Prevent and Reduce Adverse Health Effects of Pesticides on Indigenous Farmworkers is a community- based participatory research project addressing the significant risk of pesticide exposure among farmworkers and the need for culturally and linguistically appropriate training to decrease their risk of exposure. We will examine the effectiveness of a community-engagement, network-building intervention to implement an effective occupational safety and health program. This phase of work will begin examining the factors that influence the adoption and sustainability of the program by organizations and individuals that serve or are the target population of farmworkers speaking indigenous languages.
The specific aims that will guide every phase of the project are to: 1) Identify support networks or other partners at the local or regional level that can facilitate dissemination of the intervention;2) Determine the perspectives and needs of user organizations who disseminate the training program (promotores, video, sociodramas from the tool box of trainings) to indigenous farmworkers including;3) Using an expanded user and support network, determine the reach of the program, assess the effectiveness, and describe how the intervention is modified by user organizations, and 4) Create a sustainable leadership model for indigenous community members to effect adoption and implementation of the intervention training. The main elements of the design framework are based on the Health Promotion Research Center Dissemination Framework developed by the University of Washington Prevention Center, which focuses on a close partnership between researchers and a dissemination organization that takes ownership of the dissemination process, and the use of social marketing principles to work closely with potential users who will adopt the educational program. The RE-AIM evaluation framework emphasizes the reach to and representativeness of individual participants and organization settings. Towards that end, we will evaluate changes at multiple levels, including changes among individual farmworkers (participants), participating organizations, and in policy attributable to the dissemination and implementation of our intervention training curriculum.

Public Health Relevance

Prior work by this partnership demonstrated evidence of a positive effect of training on pesticide knowledge scores and reduced DNA damage. This is relevant to public health because damage to DNA is believed to be a precursor of health conditions such as cancer and neurological disease associated with pesticide exposure.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Resource-Related Research Projects (R24)
Project #
2R24MD002798-06
Application #
8566264
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Dankwa-Mullan, Irene
Project Start
2008-09-06
Project End
2016-01-31
Budget Start
2013-06-20
Budget End
2014-01-31
Support Year
6
Fiscal Year
2013
Total Cost
$445,353
Indirect Cost
$24,061
Name
Oregon Law Center
Department
Type
DUNS #
028359151
City
Portland
State
OR
Country
United States
Zip Code
97205
McCauley, Linda; Runkle, Jennifer D; Samples, Julie et al. (2013) Oregon indigenous farmworkers: results of promotor intervention on pesticide knowledge and organophosphate metabolite levels. J Occup Environ Med 55:1164-70