Promotoras' roles in integrative validity and treatment fidelity efforts in randomized controlled trials

Colleen Keller, Kathie Records, Kathryn Coe, Barbara Ainsworth, Sonia Vega-Lopez, Allison Nagle-Williams, Paska Permana

Research output: Contribution to journalArticle

10 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)120-129
Number of pages10
JournalFamily and Community Health
Issue number2
StatePublished - Apr 1 2012



  • Hispanics
  • Latinas
  • culture
  • exercise
  • intervention fidelity
  • lay health provider
  • obesity
  • overweight
  • physical activity
  • postpartum
  • promotora
  • randomized controlled trial
  • social support

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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