Effectiveness of the Pasos Adelante Chronic Disease Prevention and Control Program in a US-Mexico Border Community, 2005-2008
dc.contributor.author | Staten, Lisa K. | |
dc.contributor.author | Cutshaw, Christina A. | |
dc.contributor.author | Davidson, Christopher | |
dc.contributor.author | Reinschmidt, Kerstin | |
dc.contributor.author | Stewart, Rosie | |
dc.contributor.author | Roe, Denise J. | |
dc.date.accessioned | 2022-10-17T14:12:49Z | |
dc.date.available | 2022-10-17T14:12:49Z | |
dc.date.issued | 2012 | |
dc.description.abstract | Introduction Pasos Adelante is a lifestyle intervention program facilitated by community health workers (promotores) targeting chronic disease prevention and control in Mexican Americans. Initial studies of Pasos Adelante indicated significant improvements in self-reported nutrition and physical activity. This study examined whether Pasos Adelante participants living in a US border community showed improvements in selected physiological measures after participating in the program and whether changes were maintained at 3-month follow-up. Methods The program took place in 12-week sessions from January 2005 to May 2008 and included walking groups and education targeting nutrition and physical activity. Questionnaires, anthropometric measures, and laboratory tests were conducted at baseline (n = 305), conclusion of program (n = 254), and 3-month follow-up (n = 221). Results Participants demonstrated decreases in body mass index (P = .04), waist and hip circumference (P < .001), diastolic and systolic blood pressure (P < .001), and total cholesterol (P = .008) from baseline to program conclusion. No values worsened significantly between program conclusion and follow-up, except systolic blood pressure. Glucose levels improved between conclusion and follow-up (P = .01). Conclusion These results support the initial findings of improvements in participants’ self-reported physical activity and nutrition patterns through changes in objective measures. This evidence-based program demonstrates the potential for a promotores-facilitated chronic disease prevention and control program to improve physical health and targets both primary and secondary prevention in Hispanic communities and organizations. | en_US |
dc.identifier.citation | Staten LK, Cutshaw CA, Davidson C, Reinschmidt K, Stewart R, Roe DJ. Effectiveness of the Pasos Adelante Chronic Disease Prevention and Control Program in a US-Mexico border community, 2005-2008. Prev Chronic Dis 2012;9:100301. DOI: http://dx.doi.org/10.5888/pcd9.100301 . | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/30352 | |
dc.publisher | Centers for Disease Control and Prevention | en_US |
dc.relation.isversionof | http://dx.doi.org/10.5888/pcd9.100301 | en_US |
dc.rights | Attribution 4.0 International | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Community Health Workers | en_US |
dc.subject | Latino | en_US |
dc.subject | Hispanic | en_US |
dc.subject | Mexican Americans | en_US |
dc.subject | Chronic Disease Prevention | en_US |
dc.subject | Evidence Based Program | en_US |
dc.title | Effectiveness of the Pasos Adelante Chronic Disease Prevention and Control Program in a US-Mexico Border Community, 2005-2008 | en_US |
dc.type | Article | en_US |
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