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

Author

Listed:
  • Scott C. Carvajal

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Noelle Miesfeld

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Jean Chang

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Kerstin M. Reinschmidt

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Jill Guernsey De Zapien

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Maria L. Fernandez

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Cecilia Rosales

    (Arizona Prevention Research Center, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Ave, Tucson, AZ 85724, USA)

  • Lisa K. Staten

    (Richard M. Fairbanks School of Public Health, Department of Social and Behavioral Sciences, Indiana University, 714 N. Senate Avenue, EF 250, Indianapolis, IN 46202, USA)

Abstract

Effective 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.

Suggested Citation

  • Scott C. Carvajal & Noelle Miesfeld & Jean Chang & Kerstin M. Reinschmidt & Jill Guernsey De Zapien & Maria L. Fernandez & Cecilia Rosales & Lisa K. Staten, 2013. "Evidence for Long-Term Impact of Pasos Adelante : Using a Community-Wide Survey to Evaluate Chronic Disease Risk Modification in Prior Program Participants," IJERPH, MDPI, vol. 10(10), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:10:p:4701-4717:d:29262
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    References listed on IDEAS

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    2. Trickett, E.J. & Beehler, S. & Deutsch, C. & Green, L.W. & Hawe, P. & McLeroy, K. & Lin Miller, R. & Rapkin, B.D. & Schensul, J.J. & Schulz, A.J. & Trimble, J.E., 2011. "Advancing the science of community-level interventions," American Journal of Public Health, American Public Health Association, vol. 101(8), pages 1410-1419.
    3. Jon Ivar Elstad & Axel West Pedersen, 2012. "The Impact of Relative Poverty on Norwegian Adolescents’ Subjective Health: A Causal Analysis with Propensity Score Matching," IJERPH, MDPI, vol. 9(12), pages 1-17, December.
    4. Sabo, S. & Ingram, M. & Reinschmidt, K.M. & Schachter, K. & Jacobs, L. & De Zapien, J.G. & Robinson, L. & Carvajal, S., 2013. "Predictors and a framework for fostering community advocacy as a community health worker core function to eliminate health disparities," American Journal of Public Health, American Public Health Association, vol. 103(7), pages 67-73.
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    Cited by:

    1. Kiera Coulter & Maia Ingram & Abby M. Lohr & Melanie L. Bell & Scott Carvajal, 2020. "Examining Associations between Community Health Worker-Rated Health and Mental Health among Latino Adults with Chronic Disease," IJERPH, MDPI, vol. 18(1), pages 1-13, December.

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