SPANISH CHRONIC DISEASE EDUCATION PROGRAM EVALUATION

描述（改编自研究者摘要）：用于医疗服务 对慢性病患者、 必须在管理中发挥积极作用。 过去的研究表明， 说英语的患者可以从慢性病自我管理中受益 教育 初步结果表明，这些相同的好处发生在 讲西班牙语的关节炎患者 这一点尤其重要，因为 西班牙裔是美国增长最快的人口， 与此同时，慢性病负担过重。 在 此外，他们获得保健和医疗服务的机会往往有限， 由于某些经济、语言和文化障碍，教育受到限制。 的 拟议项目将通过以下方式解决这些问题：1. 发展中国家和 实施实验性的社区西班牙语健康 三种慢性病患者自我管理教育计划 疾病（冠状动脉疾病、慢性阻塞性肺病和 II型糖尿病）。 不同情况的病人将参加相同的 这一计划在讲英语的患者身上取得了成功。 2. 进行为期4个月的随机试验，以确定该计划的影响 on：a.）随后使用自我管理实践; B.）自我效能 管理疾病相关的问题和症状; c.）物理和 参与者的情绪健康状况;以及，d.）健康服务 参与者的使用。 3. 进行为期一年的纵向研究， 确定该计划的长期有效性。 4. 进行 探索性研究，以1）确定该计划是否更有利于 一些亚组，2）探索健康状况 改善。

DESCRIPTION (Adapted from the Investigator's Abstract): For health services to be efficient, and relevant for patients with chronic disease, patients must play an active role in management. Past studies have demonstrated that English-speaking patients can benefit from chronic disease self-management education. Initial results suggest that these same benefits occur for Spanish-speaking arthritis patients. This is especially important because Hispanics are the fastest growing population in the United States and, at the same time, carry a disproportionate burden of chronic disease. In addition, they often encounter limited access to health care and health education due to certain economic, language and cultural barriers. The proposed project will address these issues by: 1. Developing and implementing an experimental community-based Spanish language health education program for self-management for patients with three chronic diseases (coronary artery disease, chronic obstructive pulmonary disease and type II diabetes). Patients with different conditions will attend the same program together as has been successful with English-speaking patients. 2. Conduct a 4-month randomized trial to determine the impact of the program on: a.) the subsequent use of self-management practices; b.) self-efficacy to manage disease-related problems and symptoms; c.) the physical and emotional health status of the participants; and, d.) the health service utilization of the participants. 3. Conduct a 1-year longitudinal study to determine the long-term effectiveness of the program. 4. Conduct exploratory studies to 1) determine if the program is more beneficial for some subgroups, and 2) to explore the mechanisms by which health status improves.