Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers

Introduction Community health workers (CHWs), or promotora de salud, have an important role in healthcare education and advocacy in the Latin American community. We aimed to determine the impact of a promotora de salud program on attitudes and beliefs regarding AD management among Latin American car...

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Veröffentlicht in:Pediatric dermatology 2022-03, Vol.39 (2), p.182-186
Hauptverfasser: Joseph, Adrienne K., Chen, Henry W., Hassan Youssef, Sara, Limmer, Emily E., Eifert, Faye, Dominguez, Arturo R.
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container_end_page 186
container_issue 2
container_start_page 182
container_title Pediatric dermatology
container_volume 39
creator Joseph, Adrienne K.
Chen, Henry W.
Hassan Youssef, Sara
Limmer, Emily E.
Eifert, Faye
Dominguez, Arturo R.
description Introduction Community health workers (CHWs), or promotora de salud, have an important role in healthcare education and advocacy in the Latin American community. We aimed to determine the impact of a promotora de salud program on attitudes and beliefs regarding AD management among Latin American caregivers of pediatric patients with atopic dermatitis. Methods This is a sub‐study of an ongoing randomized, investigator‐blinded, placebo‐controlled trial. Mann‐Whitney U tests compared questionnaire responses in the standard education group to the promotora group. Results Caregivers in the promotora group were more likely to state that they knew how to apply wet wraps and use bleach (sodium hypochlorite) baths at 1 month (wet wraps p = .027, bleach baths p = .005) and 3 months (wet wraps p = .005, bleach baths p 
doi_str_mv 10.1111/pde.14917
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We aimed to determine the impact of a promotora de salud program on attitudes and beliefs regarding AD management among Latin American caregivers of pediatric patients with atopic dermatitis. Methods This is a sub‐study of an ongoing randomized, investigator‐blinded, placebo‐controlled trial. Mann‐Whitney U tests compared questionnaire responses in the standard education group to the promotora group. Results Caregivers in the promotora group were more likely to state that they knew how to apply wet wraps and use bleach (sodium hypochlorite) baths at 1 month (wet wraps p = .027, bleach baths p = .005) and 3 months (wet wraps p = .005, bleach baths p &lt; .001) demonstrating greater self‐efficacy, defined as an individual's belief in their capacity to execute a certain behavior to achieve a desired outcome, compared with the standard education group. Conclusions Culturally competent and language concordant educational interventions may improve confidence in utilizing wet wraps and bleach baths among Latin‐American caregivers of children with atopic dermatitis, which may improve AD outcomes in the Latin‐American community.</description><identifier>ISSN: 0736-8046</identifier><identifier>EISSN: 1525-1470</identifier><identifier>DOI: 10.1111/pde.14917</identifier><identifier>PMID: 35178737</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Atopic dermatitis ; Attitude ; Baths ; Caregivers ; Child ; Community Health Workers ; Dermatitis ; Dermatitis, Atopic - therapy ; Dermatology ; Eczema ; Education ; Health care ; Humans ; Language ; Latin‐American Community ; Medical personnel ; Pediatrics ; Sodium hypochlorite</subject><ispartof>Pediatric dermatology, 2022-03, Vol.39 (2), p.182-186</ispartof><rights>2022 Wiley Periodicals LLC</rights><rights>2022 Wiley Periodicals LLC.