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Lay Health Advisors: A Strategy for Getting the Word out about Breast Cancer

Citation

Earp, Jo Anne L.; Viadro, Claire Isabel; Vincus, Amy A.; Flax, Valerie L.; Mayne, Linda L.; & Eng, Eugenia (1997). Lay Health Advisors: A Strategy for Getting the Word out about Breast Cancer. Health Education & Behavior, 24(4), 432-51.

Abstract

Transforming natural helpers into lay health advisors (LHAs) is a complex undertaking. Using the North Carolina Breast Cancer Screening Program (NC-BCSP) as a case study, this article describes the steps involved in developing, implementing, and evaluating an LHA intervention, considering factors that make the LHA approach appropriate for the NC-BCSP's population, setting, and health focus. The authors review five phases of implementation (start-up, training, LHA activities, follow-up, resource mobilization) and discuss the NC-BCSP's evaluation strategies and tools in light of difficulties involved in assessing natural helping processes and impact. Program challenges related to resource needs, identification of natural helpers, and LHA monitoring and support also are considered. The authors describe ways in which one large group of older, rural, African American LHAs are helping establish countywide partnerships between health care providers, agencies, and local communities that support and sustain individual changes in health behavior.

URL

http://dx.doi.org/10.1177/109019819702400404

Reference Type

Journal Article

Journal Title

Health Education & Behavior

Author(s)

Earp, Jo Anne L.
Viadro, Claire Isabel
Vincus, Amy A.
Flax, Valerie L.
Mayne, Linda L.
Eng, Eugenia

Year Published

1997

Volume Number

24

Issue Number

4

Pages

432-51

Reference ID

898