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The National Action Summit for Latino Worker Health and Safety


PROJECT FRESCO: AN OCCUPATIONAL HEAT AND SUN SAFETY EDUCATION PROGRAM FOR FARMWORKERS The National Action Summit for Latino Worker Health and Safety – PowerPoint PPT presentation

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Title: The National Action Summit for Latino Worker Health and Safety

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,
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
  • 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
  • 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
  • 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)
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
  • Identified heat and sun exposure as a priority
    occupational health problem through a literature
    review and focus groups with farmworkers and
  • 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,
  • Campesinos Sin Fronteras/Yuma, Arizona
  • Nuestra Clinica Del Valle/San Juan, Texas

Literature Review
Lay Health Worker Focus Groups
Farmworker Focus Groups
AIM 2 Identification of Target Behaviors,
Determinants, and Change Objectives
  • Target Behaviors Drink water, Cover up, Cool
  • 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
  • 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
  • Developed materials Flipchart and fotonevela

Flipchart Farmworkers View
Flipchart Promotoras View
AIMs 3 4 Plan for Program Adoption and
AIM 6 Promotora curriculum will be certified
by the Promotor(a) Training and Certification
Program of the Texas Department of State Health
AIM 5 Evaluation Pretest and Pilot
  • 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
  • Are the materials easy to use?
  • Is program easy to implement?
  • Partner Migrant Health Promotion/ Weslaco,
  • 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, AZ Health center TBD in
California Central Valley
Thank you
  • Alicia Gonzales, MSSW
  • National Center for Farmworker Health, Inc.
  • 512-312-2700