</rights><rights>Copyright © 2022 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3537-9591c88b3e2b820b8c3d7e6f368b4ffe9c60ff7b168e506639995b81537ce8473</citedby><cites>FETCH-LOGICAL-c3537-9591c88b3e2b820b8c3d7e6f368b4ffe9c60ff7b168e506639995b81537ce8473</cites><orcidid>0000-0002-6199-0736 ; 0000-0001-7714-2830 ; 0000-0001-6933-8171 ; 0000-0001-8488-3194</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpde.14917$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpde.14917$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35178737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Joseph, Adrienne K.</creatorcontrib><creatorcontrib>Chen, Henry W.</creatorcontrib><creatorcontrib>Hassan Youssef, Sara</creatorcontrib><creatorcontrib>Limmer, Emily E.</creatorcontrib><creatorcontrib>Eifert, Faye</creatorcontrib><creatorcontrib>Dominguez, Arturo R.</creatorcontrib><title>Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers</title><title>Pediatric dermatology</title><addtitle>Pediatr Dermatol</addtitle><description>Introduction Community health workers (CHWs), or promotora de salud, have an important role in healthcare education and advocacy in the Latin American community. We aimed to determine the impact of a promotora de salud program on attitudes and beliefs regarding AD management among Latin American caregivers of pediatric patients with atopic dermatitis. Methods This is a sub‐study of an ongoing randomized, investigator‐blinded, placebo‐controlled trial. Mann‐Whitney U tests compared questionnaire responses in the standard education group to the promotora group. Results Caregivers in the promotora group were more likely to state that they knew how to apply wet wraps and use bleach (sodium hypochlorite) baths at 1 month (wet wraps p = .027, bleach baths p = .005) and 3 months (wet wraps p = .005, bleach baths p &lt; .001) demonstrating greater self‐efficacy, defined as an individual's belief in their capacity to execute a certain behavior to achieve a desired outcome, compared with the standard education group. Conclusions Culturally competent and language concordant educational interventions may improve confidence in utilizing wet wraps and bleach baths among Latin‐American caregivers of children with atopic dermatitis, which may improve AD outcomes in the Latin‐American community.</description><subject>Atopic dermatitis</subject><subject>Attitude</subject><subject>Baths</subject><subject>Caregivers</subject><subject>Child</subject><subject>Community Health Workers</subject><subject>Dermatitis</subject><subject>Dermatitis, Atopic - therapy</subject><subject>Dermatology</subject><subject>Eczema</subject><subject>Education</subject><subject>Health care</subject><subject>Humans</subject><subject>Language</subject><subject>Latin‐American Community</subject><subject>Medical personnel</subject><subject>Pediatrics</subject><subject>Sodium hypochlorite</subject><issn>0736-8046</issn><issn>1525-1470</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFu1DAQhi0EokvhwAsgS1zaQ1o7TmznWLVLi7QSlQrnyHHGu27jONhOq73xCLwOr8OT1NstHJCYy0ij7_9nRj9C7yk5oblOpx5OaNVQ8QItaF3WBa0EeYkWRDBeSFLxA_QmxltCiOScvkYHrKZCCiYW6NfyXg2zSnZc47QBbN2kdMLeYIW1d24ebdriDaghbfCDD3cQ8NF18M4nHxTuAd9kfX-Mp-DXQTnsR6xSsmnuIWI19riDwYKJOMBahX63RyU_WZ21weXFyWbO-Ty_mdRo4-b3j59xAnW3Q1e7y_LgzEGwWo1Yq-xj7yHEt-iVUUOEd8_9EH37tPx6flWsvlx-Pj9bFZrVTBRN3VAtZceg7GRJOqlZL4AbxmVXGQON5sQY0VEuoSacs6Zp6k7SrNUgK8EO0dHeN3_4fYaYWmejhmFQI_g5tiVnpGGkrHhGP_6D3vo5jPm6TNWUSdmULFPHe0oHH2MA007BOhW2LSXtLs8259k-5ZnZD8-Oc-eg_0v-CTADp3vgwQ6w_b9Te32x3Fs-AqYvrrc</recordid><startdate>202203</startdate><enddate>202203</enddate><creator>Joseph, Adrienne K.</creator><creator>Chen, Henry W.</creator><creator>Hassan Youssef, Sara</creator><creator>Limmer, Emily E.</creator><creator>Eifert, Faye</creator><creator>Dominguez, Arturo R.