Extending Emergency Response Skills to Limited English Proficiency Communities

将应急响应技能扩展到英语能力有限的社区

• 批准号: 7934583
• 负责人: HENDRIKA W. MEISCHKE
• 金额: $ 36.23万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-10-01 至 2012-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7934583
• 关键词: Extending; Emergency; Response; Skills; Limited

DESCRIPTION (provided by applicant): The objective of this proposal is to extend emergency response skills to communities with limited English proficiency (LEP) by investigating strategies for effective dissemination of bystander CPR (Cardio- pulmonary resuscitation) skills to LEP communities. Bystander CPR has been proven to reduce mortality from cardiac arrest. Unfortunately, individuals from different ethnic communities are less likely to receive bystander CPR, possibly due to insufficient dissemination of CPR training to these populations. A recent survey showed that Latino and Asian participants were less likely to report CPR training than other ethnic groups in one large metropolitan community. In addition, research shows that CPR instructions provided by 9-1-1 dispatch operators during a cardiac emergency are less likely to be accepted and performed by LEP callers compared to non-LEP callers. Where bystanders do perform CPR, the time-interval between onset of the emergency call and onset of bystander CPR is more than a minute longer for LEP callers than non-LEP callers. Telephone- assisted CPR has been shown to reduce mortality from cardiac arrest and as such the lack of understanding of CPR instructions or significant delays in communication of instructions may negatively affect health outcomes. Proposed primary research activities include 1) focus group research with Asian and Latino LEP individuals to investigate awareness and acceptability of bystander CPR and preferred channels for dissemination of basic CPR skills training, 2) experimental research to test linguistically adapted 9-1-1 operator-assisted CPR instructions on understanding and performance of CPR among LEP and non-LEP individuals during a simulated cardiac arrest, and 3) observational research activities including 9-1-1 tape abstraction to evaluate the implementation of linguistically adapted dispatch-assisted CPR instructions in two large call centers in the Pacific Northwest over a 9-month period. Secondary aims are to investigate the feasibility of video-based dissemination strategies for reaching Asian and Latino communities with basic CPR training and dissemination of research results to other communities. All study activities are designed to involve community partners as well as representatives of LEP populations in Asian and Latino communities. Although CPR is only one of many emergency preparedness and response techniques, both the evidence for benefit from bystander CPR as well as the health disparities that exist in rates of bystander CPR justify this focus. The results of the proposed research activities will lead to immediate changes at the "system- level" as new dispatch telephone instructions will become standard policy at the participating call centers after evaluation. In addition, the results will illuminate potential communication and dissemination strategies for reaching LEP communities with other types of emergency preparedness and response information. PUBLIC HEALTH RELEVANCE: Extending Emergency Response Skills to Limited English Proficiency Communities. The objective of this proposal is to investigate effective communication strategies for dissemination of CPR training and instructions to limited English proficiency (LEP) communities by 1) evaluating linguistically adapted 9-1-1 dispatch-assisted CPR instructions (T-CPR) on understanding and performance of CPR among LEP communities and 2) investigating the feasibility of video-based dissemination strategies for reaching Asian and Latino communities with basic CPR training. The results of the proposed research activities will lead to immediate changes at the "system-level" (i.e., new dispatch telephone instructions that will become standard policy after evaluation)and will shed light on potential communication and dissemination strategies for reaching LEP communities with other types of emergency preparedness and response information.

描述（由申请人提供）： 该提案的目的是通过研究向英语水平有限 (LEP) 社区有效传播旁观者心肺复苏 (CPR) 技能的策略，将应急响应技能扩展到英语水平有限 (LEP) 的社区。旁观者心肺复苏已被证明可以降低心脏骤停的死亡率。不幸的是，来自不同种族社区的个人接受旁观者心肺复苏的可能性较小，这可能是由于对这些人群的心肺复苏培训传播不够。最近的一项调查显示，在一个大都市社区中，与其他族裔群体相比，拉丁裔和亚裔参与者报告心肺复苏术培训的可能性较小。此外，研究表明，与非 LEP 呼叫者相比，LEP 呼叫者在心脏紧急情况期间接受和执行 9-1-1 调度操作员提供的心肺复苏指令的可能性较小。当旁观者执行 CPR 时，LEP 呼叫者的紧急呼叫开始和旁观者 CPR 开始之间的时间间隔比非 LEP 呼叫者长一分钟多。电话辅助心肺复苏已被证明可以降低心脏骤停引起的死亡率，因此缺乏对心肺复苏指令的理解或指令沟通的严重延迟可能会对健康结果产生负面影响。拟议的主要研究活动包括 1) 与亚洲和拉丁裔 LEP 人员进行焦点小组研究，以调查旁观者心肺复苏的意识和可接受性以及传播基本心肺复苏技能培训的首选渠道，2) 测试语言适应的 9-1-1 操作员的实验研究 -协助心肺复苏指导，了解 LEP 和非 LEP 个体在模拟心脏骤停期间理解和执行心肺复苏的情况，以及 3) 观察性研究活动，包括 9-1-1 磁带提取，以评估语言适应调度辅助的实施情况太平洋西北地区两个大型呼叫中心在 9 个月内的心肺复苏指导。次要目标是调查基于视频的传播策略的可行性，以向亚洲和拉丁裔社区提供基本心肺复苏术培训以及向其他社区传播研究成果。所有研究活动均旨在让社区合作伙伴以及亚洲和拉丁裔社区的 LEP 群体代表参与其中。尽管心肺复苏只是众多应急准备和响应技术中的一种，但旁观者心肺复苏获益的证据以及旁观者心肺复苏率存在的健康差异都证明了这一重点的合理性。拟议研究活动的结果将导致“系统级”立即发生变化，因为新的调度电话指令将在评估后成为参与呼叫中心的标准政策。此外，研究结果还将阐明向 LEP 社区提供其他类型的应急准备和响应信息的潜在沟通和传播策略。 公共卫生相关性： 将应急响应技能扩展到英语能力有限的社区。本提案的目的是研究有效的沟通策略，通过以下方式向英语水平有限 (LEP) 社区传播心肺复苏 (CPR) 培训和说明： 1) 评估语言适应的 9-1-1 调度辅助心肺复苏说明 (T-CPR) 的理解和理解LEP 社区中心肺复苏的表现；2) 调查基于视频的传播策略向亚洲和拉丁裔社区提供基本心肺复苏培训的可行性。拟议研究活动的结果将导致“系统级别”立即发生变化（即，新的调度电话指令将在评估后成为标准政策），并将阐明与其他人接触 LEP 社区的潜在沟通和传播策略应急准备和响应信息的类型。