Improving Latino Health Literacy: An Intergenerational Approach

提高拉丁裔健康素养：代际方法

基本信息

批准号：
8107766
负责人：
KRISTEN D HOLTZ
金额：
$ 34.5万
依托单位：
KDH RESEARCH AND COMMUNICATION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8107766
关键词：
Address Advocacy Advocate Affect Area Attitude Behavior CD-ROM Caring Categories Censuses Cervix Uteri Collaborations Communication Research Communities Community Outreach Confusion Country Cultural Characteristics Custom Development Disease Economics Education Educational Models Effectiveness Elements Evaluation Face Family Family member Focus Groups Fright Geographic Locations Goals HIV Health Health Alliance Health Insurance Health care facility Health education Healthcare Hispanics Individual Intervention Interview Knowledge Language Latin America Latina Latino Lead Learning Legal Status Life Link Literature Liver Cirrhosis Liver diseases Longevity Manuals Medical Minority Groups Multimedia New York Not Hispanic or Latino Obesity Outcome Overweight Parents Participant Phase Plant Roots Policies Population Poverty Pre-Post Tests Prenatal care Preventive Printing Program Effectiveness Provider Public Health Recording of previous events Reporting Research Risk Role Screening for cancer Semantics Site Small Business Innovation Research Grant Source Spain Stroke System Teenagers Terminology Testing Texas Training Training Programs Trust Ursidae Family Vaccination Work base burden of illness cancer type design empowered evaluation/testing experience grandparent health disparity health literacy improved innovation intergenerational journal article literacy malignant stomach neoplasm meetings member metropolitan prevent programs prototype skills social symposium tool

项目摘要

DESCRIPTION (provided by applicant): The purpose of this FAST TRACK SBIR is to develop and evaluate a culturally relevant health literacy- training program for Latinos to improve the knowledge and skills to protect health and prevent disease. This program is tentatively entitled Entre Nuestra Familias/Among Our Latino Families (ENF). Drawing from traditional Hispanic values, the ENF Program provides an intergenerational approach to health education, offering multiple members of the family simultaneous training in key health literacy skills and information on cross-cutting health topics to reinforce healthy behaviors within families and communities. This training program will be offered through community-based organizations to reduce institutional barriers to care that are often experienced by Latinos. The U.S. Census reported in 2007 that there are45.5 million Hispanics living in the U.S. Not only do Latinos constitute the fastest growing minority group in the country, but they also face significant health challenges. Indeed, Hispanics bear a higher burden of disease than non-Hispanic whites in almost every category of risk, and there is evidence that the health disparities experienced by Latinos may be linked to significant barriers to health care, including low rates of health insurance, low English proficiency, lack of accurate and culturally relevant health information, a dearth of culturally competent health facilities and information, fear and mistrust of the U.S. Medical system. Because of these disparities and their resulting impact on health, there have been strong calls to develop culturally appropriate public health initiatives to improve the health of Latinos in the U.S. To that end, KDH Research & Communication will develop the ENF Program. In Phase I, KDHRC will develop the print portions of the training program, and conduct a pilot evaluation of the product's effectiveness, in collaboration with Dia de la Mujer Latino, a health advocacy group that serves Latinos. In Phase II, we will expand the training program to include video elements for the participants and multimedia aspects for the facilitator. Then, we will implement and evaluate the training program at multiple sites to examine the program's effectiveness and the extent to which different social factors (poverty, education, country of origin, geographic location) best predict efficacy of the program, using a quasi- experimental pre-test, post-test evaluation design. Following product completion and evaluation, the ENF program will be disseminated to community-based organizations nationwide. The results of the evaluation will be disseminated through the academic literature and practice and policy briefs to add to scientific knowledge about best practices for reducing health disparities in Latino communities. Further, we will conduct town hall meetings in our target communities to disseminate results of the evaluation to those most affected by the research. PUBLIC HEALTH RELEVANCE: Hispanics bear a higher burden of disease than non-Hispanic whites in almost every category of risk, and as a result, there have been strong calls for the public health community to develop culturally appropriate interventions to reduce health disparities. This proposal is to develop an intergenerational health literacy training program that incorporates key aspects of Latino culture to engage and retain participants. The program will be delivered through community based nonprofit and faith-based organizations to reduce barriers to care. After the development and evaluation of this product, the training program will be disseminated nationwide to provide the public health field with an effective and innovative tool to reduce health disparities among Latinos.

描述（由申请人提供）：这种快速轨道的目的是为拉丁美洲人开发和评估与文化相关的健康素养培训计划，以提高保护健康和预防疾病的知识和技能。该计划的暂定名为“ nuestra familias”/我们的拉丁裔家庭（ENF）。 ENF计划借鉴了传统的西班牙裔价值观，为健康教育提供了代际方法，为家庭的多个成员提供了关键的健康素养技能和有关跨指定健康主题的信息，以增强家庭和社区中的健康行为。该培训计划将通过社区组织提供，以减少拉丁美洲人经常经历的护理机构障碍。美国人口普查在2007年报道说，美国有4,550万西班牙裔美国人不仅构成了该国增长最快的少数群体，而且还面临重大健康挑战。的确，与非西班牙裔白人相比，西班牙裔的疾病负担更高，几乎在各种风险中，有证据表明，拉丁裔经历的健康差异可能与医疗保健的重大障碍有关，包括健康保险较低，英国水平较低，缺乏准确和具有文化相关的健康信息，具有文化疗法的医疗机构和医疗机构和恐惧，恐惧和信息，不利于健康的健康信息和恐惧。由于这些差异及其对健康的影响，因此有强有力的呼吁制定适当的公共卫生计划，以改善美国拉丁美洲人在这一目标中的健康，KDH Research＆Communication将开发ENF计划。在第一阶段，KDHRC将与Dia dia de la Mujer Latino合作，制定培训计划的印刷部分，并对产品的有效性进行试点评估，这是一个为拉丁美洲人服务的健康倡导组织。在第二阶段，我们将扩展培训计划，以包括参与者的视频元素和主持人的多媒体方面。然后，我们将在多个站点实施和评估培训计划，以检查该计划的有效性以及不同的社会因素（贫困，教育，原产地，地理位置）在多大程度上最好地预测该计划的功效，并使用准确的测试前，测试后的评估设计。在产品完成和评估之后，ENF计划将被传播给全国社区组织。评估的结果将通过学术文献，实践和政策简介来传播，以增加有关减少拉丁裔社区健康差异的最佳实践的科学知识。此外，我们将在我们的目标社区举行市政厅会议，以将评估结果传播给受研究影响最大的人。公共卫生相关性：与非西班牙裔白人相比，西班牙裔的疾病负担更高，因此，有很大的呼吁公共卫生社区呼吁开发适当的文化干预措施，以减少健康差异。该建议是制定一项代际健康素养培训计划，该计划结合了拉丁裔文化的关键方面，以吸引和保留参与者。该计划将通过基于社区的非营利组织和基于信仰的组织来减少护理障碍。在对该产品的开发和评估之后，该培训计划将在全国范围内散布，以提供公共卫生领域，以减少拉丁美洲人之间的健康差异的有效和创新工具。