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（US）亚裔印度人死亡的主要原因，有证据表明，亚裔印度人患CVD的风险高于许多其他种族/族裔群体。关于如何在这个快速增长的人群中改善一级和二级CVD预防知之甚少。我是一名内科医生，寻求发展职业生涯，作为一名独立的临床研究人员，为亚裔美国人设计，实施和评估基于社区的CVD预防干预措施。我的长期研究议程要求我获得额外的培训： 1)健康传播和发展有文化针对性的健康信息; 2）健康干预研究。本申请中描述的培训和研究计划将在西北大学普通内科学系的跨学科环境中进行5年以上，该学科包括通信与医学计划。由于美国亚裔的异质性，这个职业发展奖侧重于一个亚洲亚群，亚洲印度人。本研究项目的总体目标是开发和评估一个专门针对亚洲印度人的多媒体CVD患者教育计划（PEP）。大卫贝克博士，普通内科主任，是我的主要导师，将监督我的科学和职业发展。他将提供CVD和设计健康干预措施的内容专业知识。Gregory Makoul博士是沟通与医学项目的主任，他是我的共同导师，将指导我开发和评估PEP。本研究计划的第一阶段包括与亚洲印度人的结构化访谈，以评估有关CVD的因果模型，知识，态度和行为。在第二阶段，我将使用访谈中的信息来开发、完善和试点测试 多媒体PEP。该试点测试将评估使用文化目标的多媒体CVD PEP与非目标的多媒体CVD PEP对亚洲印度人的信息接收，信息接收和传播的影响。 接受度、对个人风险的感知以及接受筛查的意愿。到我的任期结束时， 职业发展奖，我将独特的定位，进行一个大的，随机对照试验，以评估使用有针对性的多媒体干预在社区为基础的健康中心和其他社区设置在亚洲印第安人和其他亚裔美国人社区的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.