Resource Development for Improvement and Evaluation of a Behavioral Health Coaching Program using the 5 A’s for Mexican Nationals Living in the US: A Special Studies Project Open Access

Abstract

Background: In Georgia, the Mexican population has a high risk of developing chronic diseases, such as diabetes, hypertension, and obesity. These diseases increase the risk of cardiovascular disease, which is the leading cause of mortality in the United States. To reduce the risk of these types of chronic diseases, sufficient daily physical activity and good nutrition are recommended. Though the Ventanilla de Salud (VDS), a health information and referral program at the Consulate General of Mexico in Atlanta, already promotes physical activity and healthy eating, a more personalized, evidence-based strategy with standardized means of monitoring and evaluation is needed to effectively reduce chronic diseases in the Mexican population.

 

Purpose: The primary aim of this project was to develop materials to facilitate an evidence-based, behavioral health coaching model, including monitoring and evaluation of the VDS program with the intent of improving diets and increasing physical activity among Mexican immigrants who visit the Consulate General of Mexico in Atlanta.

 

Methods: A feasibility assessment about using the 5 A’s behavioral health coaching technique was conducted with the Health Educators and Rollins School of Public Health researchers. Once determined feasible, a toolkit was developed and the consent form was updated to facilitate the 5 A’s technique. A Health Coach Workshop was conducted to prepare Health Educators for the implementation of the 5 A’s at VDS.

 

Results: This new Plan of Action Toolkit includes general health goals, each with an area for the participant to write out their own goal and develop an action plan to achieve it. The new consent form gives data rights to the VDS and includes a section to follow up with the participant. The Health Coach Workshop Evaluation Survey showed that the workshop had relevant content, an excellent professor, and was useful.

 

Discussion: The 5 A’s behavioral counseling technique should be implemented completely with all steps to test for effectiveness. While implementing the 5 A’s, Health Coaches should begin pilot testing these new resources and revise as needed. A digital database should be created to facilitate monitoring and evaluation of the VDS program.

Table of Contents

Table of Contents

Chapter 1: Introduction. 1

1.1 Introduction and Rational 1

1.1.1 Latino Population and Health Statistics. 1

1.1.2 Mexican Health Initiative: Ventanilla de Salud. 2

1.1.3 An Ounce of Prevention: Healthy Lifestyle. 3

1.1.4 Prevalence of Latinos Practicing Healthy Habits in Georgia. 4

1.1.5 Current Practices at VDS. 5

1.2 Problem Statement 13

1.2.1 Deficiencies in the VDS Health Education and Monitoring. 13

1.3 Purpose Statement 14

1.3.1 Migrating from Health Education to Health Coaching. 14

1.4 Objectives. 15

1.5 Significance statement 15

1.6 Definition of Abbreviations. 16

Chapter 2: The Solution. 16

2.1 Behavioral Health Counseling. 16

2.1.1 The Health Coaching Model 17

Chapter 3: Methods. 19

3.1 Processes and Rationale. 19

3.1.1 Assessment of Feasibility. 19

3.1.2 Development of Materials. 20

3.1.3 Follow-Up Calls. 23

3.1.4 Training Health Educators in the 5 A’s Model 24

Chapter 4: Results. 26

4.1 Resources Developed and Workshop Evaluation. 26

4.1.1 Plan of Action Toolkit. 26

4.1.2 DAA Consent Form with Follow Up. 30

4.1.3 Health Coach Workshop Evaluation Survey. 33

Chapter 5: Discussion. 34

5.1 Strengths, Limitations, and Recommendations. 34

5.1.1 Strengths. 34

5.1.2 Limitations. 35

5.1.3 Future Recommendations. 37

5.1.4 Conclusion.. 38

Bibliography. 1

Appendix A: DAA Consent Form.. 41

Appendix B: Daily Report Form.. 42

Appendix C: Participant Information and Results Brochure. 43

Appendix D: Abnormal Glucose List 45

Appendix E: PowerPoint for Health Coach Workshop. 46

Appendix F: Plan of Action Toolkit 54

Appendix G: DAA Consent Form with Follow Up. 61

 

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Keyword	health coaching Ventanilla de Salud 5 A's Latinos behavioral health
Committee Chair / Thesis Advisor	Ines Gonzalez-Casanova, Emory University

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