Hepatitis B ESL Education for Chinese

中文乙型肝炎ESL教育

• 批准号: 7425891
• 负责人: VICTORIA M TAYLOR
• 金额: $ 40.07万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-09 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7425891
• 关键词: Address; Adult; Affect; Area; Asians; Baseline Surveys; Behavior; British Columbia; Cancer Control; Chinese American; Chinese People; Class; Collaborations; Communities; Control Groups; Controlled Study; Data; Development; Education; Educational Curriculum; Educational Intervention; Educational process of instructing; Effectiveness; English Language; Evaluation; Focus Groups; Goals; Health; Health Status; Health behavior; Health education; Heart Diseases; Hepatitis B; Hepatitis B Vaccination; Hepatitis B Virus; Hour; Immigrant; Incidence; Individual; Information Services; Intervention; Intervention Trial; Knowledge; Koreans; Language; Latino; Literature; Liver diseases; Malignant neoplasm of liver; Medical; Medical Records; Minority; Minority Groups; North America; Outcome; Pamphlets; Participant; Persons; Population; Prevention; Primary carcinoma of the liver cells; Program Development; Public Health; Race; Randomized; Randomized Controlled Trials; Rate; Recording of previous events; Research; Research Personnel; Resources; Risk; Schools; Self-Administered; Serologic tests; Services; Simian B disease; Social Network; Students; Surveys; Testing; United States; Washington; Woman; Writing; aged; base; design; disorder prevention; experience; follow-up; health literacy; improved; men; neglect; programs; skills; teacher

Little is known about the disease prevention behavior of Chinese in North America, and relatively few studies have addressed cancer control in this group. However, Chinese Americans/Canadians have a much higher incidence of liver cancer than non-Latino Whites. This excess risk is attributable to high rates of hepatitis B virus (HBV) infection combined with low levels of hepatitis B vaccination coverage. One critical area for the strategic development of health literacy among Asian and other immigrant groups is the design and evaluation of culturally appropriate English as a second language (ESL) curricula. The goal of our research is to increase the proportion of Chinese adults who have been tested for evidence of HBV infection. Our objective is to conduct a group-randomized controlled trial to evaluate the acceptability, feasibility, and effectiveness of a liver cancer control educational intervention for Chinese attending ESL classes. Our study will be conducted in Seattle, Washington and Vancouver, British Columbia. The Health Behavior Framework, findings from a previous hepatitis B qualitative study, and focus groups of ESL teachers as well as students will be used to develop the hepatitis B educational program. An intervention trial will be conducted with ESL classes as the unit of randomization. Sixty ESL classes will be randomized to experimental or control status. Six hundred Chinese men and women aged 18-64 years will participate in the trial. The experimental group will receive a hepatitis B intervention and the control group will receive a heart disease intervention. Educational components will include an ESL curriculum as well as a pamphlet. Participants will complete a self-administered baseline survey, just prior to receiving health education. Outcome evaluation will be based on data from an in-person follow-up survey and medical record verification. Our primary outcome will be HBV serologic testing. Knowledge about key hepatitis B facts will be examined as a secondary outcome.

人们对北美华人的疾病预防行为知之甚少，针对该群体癌症控制的研究也相对较少。然而，华裔美国人/加拿大人的肝癌发病率比非拉丁裔白人高得多。这种过高的风险归因于乙型肝炎病毒 (HBV) 感染率高以及乙型肝炎疫苗接种覆盖率低。亚洲和其他移民群体健康素养战略发展的一个关键领域是设计和评估适合文化的英语作为第二语言 (ESL) 课程。我们研究的目标是增加接受乙肝病毒感染证据检测的中国成年人的比例。我们的目标是进行一项分组随机对照试验，以评估肝癌控制教育干预对于参加 ESL 课程的中国人的可接受性、可行性和有效性。我们的研究将在华盛顿州西雅图和不列颠哥伦比亚省温哥华进行。健康行为框架、之前乙型肝炎定性研究的结果以及 ESL 教师和学生的焦点小组将用于制定乙型肝炎教育计划。干预试验将以ESL 班级作为随机化单位进行。六十个 ESL 班级将被随机分为实验或对照状态。 600名年龄在18岁至64岁之间的中国男性和女性将参加试验。实验组将接受乙型肝炎干预，对照组将接受心脏病干预。教育部分将包括 ESL 课程和小册子。参与者将在接受健康教育之前完成自我管理的基线调查。结果评估将基于现场跟踪调查和病历验证的数据。我们的主要结果是 HBV 血清学检测。有关乙型肝炎关键事实的知识将作为次要结果进行检查。