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Healthy Generations:Volunteer Health Educators in
the African American Community
CityMatCH Annual ConferenceCityMatCH Annual Conference
August 2007August 2007
Linda Short Archer, RN, MSNLinda Short Archer, RN, MSN
Brenda Burnett, RN, MSNBrenda Burnett, RN, MSN
Purpose of the Healthy Generations Project
To utilize a train-the-trainer model to To utilize a train-the-trainer model to empower African-American volunteer empower African-American volunteer
health educators to disseminate information health educators to disseminate information related to healthy life-style choices, risk related to healthy life-style choices, risk
factor reduction, and community resources factor reduction, and community resources to other African-American women within to other African-American women within
their social networks. their social networks.
Infant Mortality Rates: El Paso County & Colorado
3
4
5
6
7
8
9
10
1995 2001 2002 2003 2004 2005
Colorado El Paso County Healthy People 2010
YEAR
Rate
per
1000
(Colorado Dept. of Public Health & Environment Health Statistics Section)
Infant Mortality Rates by Race/Ethnicity: El Paso County
0
5
10
15
20
25
1995 2001 2002 2003 2004 2005
White Non-Hispanic White Hispanic African-American
YEAR
Rates per 1000
(Colorado Dept. of Public Health & Environment Health Statistics Section)
2005 Perinatal Outcomes in El Paso County
Number of Number of Births in 2005 Births in 2005
(8,658)(8,658)
White Non-White Non-Hispanic Hispanic
(5,870)(5,870)
White Hispanic White Hispanic
(1,741)(1,741)
African-African-American American
(628)(628)
Late Prenatal Late Prenatal CareCare 22 %22 % 37%37% 34 %34 %
Low Birth Low Birth WeightWeight 9 %9 % 10%10% 16 %16 %
Pre-Term BirthPre-Term Birth
11 %11 % 10%10% 13 %13 %
Very Low Birth Very Low Birth WeightWeight 1 %1 % 2%2% 3 %3 %
No Prenatal No Prenatal CareCare 1 %1 % 2%2% 2 %2 %
(Colorado Dept. of Public Health & Environment Health Statistics Section)
Other Health Disparities Among the African-American
PopulationColorado State average Colorado State average
per 100,000 peopleper 100,000 peopleAfrican-American age African-American age
adjusted death rate adjusted death rate
HEART DISEASEHEART DISEASE 191191 / 100,000 / 100,000 238.8238.8 / 100,000 / 100,000
STROKESTROKE 56.256.2 / 100,000 / 100,000 72.372.3 / 100,000 / 100,000
DIABETESDIABETES 18.318.3 / 100,000 / 100,000 3636 / 100,000 / 100,000
BREAST CANCERBREAST CANCER 23.323.3 / 100,000 / 100,000 100.5100.5 / 100,000 / 100,000
(Colorado Dept. of Public Health & Environment Office of Health Disparities 2005)
African-American Women’s Health Care Focus Groups
Purpose:Purpose:
To elicit and communicate To elicit and communicate key issues related to the key issues related to the health care concerns of health care concerns of African-American women.African-American women.
Results from the Focus Groups
Perception of discrimination can assume Perception of discrimination can assume multiple forms: race, gender, multiple forms: race, gender, economics.economics.
African-American women are African-American women are important sources of information important sources of information regarding their own health care.regarding their own health care.
Healthy Generations Project Goal
Provide an opportunity for African- Provide an opportunity for African- American women to teach other women American women to teach other women
the importance of making healthy lifestyle the importance of making healthy lifestyle choices for themselves and their babies. choices for themselves and their babies.
