A Promotoras Training Model

Michael V. Maloney Executive DirectorOrganization for Autism Researchwww.researchautism.org

Organization for Autism ResearchFounded in 2001Mission:

Research - Quality of lifeInformation – Evidence-based/consumer

friendlyEducation – State of the science/translational

One of four original CDC autism partnersLearn the Signs. Act Early. Campaign

Latino Outreach – Initial ConceptsOctober 2006 – Board discussion Make OAR’s resources accessible to Latinos

Translate English to Spanish Life Journey through Autism resource guides Web site

No $$$$Develop concept, raise funds, implement

Learn the Signs. Act Early.December 2006 grant opportunityA different entry pointDevelopmental milestones pre-autismThree challenges

CultureLanguageApproach

OAR’s TeamKDH Research & Consulting

Kristen Holtz, PhDAutism/LSAE program design experienceAtlanta based

Fusión mcAna Maria BoitelLanguage and cultureCommunity insight/research

Dia de la Mujer Latina – Venus Ginés

Initial Planning Objectives Target young parents in Latino communityDevelop a model for community supportAdapt materials to language and cultureAdapt approach to existing systemsExamine communication networks Develop a strategy and plan of action

The Plan Comes TogetherPromotoras – lay health workers

Trusted community membersEstablished healthcare roleSpeak the language

Georgia3rd fastest growing Latino population in the

U.S.Location of KDHRC and CDCDia de la Mujer Latina – Venus Ginés

Empowering PromotorasEducate on developmental milestones and

warning signs of autismTrain for outreachProvide clear, easy to use materialsTest in community-based setting

Training ProgramFive hour syllabusSpanish-speaking trainerPre- and post- testsIntroduction of materials/tool kitPractice outreachRecognition

Promotora Training Guide

Information for the FacilitatorGoals and objectivesUse of promotoras in health promotion

programsRecruiting promotorasScheduling the training eventPreparing for the training eventKnow your materialFacilitation tips

Training SyllabusWelcome/training overviewIntroduction to developmental milestonesDevelopmental milestones and autismConducting outreach during a health fair

(brief encounter)Conducting outreach during clinic visits

(longer encounter)Referral information and review

Supporting TabsFlipchart templatesAgenda and Objectives Handout/La Agenda y los ObjetivosAutism Spectrum Disorders Fact Sheet/ Hoja informativa

sobre los trastornos del espectro autistaMilestone Matching Worksheet and answer key/

Identificación de Indicadores Outreach Approach Handout/Manual de cómo Atraer la

ComunidadHealth Fair Scenarios Handout/ Guión con Escenas de las

Ferias de SaludClinic Visit Scenarios Handout/Manual de Escenas sobre

Visitas ClínicasReferral Information Handout/Manual de Referencia de

InformaciónEthical Pledge/Manual de Compromiso de ComportamientoCertificate of Completion

Flip chart - Spanish

Flip Chart English

Refrigerator Magnet

Community OutreachFeria de la Familia – Cobb County, Ga.

Community health focused2,000 – 3,000 peopleFestival atmospherePartnered with Dia de la Mujer Latina

14/18 Promotoras - 500 direct contactsFeria de la Familia – Washington, DC, Dec.

Exámenes de DientesDental Exam

Exámenes de DiabetesDiabetes Test

Vacunas para niños Immunizations for Children

Colesterol/cholesterolCharlas y Talleres sobre

temas de salud/health education

Exámenes de la VistaVision Test

Sábado- Saturday 4 de Agosto

9:00 AM - 1:00 PMCobb Civic Center

528 South Marietta Parkway. Marietta, GA 30060

Ven y disfruta de este día lleno de valiosa información y servicios de salud totalmente GRATIS

para toda la familia.

!Habrá mucha diversión, música y regalos!

Exámenes de SenoBreast Exam

MamogramasMammogramsPapanicolau

Pap Smear Presión ArterialBlood Pressure

Pruebas VIH/ HIV TestsExámenes de la

ColumnaSpinal Test

Presented by:Univision 34 y Díade la

Mujer Latina

For more information please contact Paola Salazar at (404) 926-2304 or pasalazar@univision.net.

Results/ConclusionsLatino community is very receptiveTraining package was effectiveHealth fairs work for the broad messageThe Promotoras model has significant

potential and some limitsOAR’s program will support broader outreach

Lessons LearnedSpanish translation is not enoughInformation and message must be adapted to

culture and the local/target Latino communityMany countries and cultures representedBeware of stereotypesOutreach requires a multi-faceted approachSuccess through community partnershipsNeed to know more

Next StepsObtain funds for program expansionIncrease capacity of language/culturally

adapted resourcesLife Journey through Autism guides – Autism

Speaks grantInformational brochureFlip charts and magnetsOAR Web site

Next Steps (Cont.)Secondary research on cultural biases,

barriers, and stigmaDevelop and test new resourcesExpand Promotora Training programExpand community outreach in DC and GA

FinPreguntas?