Building Partnerships to Promote Health in Low Literacy Populations

建立伙伴关系以促进低识字人群的健康

• 批准号: 7548949
• 负责人: IRENE G SIA
• 金额: $ 3.78万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7548949
• 关键词: Address; Adult; Affect; Attitude; Belief; Biomedical Research; Cities; Clinic; Collaborations; Communication; Communities; Community Health; Community Participation; Country; Depth; Development; Disease Progression; Early Intervention; Education; Educational Intervention; Evaluation; Focus Groups; Future; Hawthorn plant; Health; Health Knowledge, Attitudes, Practice; Health Promotion; Health Promotion and Care; Health Services Accessibility; Health education; Individual; Institution; Intervention; Interview; Language; Learning; Life; Literacy Programs; Low Literacy Population; Medical; Minnesota; Minority Groups; Modeling; Outcome; Participant; Perception; Phase; Pilot Projects; Population; Population Heterogeneity; Poverty; Prevalence; Process; Public Health; Recruitment Activity; Research; Research Infrastructure; Research Methodology; Research Personnel; Risk; Role; Testing; Trust; Tuberculosis; United States Public Health Service; Universities; Work; base; community based participatory research; design; education evaluation; experience; health literacy; health science research; improved; innovation; interest; literacy; low socioeconomic status; member; prevent; programs

DESCRIPTION (provided by applicant): Low literacy influences individuals' attitudes toward health information and research, and is associated with poor health outcomes. Low literacy adults are disproportionately racial and ethnic minorities who also have the highest tuberculosis (TB) prevalence in this country. The overall long-term objective of this application is to strengthen the research collaboration of Rochester's scientific community and the Hawthorne literacy community for addressing sensitive health issues affecting diverse populations. This application focuses on the development of innovative ways for communication of culturally sensitive health information and implementation using community-based participatory research (CBPR) approach. We will build community health research capacity by orienting community members to research methods. We will use the model of adult informal education to understand socio cultural factors influencing TB evaluation, and develop culturally sensitive and linguistically appropriate learning approach to TB evaluation for the Hawthorne community. The application is designed to achieve the aims by basing it in the Hawthorne community, rather than in a scientific institution. Hawthorne community members will be engaged in the entire process and it is their cultural beliefs and concerns, expressed in focus groups and in-depth interviews that will form the basis of TB education and evaluation. A health team from the Hawthorne community will be recruited from focus group participants and assigned significant roles in the design, implementation, and evaluation phases of the project. The Rochester scientific community will bring its strengths in health promotion and care, research and analysis to the project. Together, the two communities will gain experience as a research team and have an experiential base to learn about CBPR. In Rochester, MN, a city of 100,000 people, there is a disconnect between the scientific community (Mayo Clinic, University of Minnesota Rochester, and Winona State University) and the low level literacy community (Hawthorne Education Center). Both literally and figuratively, these two communities do not speak the same language. Through an established CBPR partnership, these two disparate communities will jointly work and learn the process of health science research. As the two communities learn and work together, they will build an ongoing relationship based on respect, trust and a shared commitment to improving the health of the Hawthorne community. This application is of paramount importance in transforming community perceptions of the scientific process and research, and to public health. This project will promote the active engagement of affected members of the community to work with researchers to maximize the potential for change in knowledge, attitudes, and behavior as they pertain to the health needs of the community. It also addresses a vital public health interest by devising and implementing effective communication strategies for tuberculosis evaluation in some of the highest risk populations in this country.

描述（由申请人提供）：低识字能影响个人对健康信息和研究的态度，并且与健康结果不佳有关。低识字率成年人是种族和少数民族的比例，在这个国家的结核病（TB）患病率也最高。该应用程序的总体长期目标是加强罗切斯特科学界和霍桑扫盲社区的研究合作，以解决影响多样化人群的敏感健康问题。该应用程序着重于开发具有基于社区参与性研究（CBPR）方法的文化敏感健康信息和实施的创新方法。我们将通过将社区成员定向研究方法来建立社区卫生研究能力。我们将使用成人非正式教育的模型来了解影响结核病评估的社会文化因素，并为霍桑社区开发具有文化敏感和语言适当的学习方法，以评估结核病。该应用程序旨在通过将其基于霍桑社区而不是科学机构来实现目标。霍桑社区成员将参与整个过程，这是他们的文化信念和关注，以焦点小组和深入的访谈表示，这将构成结核病教育和评估的基础。霍桑社区的卫生团队将从焦点小组参与者中招募，并在项目的设计，实施和评估阶段中分配重要角色。罗切斯特科学界将向项目带来其在健康促进和护理，研究和分析方面的优势。这两个社区将共同获得研究团队的经验，并拥有一个经验基础来了解CBPR。在明尼苏达州罗切斯特市，有100,000人的城市，科学界（明尼苏达大学梅奥诊所，罗切斯特大学和威诺纳州立大学）和低级识字率社区（霍桑教育中心）之间存在脱节。从字面上看，这两个社区都不会说相同的语言。通过既定的CBPR合作伙伴关系，这两个不同的社区将共同工作并学习健康科学研究的过程。随着两个社区一起学习和共同努力，他们将基于尊重，信任和改善霍桑社区健康的共同承诺建立持续的关系。对于改变社区对科学过程和研究以及公共卫生的看法，这一应用至关重要。该项目将促进社区中受影响的成员的积极参与，以与研究人员合作，以最大程度地了解知识，态度和行为的潜力，因为它们与社区的健康需求有关。它还通过设计和实施该国一些最高风险人群的结核病评估和实施有效的结核病评估的有效沟通策略来解决重要的公共卫生利益。