Hepatitis B ESL Education for Chinese

中国乙肝ESL教育

• 批准号: 6899070
• 负责人: VICTORIA M TAYLOR
• 金额: $ 43.97万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-09 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6899070
• 关键词: Canada; Chinese American; United States; behavioral /social science research tag; cancer prevention; cancer risk; cardiovascular disorder prevention; clinical research; communicable disease control; culture; curriculum; education evaluation /planning; educational resource design /development; focus groups; health behavior; health education; hepatitis B; human subject; liver neoplasms; medical records; neoplasm /cancer education; nonEnglish language; outcomes research; public health; questionnaires; serology /serodiagnosis

DESCRIPTION (provided by applicant): Little is known about the disease prevention behavior of Chinese in North America, and relatively few studies have addressed cancer control in this group. However, Chinese Americans/Canadians have a much higher incidence of liver cancer than non-Latino Whites. This excess risk is attributable to high rates of hepatitis B virus (HBV) infection combined with low levels of hepatitis B vaccination coverage. One critical area for the strategic development of health literacy among Asian and other immigrant groups is the design and evaluation of culturally appropriate English as a second language (ESL) curricula. The goal of our research is to increase the proportion of Chinese adults who have been tested for evidence of HBV infection. Our objective is to conduct a group-randomized controlled trial to evaluate the acceptability, feasibility, and effectiveness of a liver cancer control educational intervention for Chinese attending ESL classes. Our study will be conducted in Seattle, Washington and Vancouver, British Columbia. The Health Behavior Framework, findings from a previous hepatitis B qualitative study, and focus groups of ESL teachers as well as students will be used to develop the hepatitis B educational program. An intervention trial will be conducted with ESL classes as the unit of randomization. Sixty ESL classes will be randomized to experimental or control status. Six hundred Chinese men and women aged 18-64 years will participate in the trial. The experimental group will receive a hepatitis B intervention and the control group will receive a heart disease intervention. Educational components will include an ESL curriculum as well as a pamphlet. Participants will complete a self-administered baseline survey, just prior to receiving health education. Outcome evaluation will be based on data from an in-person follow-up survey and medical record verification. Our primary outcome will be HBV serologic testing. Knowledge about key hepatitis B facts will be examined as a secondary outcome.

描述（由申请人提供）：对北美中国人的疾病预防行为知之甚少，相对较少的研究解决了该组的癌症控制。但是，中国美国人/加拿大人的肝癌发病率要高于非拉丁裔白人。这种多余的风险归因于乙型肝炎病毒（HBV）感染的高率，结合了低水平的丙型肝炎疫苗接种覆盖率。亚洲和其他移民群体中健康素养战略发展的一个关键领域是对文化适当的英语作为第二语言（ESL）课程的设计和评估。 我们研究的目的是增加经过测试的中国成年人的比例，以证明HBV感染的证据。我们的目标是进行一项群体随机对照试验，以评估肝癌控制教育干预措施对中国参加ESL课程的可接受性，可行性和有效性。我们的研究将在西雅图，华盛顿和不列颠哥伦比亚省的温哥华进行。健康行为框架，以前的乙型肝炎定性研究的发现以及ESL教师以及学生的焦点小组将用于制定乙型肝炎教育计划。将以ESL类作为随机分组进行干预试验。六十种ESL类将被随机分为实验或控制状态。 600名18-64岁的中国男女将参加该审判。实验组将接受丙型肝炎干预，对照组将接受心脏病干预。教育组成部分将包括ESL课程和小册子。 参与者将在接受健康教育之前完成自我管理的基线调查。 结果评估将基于来自面对面的随访调查和病历验证的数据。我们的主要结果将是HBV血清学测试。有关关键丙型肝炎事实的知识将被视为次要结果。