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6199-0736</orcidid><orcidid>https://orcid.org/0000-0001-7714-2830</orcidid><orcidid>https://orcid.org/0000-0001-6933-8171</orcidid><orcidid>https://orcid.org/0000-0001-8488-3194</orcidid></search><sort><creationdate>202203</creationdate><title>Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers</title><author>Joseph, Adrienne K. ; Chen, Henry W. ; Hassan Youssef, Sara ; Limmer, Emily E. ; Eifert, Faye ; Dominguez, Arturo R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3537-9591c88b3e2b820b8c3d7e6f368b4ffe9c60ff7b168e506639995b81537ce8473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Atopic dermatitis</topic><topic>Attitude</topic><topic>Baths</topic><topic>Caregivers</topic><topic>Child</topic><topic>Community Health Workers</topic><topic>Dermatitis</topic><topic>Dermatitis, Atopic - therapy</topic><topic>Dermatology</topic><topic>Eczema</topic><topic>Education</topic><topic>Health care</topic><topic>Humans</topic><topic>Language</topic><topic>Latin‐American Community</topic><topic>Medical personnel</topic><topic>Pediatrics</topic><topic>Sodium hypochlorite</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Joseph, Adrienne K.</creatorcontrib><creatorcontrib>Chen, Henry W.</creatorcontrib><creatorcontrib>Hassan Youssef, Sara</creatorcontrib><creatorcontrib>Limmer, Emily E.</creatorcontrib><creatorcontrib>Eifert, Faye</creatorcontrib><creatorcontrib>Dominguez, Arturo R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Joseph, Adrienne K.</au><au>Chen, Henry W.</au><au>Hassan Youssef, Sara</au><au>Limmer, Emily E.</au><au>Eifert, Faye</au><au>Dominguez, Arturo R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers</atitle><jtitle>Pediatric dermatology</jtitle><addtitle>Pediatr Dermatol</addtitle><date>2022-03</date><risdate>2022</risdate><volume>39</volume><issue>2</issue><spage>182</spage><epage>186</epage><pages>182-186</pages><issn>0736-8046</issn><eissn>1525-1470</eissn><abstract>Introduction Community health workers (CHWs), or promotora de salud, have an important role in healthcare education and advocacy in the Latin American community. We aimed to determine the impact of a promotora de salud program on attitudes and beliefs regarding AD management among Latin American caregivers of pediatric patients with atopic dermatitis. Methods This is a sub‐study of an ongoing randomized, investigator‐blinded, placebo‐controlled trial. Mann‐Whitney U tests compared questionnaire responses in the standard education group to the promotora group. Results Caregivers in the promotora group were more likely to state that they knew how to apply wet wraps and use bleach (sodium hypochlorite) baths at 1 month (wet wraps p = .027, bleach baths p = .005) and 3 months (wet wraps p = .005, bleach baths p &lt; .001) demonstrating greater self‐efficacy, defined as an individual's belief in their capacity to execute a certain behavior to achieve a desired outcome, compared with the standard education group. Conclusions Culturally competent and language concordant educational interventions may improve confidence in utilizing wet wraps and bleach baths among Latin‐American caregivers of children with atopic dermatitis, which may improve AD outcomes in the Latin‐American community.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35178737</pmid><doi>10.1111/pde.14917</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-6199-0736</orcidid><orcidid>https://orcid.org/0000-0001-7714-2830</orcidid><orcidid>https://orcid.org/0000-0001-6933-8171</orcidid><orcidid>https://orcid.org/0000-0001-8488-3194</orcidid></addata></record>
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subjects Atopic dermatitis
Attitude
Baths
Caregivers
Child
Community Health Workers
Dermatitis
Dermatitis, Atopic - therapy
Dermatology
Eczema
Education
Health care
Humans
Language
Latin‐American Community
Medical personnel
Pediatrics
Sodium hypochlorite
title Evaluating the impact of a community health worker (Promotora de Salud) program on attitudes and beliefs regarding atopic dermatitis among Spanish‐speaking Latin‐American caregivers
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