Positive, culturally sensitive experiences in prenatal care can have a long-term impact on the health and use of healthcare services by Hispanic women and their families.
A culturally appropriate, empowerment-based lay educator model designed to address individual, community and provider needs unique to prenatal care could help generate cost-savings to the healthcare system, improve quality of care, and address multiple needs of this growing population.
The study team used a mixed method design with a community-based participatory research process. A diverse and experienced community advisory board of health professionals, researchers, and promotoras helped guide the study team through both phases of research. Latino community members also provided feedback through field-testing in different geographic locations during all phases of product development.
See Community Advisory Board
(Grant No. 1R43MD002713-01)
Dr. Sarah Verbiest, Director of the University of North Carolina's Center for Maternal & Infant Health at the UNC School of Medicine collaborated with Dr. Auger as her company's Research Institution Partner for Phase I and 2.
Mélida Colindres, President & Founder of INTER-AM English & Spanish Communications, was a key member of the study team. She and Dr. Auger have been partners in the development and testing of the TWS Method and the De Madre A Madre photonovels since their inception.
See Research Team
Through this pilot study, we wanted to:
The study team achieved these aims through a series of key informant interviews with health care administrators (n=16) and a pilot electronic survey of health care professionals (n=104).
Through this study, we wanted to:
A Plan-Do-Study-Act (PDSA) cycle methodology was used to develop and refine the TWS prenatal care photonovels and training materials.
Phase I Results
For a summary of the survey findings: Improving Prenatal Care for Hispanic Mothers: Health Professional Perspectives
Phase 2 Results
For a summary of the Phase 2 findings:
See also Poster Presentation at 2012 NIH National Summit on Reducing Health Disparities.