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The five intervention levels include: 1) <strong>the</strong> individual participant who<br />
is exposed <strong>to</strong> a 4-month intervention called “MiCMiC” “Mi Corazon,<br />
Mi Comunidad” (“My Heart, My Community”) directed <strong>to</strong>wards<br />
activities focusing on nutrition and physical activity within a variety<br />
of lifestyle education and environmental enhancement <strong>program</strong>s; 2)<br />
interpersonal level represented by <strong>the</strong> community health workers, family<br />
and friends <strong>to</strong>uched by HEART; 3) organizational level represented<br />
by HEART partners including <strong>the</strong> YWCA, Parks and Recreation<br />
Department where <strong>the</strong> 4-month MiCMiC intervention <strong>program</strong> is<br />
being launched; 4) community level represented by an evaluation site<br />
not participating in MiCMiC and by individuals and leaders who will<br />
continue supporting post intervention activities (i.e. walking groups,<br />
aerobic activities, cooking clubs); and 5) policy level with a policy<br />
agenda <strong>for</strong> HEART. In this presentation we highlight few evaluation<br />
results from <strong>the</strong> different elements of HEART. For example, <strong>for</strong> <strong>the</strong><br />
individual participant we present results of <strong>the</strong> first pre-post cohort<br />
who enrolled in <strong>the</strong> 4-month MiCMiC intervention. Data is shown<br />
relative <strong>to</strong> changes in a variety of heart-healthy domains and outcomes<br />
such as blood pressure, BMI and a 3-minute step test <strong>for</strong> heart rate.<br />
Evaluation at each ecological level will be showcased.<br />
Proyec<strong>to</strong> HEART: Integrating Community <strong>Health</strong> Workers in<strong>to</strong> an<br />
Ecological Approach <strong>to</strong> Wellness in El Paso, Texas<br />
Sherri Wise, MPH, University of Texas School of <strong>Public</strong> <strong>Health</strong>, El<br />
Paso Regional Campus, Lee Rosenthal MPH, PhD, University of<br />
Texas at El Paso; Rafaela Gonzalez, CHW, University of Texas at El<br />
Paso - HEART Project; Aurora Aguirre Polanco, BS, Department<br />
of <strong>Public</strong> <strong>Health</strong>; Maria Duarte, PhD, MS, <strong>Health</strong> Promotion,<br />
University of Texas at El Paso; Hec<strong>to</strong>r Balcazar, PhD, MS, University<br />
of Texas School of <strong>Public</strong> <strong>Health</strong>, El Paso Regional Campus<br />
Proyec<strong>to</strong> HEART: Development of a CVD risk fac<strong>to</strong>r reduction<br />
intervention targeting Hispanics in El Paso, Texas Wise, S., Rosenthal,<br />
L., Gonzalez, R., Aguirre Polanco, A , Duarte, M., Balcazar, H.<br />
BACKGROUND: The HEART Project (<strong>Health</strong> <strong>Education</strong><br />
Awareness Team) is a two- stage 8 year NIH-funded CBPR project<br />
aimed <strong>to</strong> reduce cardiovascular disease risk fac<strong>to</strong>rs highly indicated in<br />
Hispanic residents of El Paso, Texas. THEORETICAL BASIS: The<br />
second stage of <strong>program</strong>ming comprises a lifestyle change and environmental<br />
enhancement intervention, <strong>the</strong>oretically driven by Social<br />
Cognitive Theory and <strong>the</strong> Social Ecological Model. METHODS:<br />
Utilizing an ecological approach, a key conceptual framework was<br />
established <strong>to</strong> guide Phase 2, and a multi-phasic development process<br />
was underwent. Core intervention development began with an<br />
inven<strong>to</strong>ry of <strong>program</strong>s and facilities at one YWCA branch location,<br />
three recreation and senior centers, four city parks, and six elementary<br />
schools. Second, <strong>the</strong> initial set of HEART Phase 2 <strong>program</strong>s<br />
were selected and categorized in<strong>to</strong> two types: lifestyle education and<br />
environmental enhancement. Each <strong>program</strong> type was categorized<br />
once again in<strong>to</strong> two foci: 1) nutrition activities, and 2) physical fitness<br />
activities. Finally, employing best practice methods, community health<br />