Healthy Generations Objectives
Identify best practices for population-Identify best practices for population-based health behavior educationbased health behavior education
Select health related topics based on racial Select health related topics based on racial and ethnic disparities and ethnic disparities
Develop curriculum for a train-the-trainer Develop curriculum for a train-the-trainer program program
Enlist volunteer health educators to Enlist volunteer health educators to disseminate health information within disseminate health information within their social networks their social networks
Recruitment of Participants
Recruited 11 African-American Recruited 11 African-American women who voluntarily participated women who voluntarily participated in the health educator projectin the health educator project
Retaining Participants
Developed a binder that included all Developed a binder that included all presentations, various handouts and a presentations, various handouts and a community resource guidecommunity resource guide
Each participant received a “tool kit” Each participant received a “tool kit” containing materials specific to each containing materials specific to each modulemodule
Nuts & Bolts
Three 4-hour classes where experts Three 4-hour classes where experts presented information about health related presented information about health related topicstopics
Participants disseminated portions of what Participants disseminated portions of what they learned to other women within their they learned to other women within their social circles social circles
Coordinators made monthly contact with Coordinators made monthly contact with participantsparticipants
Participants and coordinators came together Participants and coordinators came together quarterly to report progress, ask questions, quarterly to report progress, ask questions, restock tool kits restock tool kits
Healthy Generations Project Curriculum
Risk factors for pregnancy Risk factors for pregnancy complications and poor birth outcomescomplications and poor birth outcomes
Healthy lifestyle choices for womenHealthy lifestyle choices for women Chronic disease managementChronic disease management Delivering the message and developing Delivering the message and developing
your delivery styleyour delivery style
Module 1: Risk Factors For Pregnancy Complications and Poor Birth
Outcomes
Smoking CessationSmoking Cessation Alcohol and Substance Use/AbuseAlcohol and Substance Use/Abuse Weight Gain During PregnancyWeight Gain During Pregnancy Domestic ViolenceDomestic Violence Preventing Preterm LaborPreventing Preterm Labor
Module 2: Healthy Lifestyle Choices
Breast HealthBreast Health Cervical Cancer ScreeningCervical Cancer Screening NutritionNutrition Preconception /Interconception Health and Preconception /Interconception Health and
Health CareHealth Care
Module 3: Chronic Disease Management
HypertensionHypertension DiabetesDiabetes DepressionDepression Coronary Artery Coronary Artery
DiseaseDisease Asthma Asthma
Delivering the Message & Developing Your Delivery Style
Provided participants with Provided participants with various types of educational various types of educational tools as each topic was tools as each topic was presentedpresented
Provided participants with Provided participants with information about presentation information about presentation tips, training approaches, tips, training approaches, motivation to learn and adult motivation to learn and adult learning principleslearning principles
Participants worked in groups to Participants worked in groups to develop a presentation outline develop a presentation outline of their ownof their own
Delivering the Message Venues
Women’s Wellness Women’s Wellness Summit – Celebrating Summit – Celebrating Women of ColorWomen of Color
Good Love – Relationship Good Love – Relationship Workshop For Young Workshop For Young AdultsAdults
Concerned Citizens as Concerned Citizens as Education AdvocatesEducation Advocates
Community Networks and Community Networks and EventsEvents
The Spirit of Women The Spirit of Women Hospital Health Education Hospital Health Education
NAACP ExpoNAACP Expo African-American Health African-American Health
FairsFairs JuneteenthJuneteenth African American VoiceAfrican American Voice ChurchesChurches Women’s Resource Women’s Resource
AgencyAgency Local High Schools and Local High Schools and
Area CollegesArea Colleges
Community Feedback
How can I get involved in this project?How can I get involved in this project? Is this just for the African-American Is this just for the African-American
community?community? What if I am interested in attending a What if I am interested in attending a
Lunch and Learn workshop? Lunch and Learn workshop? Can this be expanded to other groups such Can this be expanded to other groups such
as teens, Asians, Latinas, men, as teens, Asians, Latinas, men, grandparents raising children?grandparents raising children?
Launched!
Held an awards luncheon honoring our Held an awards luncheon honoring our participant volunteers, community experts participant volunteers, community experts and nurse researchersand nurse researchers
Participant satisfaction rating of 4.8 on 5- Participant satisfaction rating of 4.8 on 5- point scale point scale
Use rapid-cycle method (Plan, Do, Study, Use rapid-cycle method (Plan, Do, Study, Act) to assess strengths, weaknesses and Act) to assess strengths, weaknesses and change the program as neededchange the program as needed
Explore options for sustainability of the Explore options for sustainability of the programprogram
Outcomes
All nine volunteers completed the training All nine volunteers completed the training Volunteer educators provided education to Volunteer educators provided education to
over 1,250 women within the African-over 1,250 women within the African-American communityAmerican community
Volunteers participated in more than 16 Volunteers participated in more than 16 unique venues during the 8 month project. unique venues during the 8 month project.
Sustainability Options
Partner with local Schools of Nursing to Partner with local Schools of Nursing to incorporate the project into community incorporate the project into community health clinical practicum health clinical practicum
Participants continue the project serving Participants continue the project serving as volunteer facilitators as volunteer facilitators
Organizations facilitate training Organizations facilitate training workshops workshops
“If we are to eliminate these disgraces, we must work with communities-not on
them.”
Higginbotham, 2005
Contact Information
Linda Archer, RN, MSN, CNS-BCLinda Archer, RN, MSN, CNS-BC(719) 578-3103(719) [email protected]@epchealth.org
Brenda Burnett, RN, MSNBrenda Burnett, RN, MSN(719) 575-8514(719) [email protected]@epchealth.org
301 S. Union Blvd. 301 S. Union Blvd. Colorado Springs, CO 80910Colorado Springs, CO 80910
