruitment, and selection', Ethnicity and Health, vol. 18, no. 3, pp. 262-279. https://doi.org/10.1080/13557858.2012.730605
Koskan A, Hilfinger Messias DK, Friedman DB, Brandt HM, Walsemann KM. Program planners' perspectives of promotora roles, recruitment, and selection. Ethnicity and Health. 2013 Jun 1;18(3):262-279. https://doi.org/10.1080/13557858.2012.730605
Koskan, Alexis ; Hilfinger Messias, Deanne K. ; Friedman, Daniela B. ; Brandt, Heather M. ; Walsemann, Katrina M. / Program planners' perspectives of promotora roles, recruitment, and selection. In: Ethnicity and Health. 2013 ; Vol. 18, No. 3. pp. 262-279.
@article{8db22560c24a4f80839f9db7e200462d,
title = "Program planners' perspectives of promotora roles, recruitment, and selection",
abstract = "Objective. Program planners work with promotoras (the Spanish term for female community health workers) to reduce health disparities among underserved populations. Based on the Role-Outcomes Linkage Evaluation Model for Community Health Workers (ROLES) conceptual model, we explored how program planners conceptualized the promotora role and the approaches and strategies they used to recruit, select, and sustain promotoras. Design. We conducted semi-structured, in-depth interviews with a purposive convenience sample of 24 program planners, program coordinators, promotora recruiters, research principal investigators, and other individuals who worked closely with promotoras on United States-based health programs for Hispanic women (ages 18 and older). Results. Planners conceptualized the promotora role based on their personal experiences and their understanding of the underlying philosophical tenets of the promotora approach. Recruitment and selection methods reflected planners' conceptualizations and experiences of promotoras as paid staff or volunteers. Participants described a variety of program planning and implementation methods. They focused on sustainability of the programs, the intended health behavior changes or activities, and the individual promotoras. Conclusion. To strengthen health programs employing the promotora delivery model, job descriptions should delineate role expectations and boundaries and better guide promotora evaluations. We suggest including additional components such as information on funding sources, program type and delivery, and sustainability outcomes to enhance the ROLES conceptual model. The expanded model can be used to guide program planners in the planning, implementing, and evaluating of promotora health programs.",
keywords = "community health workers, health program, intervention, promotores de salud, recruitment, selection",
author = "Alexis Koskan and {Hilfinger Messias}, {Deanne K.} and Friedman, {Daniela B.} and Brandt, {Heather M.} and Walsemann, {Katrina M.}",
year = "2013",
month = "6",
day = "1",
doi = "10.1080/13557858.2012.730605",
language = "English",
volume = "18",
pages = "262--279",
journal = "Ethnicity and Health",
issn = "1355-7858",
publisher = "Routledge",
number = "3",

}

TY - JOUR

T1 - Program planners' perspectives of promotora roles, recruitment, and selection

AU - Koskan, Alexis

AU - Hilfinger Messias, Deanne K.

AU - Friedman, Daniela B.

AU - Brandt, Heather M.

AU - Walsemann, Katrina M.

PY - 2013/6/1

Y1 - 2013/6/1

N2 - Objective. Program planners work with promotoras (the Spanish term for female community health workers) to reduce health disparities among underserved populations. Based on the Role-Outcomes Linkage Evaluation Model for Community Health Workers (ROLES) conceptual model, we explored how program planners conceptualized the promotora role and the approaches and strategies they used to recruit, select, and sustain promotoras. Design. We conducted semi-structured, in-depth interviews with a purposive convenience sample of 24 program planners, program coordinators, promotora recruiters, research principal investigators, and other individuals who worked closely with promotoras on United States-based health programs for Hispanic women (ages 18 and older). Results. Planners conceptualized the promotora role based on their personal experiences and their understanding of the underlying philosophical tenets of the promotora approach. Recruitment and selection methods reflected planners' conceptualizations and experiences of promotoras as paid staff or volunteers. Participants described a variety of program planning and implementation methods. They focused on sustainability of the programs, the intended health behavior changes or activities, and the individual promotoras. Conclusion. To strengthen health programs employing the promotora delivery model, job descriptions should delineate role expectations and boundaries and better guide promotora evaluations. We suggest including additional components such as information on funding sources, program type and delivery, and sustainability outcomes to enhance the ROLES conceptual model. The expanded model can be used to guide program planners in the planning, implementing, and evaluating of promotora health programs.

AB - Objective. Program planners work with promotoras (the Spanish term for female community health workers) to reduce health disparities among underserved populations. Based on the Role-Outcomes Linkage Evaluation Model for Community Health Workers (ROLES) conceptual model, we explored how program planners conceptualized the promotora role and the approaches and strategies they used to recruit, select, and sustain promotoras. Design. We conducted semi-structured, in-depth interviews with a purposive convenience sample of 24 program planners, program coordinators, promotora recruiters, research principal investigators, and other individuals who worked closely with promotoras on United States-based health programs for Hispanic women (ages 18 and older). Results. Planners conceptualized the promotora role based on their personal experiences and their understanding of the underlying philosophical tenets of the promotora approach. Recruitment and selection methods reflected planners' conceptualizations and experiences of promotoras as paid staff or volunteers. Participants described a variety of program planning and implementation methods. They focused on sustainability of the programs, the intended health behavior changes or activities, and the individual promotoras. Conclusion. To strengthen health programs employing the promotora delivery model, job descriptions should delineate role expectations and boundaries and better guide promotora evaluations. We suggest including additional components such as information on funding sources, program type and delivery, and sustainability outcomes to enhance the ROLES conceptual model. The expanded model can be used to guide program planners in the planning, implementing, and evaluating of promotora health programs.

KW - community health workers

KW - health program

KW - intervention

KW - promotores de salud

KW - recruitment

KW - selection

UR - http://www.scopus.com/inward/record.url?scp=84879094998&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879094998&partnerID=8YFLogxK

U2 - 10.1080/13557858.2012.730605

DO - 10.1080/13557858.2012.730605

M3 - Article

C2 - 23039847

AN - SCOPUS:84879094998

VL - 18

SP - 262

EP - 279

JO - Ethnicity and Health

JF - Ethnicity and Health

SN - 1355-7858

IS - 3

ER -