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Promotoras' Roles in Integrative Validity and Treatment Fidelity Efforts in Randomized Controlled Trials

Keller, Colleen PhD, RN-C, APRN, FAHA, FAAN; Records, Kathie PhD, RN; Coe, Kathryn PhD; Ainsworth, Barbara PhD, MPH; López, Sonia Vega PhD; Nagle-Williams, Allison MSW; Permana, Paska PhD

doi: 10.1097/FCH.0b013e31824650a6
Lay Health Promoters/Community Health Workers

Promotoras from the communities in which interventions are implemented can be effective contributors to validity and fidelity efforts. This article describes a 48-week randomized controlled trial Madres para la Salud (Mothers for Health) and illustrates the use of promotoras as collaborative members of the research team to contribute to attaining integrative validity and treatment fidelity. Madres para la Salud implements a culturally tailored physical activity program to effect changes in body fat, systemic and fat tissue inflammation, and depression symptoms. The significance of Madres para la Salud treatment validity and fidelity processes includes cultural tailoring of a social support intervention, and a promotora model to incorporate initial and ongoing fidelity monitoring.

College of Nursing and Health Innovation (Drs Keller and Records and Ms Nagle-Williams) and School of Nutrition and Health Promotion (Drs Ainsworth and López), Arizona State University, and Phoenix VA Health Care System (Dr Permana), Phoenix, Arizona; and Department of Public Health, Indiana University-Purdue University, Indianapolis, Indiana (Dr Coe).

Correspondence: Colleen Keller, PhD, RN-C, FAHA, FNAP, College of Nursing and Health Innovation, Arizona State University, 500 N 3rd St, Phoenix, AZ 85004 (

This study was funded by the National Institutes of Health, National Institute of Nursing Research NIH/NINR 1 R01NR010356-01A2, Madres para la Salud (Mothers for Health) (Dr Keller, PI). The study protocol was approved by the Arizona State University Institutional Review Board and the Maricopa Integrated Health System Human Subjects Review Board.

The authors declare no conflict of interest.

© 2012 Lippincott Williams & Wilkins, Inc.