Publications by authors named "M Christina Esperat"

This case study describes the process of implementing and evaluating an interprofessional collaborative practice (IPCP) program for primary care and behavioral health integration focused on chronic disease management. The result was a strong IPCP program in a nurse-led federally qualified health center serving medically underserved populations. The IPCP program at the Larry Combest Community Health and Wellness Center at the Texas Tech University Health Sciences Center spanned >10 years of planning, development, and implementation, supported by demonstration, grants, and cooperative grants from the Health Resources and Services Administration.

View Article and Find Full Text PDF

Purpose: This study aimed to examine the effect of a multicomponent intervention program on consumption of sugar-sweetened beverages (SSBs), and lifestyle factors associated with SSB intake, in Hispanic children from low-income families.

Design: A five-wave longitudinal study using a quasi-experimental design was conducted.

Setting: Five elementary schools in West Texas served as the setting.

View Article and Find Full Text PDF

Background: Early identification of cardiovascular diseases allows us to prevent the progression of these diseases. The Bale/Doneen Method, a prevention and treatment program for heart attacks and ischemic strokes, has been adopted nationally in primary care and specialty clinics.

Objectives: The main purpose of this study was to evaluate the effect of the Bale/Doneen Method on lipoproteins and carotid intima-media thickness (IMT) for cardiovascular disease prevention and reduction.

View Article and Find Full Text PDF

Increased cost of chronic illnesses in United States is an urgent call to develop a cost effective approach to improve chronic disease self-management, especially among vulnerable populations. An emerging role for professionals and paraprofessionals is the patient navigator. We present an example of a conceptual framework, Transformation for Health, developed to underpin the training of certified community health workers (CHW) to deliver health care, preventive services, and health education for underserved populations to promote chronic disease self-management.

View Article and Find Full Text PDF

Purpose: To examine the effect of parental support on sedentary behaviors among Hispanic children.

Design And Setting: A longitudinal quasi-experimental design with five waves of data collection was used to examine the effect of parental support on children's sedentary behaviors in a school-based intervention program in west Texas.

Subjects: Hispanic low-income parents and their children of 5 to 9 years (N = 416 child-parent dyads) over a 22-month period (1217 observations).

View Article and Find Full Text PDF