RURAL LEAD EDUCATION--EVALUATION OF CONSULTANT METHODS

描述：（改编自研究者摘要）9%至17%的 据估计，农村儿童面临铅的破坏性影响的风险， 中毒 社区健康护士顾问传统上 与农村公共卫生提供者合作，减少风险因素， 预防活动，但没有对替代办法的评价作出规定 战略顾问的角色。 这项研究将测试有效性 在三个级别提供咨询（最低/控制，中等， 最多）到三个随机分配的农村县， 全国范围的合作教育项目 磋商将 评估其对以下方面的影响：社区对铅危害的认识; 机构间协作;成本;铅筛查率， 案例;以及实施的铅教育方案的数量。 每个县将 成立一个跨部门的社区领导教育联盟。 的 向联盟提供的咨询强度将因 县 在A县，咨询将在常规季度 联系人;在B县，顾问将启动每月联系人， 作为联盟的临时成员;在C县，顾问将 启动每周联系，加入联盟，共同计划项目 举措 社区主导的教育举措将有三个主要内容 重点：公共服务公告;学龄前儿童和家长教育; 和教育那些参与改造旧房子。 变化 社区领导知识水平将通过事前和事后评估 干预调查：随机选择的居民与电话; WIC 没有电话的参与者;少数民族居民;和委员会 有效性清单。 成本将通过直接监测确定 顾问成本、项目成本和成本效益。 铅筛选 将在12个月前和12个月内每月绘制一次图表 干预后。 关于社区主导的教育举措的数据将在 在发生时收集，并在每次发生后记录顾问联系方式 遭遇 本研究的结果将为以下方面建立经验指导方针： 公共卫生护理顾问和提供者的干预计划 农村社区健康教育

DESCRIPTION: (Adapted from investigator's abstract) Between 9% and 17% of rural children are estimated at risk for the devastating effects of lead poisoning. Community health nurse consultants have traditionally worked with rural public health providers to reduce risk factors and increase prevention activities with no provision for evaluation of alternative strategies in the consultant role. This study will test the effectiveness of consultation provided at three levels (minimal/control, moderate, & maximum) to three randomly assigned rural counties for the development of county-wide, collaborative education programs. Consultation will be assessed for its impact on: community knowledge of lead hazards; interagency collaboration; cost; rates of lead screenings and identified cases; and number of implemented lead education programs. Each county will be asked to form an interagency community lead education coalition. The intensity of the consultation provided to the coalition will differ by county. In County A, consultation will occur during routine quarterly contacts; in County B, the consultant will initiate monthly contacts and serve as an ad-hoc member of the Coalition; in County C, the consultant will initiate weekly contacts, be on the coalition, and co-plan program initiatives. The community lead education initiatives will have three major foci: public service announcements; education of pre-schoolers and parents; and education of those involved in remodeling of older homes. Changes in community lead knowledge level will be assessed via pre and post intervention surveys of: random selected residents with a phone; WIC participants without a phone; minority residents; and the Committee Effectiveness Inventory. Costs will be determined by monitoring direct consultant costs, program costs, and cost effectiveness. Lead screenings will be charted monthly for 12 months prior to and 12 months post-intervention. Data on the community lead education initiatives will be gathered as they occur and consultant contact will be documented after each encounter. Results from this study will build empirical guidelines for interventions by public health nurse consultants and providers planning rural community health education.