HEART (Heath Education Assessment Research Team) Phase 2 is a community-based participatory research continuation project whose overall goal is to reduce risk factors for cardiovascular disease (CVD) in Hispanics in El Paso, Texas using the community health workers/promotores de salud (CHW/PS) model. In HEART Phase 1 we: 1) developed a Community Health Advisory Committee (CHAC) to lead the participatory research process and guide additional means to obtain community input;2) performed a community needs assessment to direct the research process;and 3) conducted a four-month CHW7PS pilot intervention (group classes and follow-up) to identify an optimal CHW/PS outreach approach. In addition to the lifestyle changes promoted in our pilot study, the HEART Phase 2 will add a fitness component and include a focus on the environment that contributes to CVD risk. Two new community partners have been added to emphasize our fitness and environmental approach: the YWCA facility in the Lower Valley and after-school programs available at both the YWCA and through the City of El Paso Parks and Recreation Department. We plan to foster the sustained integration of the CHW/PS model in these new community based organizations (CBOs) and public sector settings through increased organizational experience and knowledge regarding culturally-tailored lifestyle and environmental interventions. Most importantly, we will conduct an intervention in the Lower Valley of Et Paso that will build on our pilot study. Our culturally sensitive programming will be known as Mi Corazon, Mi Comunidad (My Heart, My Community). The goals of the intervention will be to 1) increase awareness and utilization of programs by Hispanic families living in the target community;2) increase health behaviors including intentions and self-efficacy, and 3) decrease CVD risk factors among Hispanic families. Through our combined approach and with the continuous input from the CHAC, we will impact change agents, stakeholders, organizations, individuals and families. Lastly, we will define and promote a policy agenda that targets integration of CHW/PS in CBOs and public sector programs in conjunction with a dissemination plan to share our findings with a broader audience, thereby improving lifestyle and environmental factors that impact CVD risk factors for Hispanics in El Paso, Texas.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Resource-Related Research Projects (R24)
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Special Emphasis Panel (ZMD1-RN (01))
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Dankwa-Mullan, Irene
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University of Texas El Paso
Schools of Allied Health Profes
El Paso
United States
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Balcazar, Hector G; Wise, Sherrie; Redelfs, Alisha et al. (2014) Perceptions of Community Health Workers (CHWs/PS) in the U.S.-Mexico border HEART CVD study. Int J Environ Res Public Health 11:1873-84
Rosenthal, E Lee; Balcazar, Hector G; De Heer, Hendrik D et al. (2014) Critical reflections on the role of CBPR within an RCT community health worker prevention intervention. J Ambul Care Manage 37:241-9
de Heer, Hendrik Dirk; Balcazar, Hector G; Castro, Felipe et al. (2012) A path analysis of a randomized promotora de salud cardiovascular disease-prevention trial among at-risk Hispanic adults. Health Educ Behav 39:77-86
Balcázar, Hector; Wise, Sherrie; Rosenthal, E Lee et al. (2012) An ecological model using promotores de salud to prevent cardiovascular disease on the US-Mexico border: the HEART project. Prev Chronic Dis 9:E35
de Heer, Hendrik; Balcazar, Hector G; Cardenas, Victor et al. (2011) Ethnic Pride and Cardiovascular Health Among Mexican American Adults Along the U.S.-Mexico Border. Hisp J Behav Sci 33:204-220
Balcazar, H; Alvarado, M; Ortiz, G (2011) Salud Para Su Corazon (health for your heart) community health worker model: community and clinical approaches for addressing cardiovascular disease risk reduction in Hispanics/Latinos. J Ambul Care Manage 34:362-72
Balcazar, Hector; Rosenthal, E Lee; Brownstein, J Nell et al. (2011) Community health workers can be a public health force for change in the United States: three actions for a new paradigm. Am J Public Health 101:2199-203
Balcázar, Héctor G; de Heer, Hendrik; Rosenthal, Lee et al. (2010) A promotores de salud intervention to reduce cardiovascular disease risk in a high-risk Hispanic border population, 2005-2008. Prev Chronic Dis 7:A28
Balcazar, Hector; Rosenthal, Lee; De Heer, Hendrick et al. (2009) Use of community-based participatory research to disseminate baseline results from a cardiovascular disease randomized community trial for Mexican Americans living in a U.S.-Mexico border community. Educ Health (Abingdon) 22:279