The National Action Summit for Latino Worker Health and SafetyPresented by: Alicia Gonzales, MSSW, Project Director, gonzales@ncfh.org

Supported by: The Southwest Center for Agricultural Health, Injury Prevention and Education at the University of Texas Health Center at Tyler and funded by the National Institute for Occupational Safety and Health

PROJECT FRESCO: AN OCCUPATIONAL HEAT AND SUN SAFETY EDUCATION PROGRAM FOR

FARMWORKERS

PROJECT TEAM & ADVISORY COMMITTEE

PROJECT TEAM • Sylvia Partida-Principal Investigator• Alicia Gonzales-Project Director• Renee Cantu-Project Coordinator• Christine Dipboye-Project Coordinator• Monica Saavedra-Project Coordinator• Dr. Maria E. Fernandez-Intervention Development &

Evaluation Consultant

ADVISORY COMMITTEE• Roberta Baer - University of Southern Florida/

Anthropology • Mirasol Bravo - Migrant Health Promotion • John May - The New York Center for Agricultural Medicine and Health (NYCAMH) &

Bassett Healthcare• Karen B. Mulloy - University of Colorado Health Sciences Center• Dr. Howard Rosenberg - UC Berkeley• Sylvia Sapien - La Clinica de Familia• Ted Scharf - National Institute for Occupational Safety and Health

PROGRAM GOAL To design and pilot test an

intervention to increase farm safety practices among migrant and seasonal farmworkers (MSFWs) in various geographic regions and agricultural settings using the lay health worker model as the mode of intervention.

PROGRAM AIMS1. Formative research 2. Develop and pretest educational materials3. Research minimum competencies for promotoras4. Develop promotora curriculum 5. Pilot Intervention and evaluate results6. Certify promotora curriculum with TxDSHS

INTERVENTION MAPPING (IM)IM is a step-by-step process for merging theory, empirical findings, and stakeholder input to create effective health intervention programs.

IM provided a roadmap for decision making while carrying out the program aims.

Core Steps in IM:1. Assess needs2. Identify target

behaviors, determinants, and then change objectives

3. Identify methods and strategies

4. Develop program materials

5. Plan for program adoption and implementation

6. Evaluation

AIM 1: NEEDS ASSESSMENT Identified heat and sun exposure as a priority

occupational health problem through a literature review and focus groups with farmworkers and promotoras.

Conducted formative research to identify:- What farmworkers are doing/not doing to protect themselves

from the heat and sun.- Why they are/are not protecting themselves (individual and

environmental determinants)

*Partners: La Clínica de Familia -Las Cruces, New México

Migrant Health Promotion/Weslaco, TexasMano a Mano/Brownsville, TexasCollier County Health Department/Immokalee, FloridaCampesinos Sin Fronteras/Yuma, Arizona

Nuestra Clinica Del Valle/San Juan, Texas

Literature Literature ReviewReview

Lay Health Worker Focus Groups

Farmworker Focus Groups

Target Behaviors – Drink water, Cover up, Cool off

Behavioral and Environmental Determinants – Knowledge, Skills, Self Efficacy, etc.

Matrices of Change Objectives –crossed Target Behaviors with Determinants to answer the question “What needs to change to allow the FW to perform the target behaviors?”

AIM 2: IDENTIFICATION OF TARGET BEHAVIORS, DETERMINANTS, AND CHANGE

OBJECTIVES

AIM 2: SELECTION OF METHODS AND STRATEGIES AND DEVELOPMENT OF

PROGRAM MATERIALS Identified theoretical methods (peer modeling, guided practice) and practical strategies (flipchart and fotonovela with farmworkers giving testimonials and information about key messages) that best addressed the change objectives.

Designed layout, content, and messages of program components

Developed materials: Flipchart and fotonevela

Flipchart: Farmworker’s View

Flipchart: Promotora’s ViewFotonovel

AIMS 3 &4: PLAN FOR PROGRAM ADOPTION

AND IMPLEMENTATION

* AIM 6: Promotora curriculum will be certified by the Promotor(a) Training and Certification Program of the Texas Department of State Health Services

AIM 5: EVALUATION: PRETEST AND PILOTPretest• Individual and group feedback• Will answer the following

questions:– Do FWs and promotoras

understand key messages?– Does the content appeal to

FWs and promotoras (messages, photos, layout)?

– Is the time needed to deliver the session reasonable?

– Are the materials easy to use?– Is program easy to implement?

*Partner: Migrant Health Promotion/ Weslaco, Texas

Intervention Pilot• Pre-post data collection

with control group • Will evaluate changes in

farmworkers’ attitudes, beliefs, knowledge, and practices related to sun and heat safety.

*Partners (Tentative): Campesinos Sin Fronteras/Somerton, AZHealth center TBD in California Central Valley

Thank you…

Alicia Gonzales, MSSWNational Center for Farmworker Health, Inc.

512-312-2700Gonzales@ncfh.org