AUTHOR=St. John Julie , Reininger Belinda , Balcazar Hector , Valerio-Shewmaker Melissa A. , Beaudoin Christopher E. 

TITLE=What About Promotores? Promotores' Psychosocial Determinants That Influenced the Delivery of a Cervical Cancer Education Intervention to Hispanics

JOURNAL=Frontiers in Public Health

VOLUME=Volume 9 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2021.689616

DOI=10.3389/fpubh.2021.689616

ISSN=2296-2565

ABSTRACT=This study tested whether a cancer education intervention affected promotores’ confidence to deliver an intervention to Hispanics and which psychosocial determinants of promotores influenced the number of Hispanic residents reached by promotores in the subsequent education intervention. A pre/post design with a treatment group (no control) assessed differences for promotores (n=136) before and after exposure to the cancer education intervention. The design also included cross-sectional evaluation of the number of residents promotores reached with the educational intervention. After being trained, the promotores delivered the intervention to Hispanic residents (n=1,469). Paired t-tests demonstrated increases in promotores’ confidence from pre to post-intervention. Regression models assessed associations between the numbers of residents reached and selected psychosocial determinants of promotores. Age and promotores’ years of experience influenced their delivery of a cervical cancer education intervention to Hispanics, but not breast or colorectal cancer education interventions. This is the first study to examine which psychosocial determinants influence whether promotores deliver cancer education interventions. The outcomes potentially have implications for CHW interventions and training by examining this potential connection between CHWs’ psychosocial determinants and intervention outcomes.