The National Action Summit for Latino Worker Health and SafetyPresented by: Alicia Gonzales, MSSW, Project Director, [email protected]
Supported by: The Southwest Center for Agricultural Health, Injury Prevention and Education at the University of Texas Health Center at Tyler and funded by the National Institute for Occupational Safety and Health
PROJECT FRESCO: AN OCCUPATIONAL HEAT AND SUN SAFETY EDUCATION PROGRAM FOR
FARMWORKERS
PROJECT TEAM & ADVISORY COMMITTEE
PROJECT TEAM • Sylvia Partida-Principal Investigator• Alicia Gonzales-Project Director• Renee Cantu-Project Coordinator• Christine Dipboye-Project Coordinator• Monica Saavedra-Project Coordinator• Dr. Maria E. Fernandez-Intervention Development &
Evaluation Consultant
ADVISORY COMMITTEE• Roberta Baer - University of Southern Florida/
Anthropology • Mirasol Bravo - Migrant Health Promotion • John May - The New York Center for Agricultural Medicine and Health (NYCAMH) &
Bassett Healthcare• Karen B. Mulloy - University of Colorado Health Sciences Center• Dr. Howard Rosenberg - UC Berkeley• Sylvia Sapien - La Clinica de Familia• Ted Scharf - National Institute for Occupational Safety and Health
PROGRAM GOAL To design and pilot test an
intervention to increase farm safety practices among migrant and seasonal farmworkers (MSFWs) in various geographic regions and agricultural settings using the lay health worker model as the mode of intervention.
PROGRAM AIMS1. Formative research 2. Develop and pretest educational materials3. Research minimum competencies for promotoras4. Develop promotora curriculum 5. Pilot Intervention and evaluate results6. Certify promotora curriculum with TxDSHS
INTERVENTION MAPPING (IM)IM is a step-by-step process for merging theory, empirical findings, and stakeholder input to create effective health intervention programs.
IM provided a roadmap for decision making while carrying out the program aims.
Core Steps in IM:1. Assess needs2. Identify target
behaviors, determinants, and then change objectives
3. Identify methods and strategies
4. Develop program materials
5. Plan for program adoption and implementation
6. Evaluation
AIM 1: NEEDS ASSESSMENT Identified heat and sun exposure as a priority
occupational health problem through a literature review and focus groups with farmworkers and promotoras.
Conducted formative research to identify:- What farmworkers are doing/not doing to protect
themselves from the heat and sun.- Why they are/are not protecting themselves (individual and
environmental determinants)
*Partners: La Clínica de Familia -Las Cruces, New México
Migrant Health Promotion/Weslaco, Texas
Mano a Mano/Brownsville, Texas
Collier County Health Department/Immokalee, Florida
Campesinos Sin Fronteras/Yuma, Arizona
Nuestra Clinica Del Valle/San Juan, Texas
Literature Literature ReviewReview
Lay Health Worker Focus Groups
Farmworker Focus Groups
Target Behaviors – Drink water, Cover up, Cool off
Behavioral and Environmental Determinants – Knowledge, Skills, Self Efficacy, etc.
Matrices of Change Objectives –crossed Target Behaviors with Determinants to answer the question “What needs to change to allow the FW to perform the target behaviors?”
AIM 2: IDENTIFICATION OF TARGET BEHAVIORS, DETERMINANTS, AND CHANGE
OBJECTIVES
AIM 2: SELECTION OF METHODS AND STRATEGIES AND DEVELOPMENT OF
PROGRAM MATERIALS Identified theoretical methods (peer modeling, guided practice) and practical strategies (flipchart and fotonovela with farmworkers giving testimonials and information about key messages) that best addressed the change objectives.
Designed layout, content, and messages of program components
Developed materials: Flipchart and fotonevela
Flipchart: Farmworker’s View
Flipchart: Promotora’s ViewFotonovel
AIMS 3 &4: PLAN FOR PROGRAM ADOPTION
AND IMPLEMENTATION
* AIM 6: Promotora curriculum will be certified by the Promotor(a) Training and Certification Program of the Texas Department of State Health Services
AIM 5: EVALUATION: PRETEST AND PILOTPretest• Individual and group feedback• Will answer the following
questions:– Do FWs and promotoras
understand key messages?– Does the content appeal to
FWs and promotoras (messages, photos, layout)?
– Is the time needed to deliver the session reasonable?
– Are the materials easy to use?– Is program easy to implement?
*Partner: Migrant Health Promotion/ Weslaco, Texas
Intervention Pilot• Pre-post data collection
with control group • Will evaluate changes in
farmworkers’ attitudes, beliefs, knowledge, and practices related to sun and heat safety.
*Partners (Tentative): Campesinos Sin Fronteras/Somerton, AZHealth center TBD in California Central Valley
Thank you…
Alicia Gonzales, MSSWNational Center for Farmworker Health, Inc.
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