Protect your heart: a culture-specific multimedia cardiovascular health education program.
Protect your heart: a culture-specific multimedia cardiovascular health education program.
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DOI：
10.1080/10810730.2014.965366
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发表时间：
2015-04
影响因子：
4.4
通讯作者：
Kandula NR
中科院分区：
文献类型：
--
作者：
Shah A;Clayman ML;Glass S;Kandula NR
南亚人（SA）是美国增长第二快的种族/少数民族。冠心病的发病率很高。很少有冠心病预防工作针对这一人群。我们开发并测试了一个特定文化的，多媒体冠心病预防教育计划，英语和印地语的SA。参与者于2011年6月至10月期间从伊利诺伊州芝加哥的社区组织招募。双语访谈者使用问卷调查来评估参与者在患者教育计划前后的知识和看法。使用配对t检验计算测试前后评分的变化。线性回归被用来确定测试后分数与教育和语言之间的关联。参与者（n=112）的平均年龄为41岁，67%的人受过高中以上教育，50%的人会说印地语。参与者的平均测试前得分为15（标准差= 4）。在患者教育计划之后，所有参与者的后测分数显著增加（后测分数=24，SD=4），包括那些英语水平有限的人。在调整回归中，教育程度较低与较低的测试后得分相关（β系数=-2.2，95%CI =-0.68，-3.8）。特定文化的多媒体患者教育计划显着提高了SA移民对冠心病预防的知识和看法。文化突出，多媒体教育可能是一种有效的和参与的方式来提供健康信息，以不同的患者群体。
South Asians (SAs), the second fastest growing racial/ethnic minority in the United States., have high rates of coronary heart disease (CHD). Few CHD prevention efforts target this population. We developed and tested a culture-specific, multimedia CHD prevention education program in English and Hindi for SAs. Participants were recruited from community organizations in Chicago, IL between June-October 2011. Bilingual interviewers used questionnaires to assess participants’ knowledge and perceptions before and after the patient education program. Change from pre- to post-test score was calculated using a paired t-test. Linear regression was used to determine the association between post-test scores and education and language. Participants’ (n=112) average age was 41 years, 67% had more than a high school education, and 50% spoke Hindi. Participants’ mean pre-test score was 15 (Standard Deviation= 4). After the patient education program, post-test scores increased significantly among all participants (post-test score=24, SD=4), including those with limited-English proficiency. Lower education was associated with a lower post-test score (Beta-coefficient= −2.2, 95% CI= −0.68, −3.8) in adjusted regression. A culture-specific, multimedia patient education program significantly improved knowledge and perceptions about CHD prevention among SA immigrants. Culturally-salient, multimedia education may be an effective and engaging way to deliver health information to diverse patient populations.