| Abstrakt: |
Charlotte REACH 2010 is an example of a multi-level intervention with the goal of reducing cardiovascular disease (CVD) and diabetes. Structured within a socio-ecological framework, lay health advisors are the link between the multi-level programs. An exploratory assessment was conducted using focus group methodology. Nine focus groups were conducted with the Charlotte REACH LHAs, residents who had participated in REACH program activities, and residents who had not participated in REACH activities. Results reveal two prominent themes: improvements in health practices and community competence. Both LHAs and community participants improved their knowledge of health enhancement behaviors, developed health enhancement skills and behaviors, and noted personal, familial, and community wide health improvements. Community competence was also observed with regard to community commitment, communication of health issues, and expanded social support networks. The results of this qualitative evaluation suggest the effectiveness of incorporating natural helper models as part of larger multi-level initiatives. [ABSTRACT FROM AUTHOR] |
