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=9

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=<p>This study tested whether a cancer education intervention affected <italic>promotores'</italic> self-efficacy to deliver an intervention to Hispanics and which psychosocial determinants of <italic>promotores</italic> influenced the number of Hispanic residents reached by <italic>promotores</italic> in the subsequent education intervention. A quasi-experimental, pre/post-design with a treatment group (no control) assessed differences for <italic>promotores</italic> (<italic>n</italic> = 136) before and after exposure to the cancer education intervention. The design also included a cross-sectional evaluation of the number of residents <italic>promotores</italic> reached with the educational intervention. After being trained, the <italic>promotores</italic> delivered the intervention to Hispanic residents (<italic>n</italic> = 1,469). Paired <italic>t</italic>-tests demonstrated increases in <italic>promotores'</italic> self-efficacy from pre- to post-intervention. Regression models assessed associations between the numbers of residents reached and select psychosocial determinants of <italic>promotores</italic>. Age and <italic>promotores</italic>' years of experience influenced their delivery of a cervical cancer education intervention to Hispanics, but not their delivery of breast or colorectal cancer education interventions. This is the first study to examine which psychosocial determinants influence <italic>promotores</italic> delivery of 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.</p>