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SONRISA: A Curriculum Toolbox for Promotores to Address Mental Health and Diabetes
Contributed By: California Diabetes Program
Author: Reinschmidt KM, Chong J. 2005. SONRISA: A Curriculum Toolbox for Promotores / Community Health Workers to Address Mental / Emotional Health Issues Associated with Diabetes. Southwest Center for Community Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona
The goal of the SONRISA curriculum toolbox is to respond to the two commonly expressed needs of promotores/CHWs working with clients on diabetes prevention and management:
- To address the prevention and management of depression together with the prevention and management of diabetes.
- To prevent emotional burnout from helping clients cope with diabetes and other daily issues.
While SONRISA is designed for promotores/CHWs working on diabetes prevention and management with the predominantly Hispanic populations along the U.S. Mexico border, the material presented in this toolbox is adaptable to other populations. It is also adaptable to other chronic diseases, i.e. to address depression associated with other chronic diseases such as cancer.
SONRISA offers promotores/CHWs a resource to learn about depression and other mental / emotional health issues associated with diabetes, to identify the severity of depression, to work with clients in cases of minimal to mild depression, and to know whom to refer to in cases of moderate to severe depression.
SONRISA is a curriculum toolbox in a very literal sense. Its "tools" can be used individually or in combination with other tools to produce a more comprehensive and relevant diabetes (or other chronic disease) curriculum, customized to your and your clients’ needs.
Download either the English or Spanish versions by click on the links below.
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SONRISA Toolbox (English)
(4.54 MB)
Evaluation:
This resource has been evaluated.
Details:
Abstract (full article can be accessed via link above)
Introduction
SONRISA is a Spanish/English mental health curriculum toolbox developed for promotores (community health workers) who work with Hispanic clients to prevent or manage diabetes. Promotoras and community members from a community-based project requested their university partner to help promotores address depression observed in their clients with diabetes.
Methods
Data collection included reviewing existing educational materials and conducting focus groups. Promotoras piloted the first version of SONRISA in a 1-day workshop.
Results
Four curricula from community agencies were reviewed, and 49 individuals participated in eight focus groups. Promotora feedback during the workshop informed the revision of SONRISA.
The community-based participatory approach produced a highly relevant and culturally appropriate toolbox for general use by promotores and their clients. SONRISA provides training material to address depression and diabetes, educational material for clients, and approaches to prevent work-related emotional burnout.
Conclusion
SONRISA offers an innovative, integrated approach to training promotores to address depression among their clients with chronic illnesses. It is culturally appropriate and adaptable to other populations.
California Department of Public Health | Diabetes Coalition of California | University of California, San Francisco
Major funding provided by the Division of Diabetes Translation, Centers for Disease Control and Prevention (CDC)
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