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Healthy Wisconsin Communities. Recruiting Latinos to Health Promotion Programs Betty Kaiser, PhD, RN University of Wisconsin-Madison School of Nursing. Road Map. Key principles Background Strategies, stories. Recruitment Principles. Collaboration Participation Relevance.
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Healthy Wisconsin Communities Recruiting Latinos to Health Promotion Programs Betty Kaiser, PhD, RN University of Wisconsin-Madison School of Nursing
Road Map • Key principles • Background • Strategies, stories
Recruitment Principles Collaboration Participation Relevance
Latino Population Growth, 1990-2000 Percent Change in WI Counties <50% 50 – 100% 100 – 200% 200 – 300% >300% University of Wisconsin Extension and Applied Population Laboratory (n.d.)
Latinos in WI Nutrition Programs % Latino, WI WNEP = WI Nutrition Education Program WIC = Women, Infants, and Children EFNEP = Expanded Food and Nutrition Education Program (2006-2007 data from WNEP and WI Department of Health Services)
The Healthy Lifestyles Project Goal: Develop plan for promoting healthy lifestyles Target population: Low-income adults in Dodge and Jefferson counties Objectives: • Conduct study on health behaviors • Seek community feedback on findings • Write plan for interventions
Collaboration:Work with diverse partners Literacy experts Family educators Interpreters Business owners Clergy
Collaboration in HLP:Distribution of Latino Recruitment, by site
Collaboration:Potential Partners • Latino advocacy groups; multicultural coalitions • Literacy councils; organizations offering adult ESL • Churches offering Spanish services • Public health and human service agencies • Extension agents • Business owners • Health care professionals • Schools • Local Spanish media • Recreational and social clubs
Participation: Foster Latino input into program planning “Community partners must be involved as part of the team from the very beginning in all decisions, including the decision about whether to address the health issue and how to develop the approach.” Bronheim & Sockalingam, National Center for Cultural Competence
Participation:Institutionalize Latino input • Advisory boards • Outreach specialists • Peer educators • Key informant interviews • Focus groups Burns, Soward, Skelly, Leeman, & Carlson, 2008; Huff & Kline, 2007
Relevance:Start where people are at • Conduct assessments • Minimize barriers • Tailor methods, materials
Relevance:Cultural Assessment Tools • Short Acculturation Scale for Hispanics (SASH) • In general, what language(s) do you read and speak? • What language(s) do you usually speak at home? • In which language(s) do you usually think? • What language(s) do you usually speak with your friends? • Only Spanish • More Spanish than English • Both equally • More English than Spanish • Only English Marin, Sabogal, Marin, Otero-Sabogal, & Perez-Stable, 1987
Relevance:Targeted Recruitment • Social networks • Provider referrals • On-site at partner agencies • Mailings, telephone • Door-to-door canvas • Small media • Flyers Larkey, Ogden, Tenorio, & Ewell, 2008; Mann, Hoke, & Williams, 2005; Rodriguez, Rodriguez, & Davis, 2006; Wilson & Orians, 2005
Summary:Principles and Recommendations • Collaboration • Partner with other agencies • Participation • Incorporate intended audience in program planning • Relevance • Tailor your program to local culture
Acknowledgements Funding NINR T32 NR007102 Wisconsin Partnership Program for a Healthy Future Community Partner Dodge Jefferson Healthier Community Partnership Interpreters for the Healthy Lifestyles Project Shawna Stevenoski Elizabeth Barrera