Table 1.

Outline of LHW didactic sessions for the intervention (skin cancer) and control (diabetic) teaching groups

Lecture (skin cancer) Ask if any LHWs have had a skin cancer or know someone who has had skin cancer Discuss Latinos are at risk for skin cancer including acral lentiginous melanoma Review increasing incidence of melanoma and skin cancer in Latinos Importance of early detection for improved survival as early skin cancer is removed with office surgery Risk factors for developing skin cancer including sun exposure, family history, and number of nevi Discuss ABCDEs of melanoma detection (Asymmetry, Borders, Color, Diameter, Evolution). Review photographs of changing nevi. Emphasize importance of hand and foot exams Pictures of nonmelanoma skin cancer Prevention—sun protection, sunscreen, sun protective clothing Distribute flip cards with early warning signs of melanoma Reinforce ABCDEs of melanoma using flip cards for review Question and answer period Practice examining fellow participant’s visible skin of the face, arms, and hands The skin examination enabling kit consisting of the flip cards, ruler, and magnifying lens are given to each LHW. Demonstrate how to use the body map by examining each other and place a mark on the area of concern on the map. Answer any remaining questions

LHW lecture (diabetic skin care) Ask if anyone has diabetes or knows someone who does Discuss Latino diabetes epidemic Review of risk factors and incidence Discuss there are skin findings in diabetes Discuss 5 diseases that can be seen in diabetes Necrobiosis lipoidica diabeticorum Granuloma annulare Diabetic bulla Acanthosis nigricans Neurotropic foot ulcers 7Emphasize importance of foot exams for diabetes ulcers 8Question and answer period 9Distribute photos of diabetes skin findings 10Demonstrate how to use the body map by examining each other and place a mark on the area of concern on the map. 11Answer any remaining questions