SOCIAL NETWORK BASED INTERVENTION TO REDUCE LEAD

基于社交网络的干预措施以减少铅

• 批准号: 2545806
• 负责人: MICHELLE C KEGLER
• 金额: $ 30.79万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-09-30 至 2000-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2545806
• 关键词: Native Americans; behavior modification; blood chemistry; child (0-11); clinical research; disease /disorder prevention /control; education evaluation /planning; health care model; health care personnel; health care personnel education; human subject; lead poisoning; longitudinal human study; medical outreach /case finding; social support network; toxicant screening

DESCRIPTION: This is a study of the effectiveness of a Lay Health Advisor (LHA) model of health promotion and intervention in a Native American (NA) community facing an environmental lead problem. Investigators from the University of Oklahoma (UOK) propose to work with the Quapaw Tribe and a newly established community advisory group (comprising 8 NA tribes and representatives from the Indian Health Service, State Departments of Health and Environmental Quality, and Ottawa County Health Departmentto do the following: (1) reduce the prevalence of Elevated Blood Levels (EBLs) in Native American kids, (2) induce behavior changes in caregivers to reduce lead exposure and absorption, (3) increase blood lead screening and follow-up for affected kids, and (4) build the capacity of the NA community to address this health problem. Forty NA LHAs will be trained bythe Health Department and Univ. of Oklahoma to engage in outreach and education activities in Ottawa county, an area of the state which was heavily mined for zinc and lead in the first half of this century. A non-equivalent comparison group design is used to study the effectiveness of the LHA model at the individual, network, organizational and community levels. NA and White kids will be studied; only the NA group, however, will receive the treatment. Blood lead level data will be collected on 300 randomly selected NA and 300 non-Hispanic white kids in year 1, and a second sample of 300 NA and 300 white kids in year 4. Four assessment teams, each consisting of a pediatric phlebotomist and a community health worker, will visit study homes, administer caregiver questionnaires, and collect blood samples in years 1 and 4. Additionally, an environmental assessment team will measure, in year 1, the amount of lead paint and collect environmental samples from a subset of study homes.

描述：这是对外行健康顾问有效性的研究 （LHA）健康促进和干预模型（NA） 面临环境领先问题的社区。 来自 俄克拉荷马大学（UOK）建议与Quapaw部落合作 新成立的社区咨询小组（包括8个NA部落和 印度卫生服务部，州卫生部门的代表 和环境质量，渥太华县卫生部门 以下：（1）降低血液水平升高（EBL）的患病率 美国原住民的孩子，（2）引起照顾者的行为改变以减少 铅暴露和吸收，（3）增加血铅筛查和 对受影响孩子的后续行动，以及（4）建立NA社区的能力 解决这个健康问题。 四十na LHA将受到健康培训 部门和大学。 俄克拉荷马州进行外展和教育 渥太华县的活动，该州大量开采的地区 对于锌和领先于本世纪上半叶。 非等效 比较组设计用于研究LHA模型的有效性 在个人，网络，组织和社区层面上。 na和 白人孩子将被研究；但是，只有NA组才会收到 治疗。 将收集300个随机选择的血铅水平数据 NA和300名非西班牙裔白人孩子，第二个样本为300 NA 和4年级的300名白人孩子。四个评估团队，每个评估团队包括一个 小儿流血博物馆和社区卫生工作者将参观学习 房屋，管理护理人员问卷，收集血液样本 1年和4年。此外，环境评估团队将衡量， 在第1年，铅涂料的量和收集来自的环境样品 研究房屋的子集。