Healthy Wisconsin Communities

1
Healthy Wisconsin Communities

• Recruiting Latinos to
• Health Promotion Programs
• Betty Kaiser, PhD, RN
• University of Wisconsin-Madison
• School of Nursing

2
Road Map

• Key principles
• Background
• Strategies, stories

3
Recruitment Principles

• Collaboration Participation Relevance

4
Latino Population Growth, 1990-2000
University of Wisconsin Extension and Applied
Population Laboratory (n.d.)
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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)
6
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

7
Partnership Structure for the Healthy Lifestyles
Project
8
CollaborationWork with diverse partners
Literacy experts
Family educators
Interpreters
Business owners
Clergy
9
Collaboration in HLP Distribution of Latino
Recruitment, by site
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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

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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

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ParticipationInstitutionalize Latino input

• Advisory boards
• Outreach specialists
• Peer educators
• Key informant interviews
• Focus groups

Burns, Soward, Skelly, Leeman, Carlson, 2008
Huff Kline, 2007
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RelevanceStart where people are at

• Conduct assessments
• Minimize barriers
• Tailor methods, materials

14
RelevanceCultural 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
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RelevanceTargeted 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
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SummaryPrinciples and Recommendations

• Collaboration
• Partner with other agencies
• Participation
• Incorporate intended audience in program planning
• Relevance
• Tailor your program to local culture

17
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