Creating Parity in Health Education Using Technology

利用技术创造健康教育的平等

• 批准号: 6545318
• 负责人: BARBARA J TARLOW
• 金额: $ 7.57万
• 依托单位: HEBREW REHABILITATION CENTER FOR AGED
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6545318
• 关键词: African American; Alzheimer's disease; Asian Americans; DVD /CD ROM; Hispanic Americans; adult human (21+); belief; clinical research; computer assisted instruction; culture; education evaluation /planning; educational resource design /development; ethnic group; health behavior; human subject; interview; medically underserved population; memory disorders; mental disorder diagnosis; mental health education; patient oriented research

Barriers to understanding Alzheimer's disease (AD) lead to delays of two years or longer in recognizing the signs of serious memory loss and seeking evaluation. Increased understanding about AD by racial and ethnic minorities is important because the proportion of minority people over the age of 85, those most at risk of developing AD, is projected to increase from 16% to 34% of the population by 2050. Research indicates that the prevalence of AD among African American and Hispanic persons is higher than for Whites. The problem of delayed diagnosis is compounded in minority communities that are frequently underserved with less access to health information and care. A CD-ROM multi-media program has been developed to increase people's knowledge about the differences between normal forgetfulness and early signs of AD and to promote early clinical evaluation. This program has been shown to significantly increase the users' knowledge about normal forgetfulness and AD. We propose to extend the previous research, which was limited due to a homogenous sample, by studying what is culturally useful for African American, Asian and Hispanic viewers. Focus group interviews will be conducted separately within each culturaVethnic group. Participants will be asked to describe what serious memory loss means in their respective communities and what families do when a member displays signs of memory loss. Participants will also be asked to view and evaluate the current CD-ROM program to generate ideas for revising the program to meet the needs and preferences of their respective culturaVethnic groups. The primary qualitative data will be collected using unstructured interview techniques and analyzed according to Grounded Theory methods. Responses to viewing the CD-ROM program will be collected using semi-structured and closed questions and analyzed using content analysis and descriptive statistics. Findings from this study will be used to develop new versions of this program through a subsequent R01 application.

了解阿尔茨海默氏病（AD）的障碍导致两年或更长时间的延迟，以认识到严重记忆力丧失和寻求评估的迹象。种族和少数民族对AD的了解更为重要，因为预计到2050年，85岁以上的少数民族（85岁时，最有发展AD风险的人）将从16％增加到34％的人口。研究表明，非裔美国人和西班牙裔人群中AD的普遍性高于白人。在少数族裔社区中，诊断延迟的问题通常是在服务不足的情况下，获得健康信息和护理的机会较少。已经制定了一项CD-ROM多媒体计划，以增加人们对正常健忘和AD早期迹象之间差异的了解，并促进早期临床评估。该程序已被证明可以显着增加用户对正常健忘和广告的了解。我们建议通过研究哪些对非裔美国人，亚洲和西班牙裔观众对文化有用的东西来扩展以前的研究，该研究受到同质样本的限制。焦点小组访谈将在每个文化群体中分别进行。将要求参与者描述对各自社区的严重记忆丧失意味着什么，以及当成员显示记忆丧失迹象时的家庭所做的事情。还将要求参与者查看和评估 当前的CD-ROM程序，以生成修改程序以满足需求和的想法 他们各自的文化群体的偏好。主要的定性数据将使用非结构化的访谈技术收集，并根据基础理论方法进行分析。 对查看CD-ROM程序的响应将使用半结构化和封闭的问题收集，并使用内容分析和描述性统计数据进行分析。这项研究的结果将用于通过随后的R01应用程序来开发该程序的新版本。