RURAL LEAD EDUCATION--EVALUATION OF CONSULTANT METHODS

农村主导教育--顾问方法的评估

• 批准号: 2035933
• 负责人: BARBARA J POLIVKA
• 金额: $ 11.36万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-01-15 至 2001-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2035933
• 关键词: adult human (21+); behavioral /social science research tag; clinical research; community health services; education evaluation /planning; health education; health surveys; human subject; lead poisoning; longitudinal human study; nursing care evaluation; preschool child (1-5); public health nursing; rural area; statistics /biometry; toxicant screening

DESCRIPTION: (Adapted from investigator's abstract) Between 9% and 17% of rural children are estimated at risk for the devastating effects of lead poisoning. Community health nurse consultants have traditionally worked with rural public health providers to reduce risk factors and increase prevention activities with no provision for evaluation of alternative strategies in the consultant role. This study will test the effectiveness of consultation provided at three levels (minimal/control, moderate, & maximum) to three randomly assigned rural counties for the development of county-wide, collaborative education programs. Consultation will be assessed for its impact on: community knowledge of lead hazards; interagency collaboration; cost; rates of lead screenings and identified cases; and number of implemented lead education programs. Each county will be asked to form an interagency community lead education coalition. The intensity of the consultation provided to the coalition will differ by county. In County A, consultation will occur during routine quarterly contacts; in County B, the consultant will initiate monthly contacts and serve as an ad-hoc member of the Coalition; in County C, the consultant will initiate weekly contacts, be on the coalition, and co-plan program initiatives. The community lead education initiatives will have three major foci: public service announcements; education of pre-schoolers and parents; and education of those involved in remodeling of older homes. Changes in community lead knowledge level will be assessed via pre and post intervention surveys of: random selected residents with a phone; WIC participants without a phone; minority residents; and the Committee Effectiveness Inventory. Costs will be determined by monitoring direct consultant costs, program costs, and cost effectiveness. Lead screenings will be charted monthly for 12 months prior to and 12 months post-intervention. Data on the community lead education initiatives will be gathered as they occur and consultant contact will be documented after each encounter. Results from this study will build empirical guidelines for interventions by public health nurse consultants and providers planning rural community health education.

描述：（根据调查人员的摘要进行了改编）在9％至17％之间 据估计，农村儿童有铅的破坏性影响的风险 中毒。 传统上，社区健康护士顾问工作 与农村公共卫生提供者一起减少风险因素并增加 没有评估替代方案的预防活动 顾问角色的策略。 这项研究将测试有效性 提供三个级别的咨询（最小/对照，中等，＆ 最多）到三个随机分配的农村县的发展 县范围内的合作教育计划。 咨询将是 评估其对铅危害的社区知识的影响； 机构间协作；成本;铅筛选的速度并确定 案件；和实施的主要教育计划的数量。 每个县都会 被要求组成一个机构间社区领导教育联盟。 这 提供给联盟的咨询的强度将因 县。 在A县，将在常规季度进行咨询 联系人；在B县，顾问将每月联系 担任联盟的临时成员；在C县，顾问将 启动每周联系，加入联盟和共同计划计划 倡议。 社区领导教育计划将有三个主要 FOCI：公共服务公告；对学龄前儿童和父母的教育； 以及对涉及旧家庭改建的人的教育。 变更 社区潜在客户知识水平将通过前后评估 干预调查：随机选择手机的居民； WIC 没有电话的参与者；少数居民；和委员会 有效库存。 成本将通过监视直接监控确定 顾问成本，计划成本和成本效益。 线索筛选 将在每月绘制的每月图表，持续12个月和12个月 干预后。 有关社区领导教育计划的数据将是 在发生时收集，每次都会记录顾问联系 遇到。 这项研究的结果将制定经验指南 公共卫生护士顾问和提供者计划的干预措施 农村社区健康教育。