Preventing Chronic Disease | Evaluation of the Community-Based Chronic Disease Prevention Program Meta Salud in Northern Mexico, 2011–2012 - CDC

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Preventing Chronic Disease | Evaluation of the Community-Based Chronic Disease Prevention Program Meta Salud in Northern Mexico, 2011–2012 - CDC

Evaluation of the Community-Based Chronic Disease Prevention Program Meta Salud in Northern Mexico, 2011–2012

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• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Catalina A. Denman, PhD, MS; Cecilia Rosales, MD, MS; Elsa Cornejo; Melanie L. Bell, PhD; Diana Munguía, MS; Tanyha Zepeda; Scott Carvajal, PhD, MPH; Jill Guernsey de Zapien

Suggested citation for this article: Denman CA, Rosales C, Cornejo E, Bell ML, Munguía D, Zepeda T, et al. Evaluation of the Community-Based Chronic Disease Prevention Program Meta Salud in Northern Mexico, 2011–2012. Prev Chronic Dis 2014;11:140218. DOI:http://dx.doi.org/10.5888/pcd11.140218.

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Abstract

Introduction
Meta Salud is a community health worker–facilitated intervention in Hermosillo, Sonora, Mexico, and was adapted from Pasos Adelante, a similar evidence-based intervention developed for a Latino population in the United States–Mexico border region. The objective of this study was to examine outcomes for Meta Salud and compare them with outcomes for Pasos Adelante.

Methods
This pretest–posttest study took place during 13 weeks among low-income residents of an urban area. The program provided information on topics such as heart health, physical activity, nutrition, diabetes, healthy weight, community health, and emotional well-being; included individual and group activities aimed at motivating behavior change; and encouraged participants to engage in brisk physical activity.

Results
We found significant decreases from baseline to conclusion in body mass index, waist circumference, hip circumference, weight, triglycerides, and low-density lipoprotein (LDL) cholesterol. From baseline to 3-month follow-up, we found significant decreases in body mass index, waist circumference, weight, LDL cholesterol, and glucose, and an increase in high-density lipoprotein cholesterol. Outcomes for Meta Salud were similar to those found for Pasos Adelante.

Conclusion
The physiological improvements found among participants in Meta Salud and comparable changes among participants in Pasos Adelante suggest a scalable and effective behavioral intervention for regions of the United States and Mexico that share a common boundary or have similar cultural and linguistic characteristics.

Acknowledgments

The Center for Health Promotion in Northern Mexico received funding from the UnitedHealth Chronic Disease Initiative to develop and implement Meta Salud. We also acknowledge the Secretaría de Salud del Estado de Sonora [Sonora State Health Ministry] for supporting community health worker recruitment and overall intervention logistics.

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Author Information

Corresponding Author: Catalina A. Denman, PhD, MS, El Colegio de Sonora, Av Obregón #54, Colonia Centro, Hermosillo, Sonora, México 83000. Telephone: 52-662-259-5300, ext. 2223. E-mail: cdenman@colson.edu.mx.

Author Affiliations: Cecilia Rosales, Melanie L. Bell, Tanyha Zepeda, Scott Carvajal, Jill Guernsey de Zapien, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona; Elsa Cornejo, Diana Munguía, El Colegio de Sonora, Hermosillo, Sonora, Mexico.

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