Evidence for Long-Term Impact of Pasos Adelante: Using a Community-Wide Survey to Evaluate Chronic Disease Risk Modification in Prior Program Participants

dc.contributor.authorCarvajal, Scott C.
dc.contributor.authorMiesfeld, Noelle
dc.contributor.authorChang, Jean
dc.contributor.authorReinschmidt, Kerstin M.
dc.contributor.authorde Zapien, Jill Guernsey
dc.contributor.authorFernandez, Maria L.
dc.contributor.authorRosales, Cecilia
dc.contributor.authorStaten, Lisa K.
dc.contributor.departmentSocial and Behavioral Sciences, School of Public Healthen_US
dc.date.accessioned2018-07-27T14:32:09Z
dc.date.available2018-07-27T14:32:09Z
dc.date.issued2013-10
dc.description.abstractEffective community-level chronic disease prevention is critical to population health within developed and developing nations. Pasos Adelante is a preventive intervention that aims to reduce chronic disease risk with evidence of effectiveness in US-Mexico residing, Mexican origin, participants. This intervention and related ones also implemented with community health workers have been shown to improve clinical, behavioral and quality of life indicators; though most evidence is from shorter-term evaluations and/or lack comparison groups. The current study examines the impact of this program using secondary data collected in the community 3–6 years after all participants completed the program. A proportional household survey (N = 708) was used that included 48 respondents who indicated they had participated in Pasos. Using propensity score matching to account for differences in program participants versus other community residents (the program targeted those with diabetes and associated risk factors), 148 natural controls were identified for 37 matched Pasos participants. Testing a range of behavioral and clinical indicators of chronic disease risk, logistic regression models accounting for selection bias showed two significant findings; Pasos participants were more physically active and drank less whole milk. These findings add to the evidence of the effectiveness of Pasos Adalente and related interventions in reducing chronic disease risk in Mexican-origin populations, and illustrate the use of innovative techniques for using secondary, community-level data to complement prior evaluation research.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationCarvajal, S. C., Miesfeld, N., Chang, J., Reinschmidt, K. M., de Zapien, J. G., Fernandez, M. L., … Staten, L. K. (2013). Evidence for Long-Term Impact of Pasos Adelante: Using a Community-Wide Survey to Evaluate Chronic Disease Risk Modification in Prior Program Participants. International Journal of Environmental Research and Public Health, 10(10), 4701–4717. https://doi.org/10.3390/ijerph10104701en_US
dc.identifier.issn1661-7827en_US
dc.identifier.urihttps://hdl.handle.net/1805/16844
dc.language.isoen_USen_US
dc.publisherMDPIen_US
dc.relation.isversionof10.3390/ijerph10104701en_US
dc.relation.journalInternational Journal of Environmental Research and Public Healthen_US
dc.rightsAttribution 3.0 United States
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/
dc.sourcePMCen_US
dc.subjectchronic diseaseen_US
dc.subjectprevention and controlen_US
dc.subjecthealth behavioren_US
dc.subjectdiabetes prevention and controlen_US
dc.subjectHispanic healthen_US
dc.subjectcommunity health servicesen_US
dc.subjectprogram evaluationen_US
dc.titleEvidence for Long-Term Impact of Pasos Adelante: Using a Community-Wide Survey to Evaluate Chronic Disease Risk Modification in Prior Program Participantsen_US
dc.typeArticleen_US
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