Prevention, Population and Disease management (PrePoD

Assendelft, W.

Crone, M.

Dijk, S. van

Gebhardt, W.

Groenenberg, I.

Meftah, J. ben

Middelkoop, B.

Leiden University Scholary Publications

Community Health Workers’ role in supporting non-western immigrants in theNetherlands to lower cardiometabolic riskJ. Ben Meftah1, M. Crone1, S. van Dijk1, W. Gebhardt2, I. Groenenberg1, W. Assendelft1,B. Middelkoop11Leiden University Medical Centre, Public Health and Primary Care, Leiden, Netherlands2Leiden University, Clinical Health and Neuropsychology, Leiden, NetherlandsBackground: Self-regulation programs led by Community Health Workers (CHWs) appearpromising in lowering cardiometabolic risk in non-western immigrant populations. However,little is known about the specific role of the CHW. Aim of the study was to identify essentialcompetencies and effective behaviour change techniques (BCTs). Methods: A needsassessmentwas performed using focus group and face-to-face interviews among non-western immigrants.Additionally, a systematic review identified CHW tasks, competencies, and effective BCTs.Findings: Non-western immigrants reported somewhat different CHW tasks than thoseemerging from the review. Immigrants stressed the importance of fear arousal and reflectingon own behaviour, whereas the review underlined goal-setting, self-monitoring, andidentifying barriers. Both emphasized the importance of integrating care into the socialcontext by mobilising social support, and restructuring the environment. Discussion: In atheory and evidence based CHW-led program, CHWs should use effective BCTs and payspecial attention to the social context of non-western immigrants.Health threat beliefs and coping in the context of genetic risk for cancerP. Bennett1, C. Phelps21University of Swansea, Psychology, Swansea, United Kingdom2Swansea Metropolitan University, Psychology and Counselling, Swansea, UnitedKingdomThis research examined concerns and coping during assessment for genetic risk of breastcancer. Participants were 301 women undergoing genetic risk assessment. Analysis involvedexploration of the relationship between specific beliefs and the use of coping strategies,changes in coping strategies over each of three phases of the assessment process, clusteranalysis to identify groups using similar coping strategies, and the relationship betweenconcerns, coping, and changes in negative emotions and frequency of worry. Overall, the datashow that participants used one dominant strategy for coping with each concern (limited topositive appraisal, acceptance, and seeking family/social support) and used other copingstrategies much less often. Cluster analysis revealed four clusters of coping responses,including the use of positive appraisal as an almost unique coping response. The associationsbetween coping and changes in emotions and worry were modest although statisticallysignificant.Predicting PTSD following first onset acute coronary syndrome: testing atheoretical modelP. Bennett1, V. Marke21University of Swansea, Psychology, Swansea, United Kingdom2University of Cardiff, Nursing and Midwifery Studies, Cardiff, United KingdomEHPS 2012 abstracts 9Downloaded by [Universiteit Leiden / LUMC] at 02:36 15 April 2013 

Community Health Workers' role in supporting non-western immigrants in the Netherlands to lower cardiometabolic risk

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Community Health Workers' role in supporting non-western immigrants in the Netherlands to lower cardiometabolic risk

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