Educating Underserved Latino Communities about Family Health History Using Lay Health Advisors
Educating Underserved Latino Communities about Family Health History Using Lay Health Advisors
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DOI：
10.1159/000272456
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发表时间：
2011-01-01
影响因子：
1.7
通讯作者：
Rios-Ellis, B.
中科院分区：
文献类型：
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作者：
Kaphingst, K. A.;Lachance, C. R.;Rios-Ellis, B.
背景：家族健康史（FHH）是一种用于告知个体遗传性疾病风险的工具。由于一些常见的慢性病的发病率和死亡率不成比例，美国。S.拉丁美洲人是FHH信息的重要受众。本研究探讨了由非专业健康顾问（LHAs）领导的文化定制干预措施在提供有关参与者意图，自我效能和概念知识的FHH信息方面的影响。方法：474名讲西班牙语的拉丁裔参与者参加了这项研究。干预组的个人参加了一个小组教育会议，使用讨论和互动活动来建立与家人和医生讨论FHH的技能，而对照组的个人则向他们大声朗读小册子。测试前和测试后的问卷进行口头管理。结果：主要因变量是与家人和医生讨论FHH的意图和自我效能;这两组都有所增加。多变量分析表明，干预导致自我效能显着增加，与家庭成员讨论FHH（p = 0.03）。LHA参与者正确理解FHH目的的可能性也增加了两倍多（OR = 2.6，95% CI = 1.3-5.0），并发现FHH信息更有用（p
Background: Family health history (FHH) is a tool used to inform individuals about inherited disease risk. Due to their disproportionate morbidity and mortality from some common chronic diseases, U. S. Latinos are an important audience for FHH information. This study examined the effects of a culturally-tailored intervention led by lay health advisors (LHAs) in delivering information about FHH on participants' intentions, self-efficacy, and conceptual knowledge. Methods: 474 Spanish-speaking Latino participants were enrolled in the study. Individuals in the intervention group participated in a single group educational session using discussion and interactive activities to build skills for discussing FHH with one's family members and doctor, while individuals in the comparison group had a brochure read aloud to them. Pre- and post-test questionnaires were verbally administered. Results: Primary dependent variables were intentions and self-efficacy to discuss FHH with family members and doctors; these increased in both groups. Multivariate analyses demonstrated that the intervention led to a significantly greater increase in self-efficacy to discuss FHH with family members (p = 0.03). LHA participants were also more than twice as likely (OR = 2.6, 95% CI = 1.3-5.0) to correctly understand the purpose of a FHH and found FHH information more useful (p