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California WISEWOMAN Adaptation of the Spanish New Leaf
Curriculum (17712)
Marianne Hernandez, MS, California Department of Public Health;
Maureen Farrell R.N., F.N.P., M.H.A., California Department of
Public Health, California Heart Disease and Stroke Prevention
Program; David A. Rocha, BS, California Department of Public
Health, California Heart Disease and Stroke Prevention Program;
Valerie Marden, California Department of Public Health, California
Heart Disease and Stroke Prevention Program
The California Well Integrated Screening and Evaluation for Women
Across the Nation (WISEWOMAN) Program is a cardiovascular
disease (CVD) screening and risk-reduction education program which
uses community health workers and other clinic-based staff to counsel
low-income women on lowering their CVD risk. One California
WISEWOMAN program goal was to refine, update, and enhance the
nationally accepted Vida Saludable, Corazón Contento! curriculum
for California’s Hispanic women, age 40 to 64, and to design a colorful,
low literacy manual for counseling women on ways to improve
nutrition and increase physical activity. This activity was accomplished
through intensive focus groups, key informant interviews, and thorough
review and feedback from multiple Spanish speaking subject
matter experts. In addition to updated nutrition and physical activity
topics, the manual’s revised content included information requested by
focus group women and counselors who utilize the curriculum. These
additional subjects include: an introductory section on cardiovascular
changes specific to perimenopausal women, a one-page assessment
of current behaviors and readiness to change, types of cholesterol and
their effects on health, blood pressure, glucose, waist circumference,
diabetes and osteoporosis. The size was also modified to a smaller
5”X 8” size from the original 8.5” X 11” so the manual could be carried
more easily. The Manual del Programa Corazón de la Familia de
California successfully went to print and distribution April 2010 to
California’s local programs. To date, the manual has received positive
feedback from the local clinic counselors and from the women who
receive a copy of the curriculum. Missouri and Utah WISEWOMAN
Programs have asked to use this manual for their Spanish-speaking
WISEWOMAN clients.
Leadership, Advocacy and System Strategies for Developing A
“Shared Vision” To Reduce US/Mexico Border Health Disparities
and Chronic Diseases
Crystal Moran, MPH, BCH, Department of Health and Social
Services, New Mexico State University
Background: The unique health issues e.g. violence, intended injuries
and chronic diseases faced by the 14 million residents on the US/
Mexico Border region require the establishment of health policy,
which is part of an advocacy process. Agenda-setters play a crucial
role in the process of developing health policy, and this process entails
appropriate strategies to properly address border health issues. The
process that focuses on how health promotion and health policy
agendas are set and influenced is Health Promotion Agenda-Setting
(HPA-S). Decision makers take action primarily on topics that attain
the peak of the policy agenda. One factor that shapes policy in HPA-S
is how policy makers choose which issues are most valuable to take
action on, a “shared vision”. Methods: Ten interviewees selected from
the population of agenda-setters each from Las Cruces, NM, El Paso,
TX, and Cd. Juarez were asked to participate in qualitative, point-intime
interviews, which included a open-ended question on how to
better develop a “shared vision” among border health leaders, advocates
and health practitioners. A snow-ball sample was used to allow an
opportunity to study the sometimes “hidden” population of border
region agenda-setters. Common themes were extracted, coded, and
quantified using descriptive statistics. Findings: Beneficial common
processes and strategies were found among and between the 3 cities for
use by border health leaders, advocates and practitioners to develop a
working shared vision to foster health policy development for reducing
health disparities and chronic disease in the border area. Conclusions:
Collaboration, networking, continuous dialogue, prioritization of
issues and sustained salience were among the major common strategies
identified that are needed to develop a “shared vision” along the U.S./
Mexico border. Implications for Practice: Implications, based on findings
of this research study focused on indentifying strategies to foster
a “shared vision” among those in the public, media and policy arenas,
reducing border health disparities e.g. violence, intended injuries and
chronic diseases, and to develop policy driven border health interventions.
The findings serve as a guideline for developing a shared vision
among agenda-setters along the U.S./Mexico border region.
Concurrent Session D5
REACH/MNO: Leading Minority
Communities in Managing Diabetes
SOPHE Health Equity Sustainable Solutions: Chapter
Collaboration to Address Diabetes Among Minority Communities
Nicolette Warren, MS, CHES, Society for Public Health Education;
Dr. Swati Raychowdhury, PhD., MPH, Georgia Southern University;
Dr. Cassandra Arroyo, PhD, Georgia Southern University; Charlotte
Kaboré, MS Community Health and Equity Branch (CHEB)
Technical Assistance and Program Support (TAPS) Program
Consultant
Background: Inequalities in health status among racial and ethnic
groups continue to indicate that American Indians/Alaska Natives
(AI/AN) and African Americans/Black (AA/B) are more likely to
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SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting