Project FRESCO: An Occupational Heat and Sun Safety Education Program for Farmworkers
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The National Action Summit for Latino Worker Health and Safety Presented by: Alicia Gonzales, MSSW, Project Director, [email protected] PowerPoint PPT Presentation


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Project FRESCO: An Occupational Heat and Sun Safety Education Program for Farmworkers . The National Action Summit for Latino Worker Health and Safety Presented by: Alicia Gonzales, MSSW, Project Director, [email protected]

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The National Action Summit for Latino Worker Health and Safety Presented by: Alicia Gonzales, MSSW, Project Director, [email protected]

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The national action summit for latino worker health and safety presented by alicia gonzales mssw project director g

Project FRESCO: An Occupational Heat and Sun Safety Education Program for Farmworkers

The National Action Summit for Latino Worker Health and Safety

Presented by: Alicia Gonzales, MSSW, Project Director, [email protected]

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 team advisory committee

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

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 Aims

Formative research

Develop and pretest educational materials

Research minimum competencies for promotoras

Develop promotora curriculum

Pilot Intervention and evaluate results

Certify promotora curriculum with TxDSHS


Intervention mapping im

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:

Assess needs

Identify target behaviors, determinants, and then change objectives

Identify methods and strategies

Develop program materials

Plan for program adoption and implementation

Evaluation


Aim 1 needs assessment

AIM 1: Needs Assessment

Literature Review

  • 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, Texas

      Mano a Mano/Brownsville, Texas

      Collier County Health Department/Immokalee, Florida

      Campesinos Sin Fronteras/Yuma, Arizona

      Nuestra Clinica Del Valle/San Juan, Texas

Lay Health Worker Focus Groups

Farmworker Focus Groups


Aim 2 identification of target behaviors determinants and change objectives

AIM 2: Identification of Target Behaviors, Determinants, and Change Objectives

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 selection of methods and strategies and development of program materials

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 View

Fotonovel


Aims 3 4 plan for program adoption and implementation

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 pilot

AIM 5: Evaluation: Pretest and Pilot

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.

Pretest

  • 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

  • *Partners (Tentative):

    • Campesinos Sin Fronteras/Somerton, AZ

    • Health center TBD in California Central Valley


Thank you

Thank you…

Alicia Gonzales, MSSW

National Center for Farmworker Health, Inc.

512-312-2700

[email protected]


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