Culture-Specific, Multimedia Cardiovascular Disease Education for Asian Indians

描述(由申请人提供)： 心血管疾病(CVD)是美国亚裔印第安人的主要死亡原因，有证据表明，亚裔印第安人患心血管疾病的风险比许多其他种族/民族更高。在这一快速增长的人口中，人们对如何改善初级和二级心血管疾病预防知之甚少。我是一名医学内科医生，寻求发展自己的职业生涯，成为一名独立的临床研究员，为亚裔美国人设计、实施和评估基于社区的心血管疾病预防干预措施。我的长期研究议程要求我在以下方面获得额外的培训： 1)健康传播和开发具有文化针对性的健康信息；2)健康干预研究。申请书中描述的培训和研究计划将在西北大学普通内科医学部的跨学科环境中进行，该部门是传播与医学项目的所在地。由于美国亚裔的异质性，这个职业发展奖侧重于一个亚裔亚裔群体--亚裔印度人。这项研究项目的总体目标是开发和评估专门针对亚裔印度人的多媒体CVD患者教育计划(PEP)。大卫·贝克博士，普通内科科长，是我的主要导师，将监督我的科学和职业发展。他将提供心血管疾病和设计健康干预措施方面的内容专业知识。沟通与医学项目主任格雷戈里·马库尔博士是我的共同导师，他将指导我开发和评估PEP。这项研究计划的第一阶段包括对亚裔印度人的结构化访谈，以评估关于心血管疾病的因果模型、知识、态度和行为。在第二阶段，我将使用采访中的信息来开发、提炼和试行文化方面的 有针对性的多媒体PEP。试点测试将评估使用具有文化针对性的多媒体CVD PEP与使用非目标的多媒体CVD PEP对亚裔印度人的信息接收、信息的影响 接受程度，对个人风险的认知，以及接受筛查的意图。到我的那个时期结束时 在获得职业发展奖后，我将独一无二地进行一项大型随机对照试验，以评估在社区卫生中心和其他社区环境中使用有针对性的多媒体干预对亚裔印度人和其他亚裔美国社区心血管疾病筛查率的有效性。

DESCRIPTION (provided by applicant): Cardiovascular disease (CVD) is the leading cause of death in Asian Indians in the United States (US), and evidence suggests that Asian Indians are at greater risk for CVD than many other racial/ethnic groups. Little is known about how to improve primary and secondary CVD prevention in this rapidly growing population. I am a medical internist who seeks to develop a career as an independent clinician investigator who designs, implements, and evaluates community-based CVD prevention interventions for Asian Americans. My long-term research agenda requires me to obtain additional training in: 1) health communication and the development of culturally-targeted health messages; and 2) health intervention research. The training and research program described in this application will take place over 5 years in the cross-disciplinary environment of Northwestern University's Division of General Internal Medicine, which houses the Program in Communication & Medicine. Because of the heterogeneity of US Asians, this career development award focuses on one Asian subgroup, Asian Indians. The overall aim of this research project is to develop and evaluate a multimedia CVD Patient Education Program (PEP) specifically for Asian Indians. Dr. David Baker, Division Chief of General Internal Medicine, is my primary mentor and will oversee my scientific and career development. He will provide content expertise in CVD and designing health interventions. Dr. Gregory Makoul, the director of the Program in Communication & Medicine, is my co-mentor and will guide me in developing and evaluating the PEP. The first phase of this research plan consists of structured interviews with Asian Indians to assess causal models, knowledge, attitudes, and behaviors about CVD. In the second phase, I will use information from the interviews to develop, refine, and pilot-test the culturally targeted multimedia PEP. The pilot-test will assess the effects of using a culturally targeted, multimedia CVD PEP versus a non-targeted, multimedia CVD PEP on Asian Indians' message reception, message acceptance, perceptions of individual risk, and intention to get screened. By the end of the period of my career development award, I will be uniquely positioned to conduct a large, randomized controlled trial to evaluate the efficacy of using a targeted multimedia intervention in community-based health centers and other community settings on CVD screening rates in Asian Indians and other Asian American communities.