worker-led activities were integrated including 1) “charlas” (coffee<br />
talks), 2) heart-healthy cooking demonstrations, 3) heart-healthy<br />
grocery shopping <strong>to</strong>urs, 4) Latin dance aerobics in <strong>the</strong> parks, 5) family<br />
sports/swimming, and 6) walking groups emphasizing peer support.<br />
RESULTS: The Phase 2 curriculum includes a family of CVD risk<br />
fac<strong>to</strong>r reduction activities entitled “Mi Corazon, Mi Comunidad” (My<br />
Heart My Community)(MiCMiC), which is facilitated by CHWs<br />
and community partner organizations. Results of <strong>the</strong> first intervention<br />
cohort and baseline measurement of a community phone survey will<br />
be showcased.<br />
A Strategy <strong>to</strong> Streng<strong>the</strong>n <strong>the</strong> Community’s Capacity <strong>to</strong> Build and<br />
Sustain CHWs and a HEART <strong>Health</strong>y El Paso<br />
Aurora Aguirre Polanco, BS, Department of <strong>Public</strong> <strong>Health</strong>; Maria<br />
Rafaela Gonzales, CHW , University of Texas at El Paso - HEART<br />
Project; Lee Rosenthal MPH, PhD, University of Texas at El Paso;<br />
Hec<strong>to</strong>r Balcazar, PhD, MS, University of Texas School of <strong>Public</strong><br />
<strong>Health</strong>, El Paso Regional Campus; Sherrie Wise, MP, University of<br />
Texas School of <strong>Public</strong> <strong>Health</strong>, El Paso Regional Campus; Mahamud<br />
Ahmed, MS, University of Texas at El Paso<br />
Proyec<strong>to</strong> HEART: Integrating CHWs in<strong>to</strong> an Ecological Approach <strong>to</strong><br />
Wellness in El Paso, Texas. A strategy <strong>to</strong> streng<strong>the</strong>n <strong>the</strong> community’s<br />
capacity <strong>to</strong> build and sustain CHWs and a HEART healthy El Paso.<br />
Aurora Aguirre Polanco, Lee Rosenthal, Mahamud Ahmed, Maria<br />
Rafaela Gonzalez , Sherry Wise, Maria Duarte, Hec<strong>to</strong>r Balcazar.<br />
Proyec<strong>to</strong> HEART applies a Community-base Participa<strong>to</strong>ry Research<br />
(CBPR) approach among Hispanics in <strong>the</strong> lower valley of El Paso,<br />
Texas. The main goal of <strong>the</strong> National Institutes’ of <strong>Health</strong> funded<br />
study is <strong>to</strong> reduce Cardio Vascular Disease (CVD) risks by promoting<br />
healthier lifestyles through <strong>the</strong> implementation of Community<br />
<strong>Health</strong> Worker (CHWs)-driven multifaceted intervention. Overall,<br />
<strong>the</strong> Proyec<strong>to</strong> HEART has identified two distinct policy aims, <strong>the</strong>y are:<br />
1) <strong>the</strong> sustainability of heart healthy environment in El Paso; and 2)<br />
<strong>the</strong> integration of CHWs in<strong>to</strong> <strong>the</strong> labor <strong>for</strong>ce. In order <strong>to</strong> address <strong>the</strong><br />
first policy aim, HEART partners frame <strong>the</strong>ir ef<strong>for</strong>ts in <strong>the</strong> ecologic<br />
perspective including a focus on <strong>the</strong> individual, interpersonal, organizational,<br />
and community levels. Examples of policy changes <strong>for</strong> a heart<br />
healthy community will involve changes in such areas as <strong>the</strong> built<br />
environment and <strong>the</strong> availability of physical fitness opportunities. For<br />
addressing <strong>the</strong> second policy aim, a policy agenda geared <strong>to</strong> building<br />
recognition and integration of CHWs in <strong>the</strong> work<strong>for</strong>ce; an integral<br />
aspect of ef<strong>for</strong>ts in this area is <strong>the</strong> emergence of <strong>the</strong> “Working Group<br />
<strong>for</strong> El Paso Community <strong>Health</strong> Worker Work<strong>for</strong>ce Development”.<br />
The working group has <strong>the</strong> command of designing a work<strong>for</strong>ce<br />
development strategic planning process that is inclusive of <strong>the</strong> ideals<br />
and vision of local and state agencies such as: CHWs networks, El<br />
Paso Community College, <strong>the</strong> Texas <strong>Health</strong> and Human Services<br />
SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting 19