Building Partnerships to Promote Health in Low Literacy Populations

描述（由申请人提供）：识字率低会影响个人对健康信息和研究的态度，并与不良的健康结果相关。识字率低的成年人中不成比例地属于少数族裔，他们也是该国结核病 (TB) 患病率最高的群体。该应用程序的总体长期目标是加强罗切斯特科学界和霍桑扫盲社区的研究合作，以解决影响不同人群的敏感健康问题。该应用程序的重点是开发创新的方式来传播文化敏感的健康信息，并使用基于社区的参与性研究（CBPR）方法来实施。我们将通过引导社区成员了解研究方法来建设社区健康研究能力。我们将利用成人非正式教育模式来了解影响结核病评估的社会文化因素，并为霍桑社区开发具有文化敏感性和语言适当性的结核病评估学习方法。该应用程序旨在通过将其基于霍桑社区而不是科学机构来实现目标。霍桑社区成员将参与整个过程，他们在焦点小组和深入访谈中表达的文化信仰和关切将构成结核病教育和评估的基础。霍桑社区的健康团队将从焦点小组参与者中招募，并在项目的设计、实施和评估阶段发挥重要作用。罗切斯特科学界将在该项目中发挥其在健康促进和护理、研究和分析方面的优势。两个社区将共同获得作为研究团队的经验，并拥有了解 CBPR 的经验基础。在明尼苏达州罗彻斯特这座拥有 10 万人口的城市，科学界（梅奥诊所、​​明尼苏达大学罗切斯特分校和威诺纳州立大学）和低水平识字社区（霍桑教育中心）之间存在脱节。无论从字面上还是比喻上来说，这两个社区都说着不同的语言。通过建立的 CBPR 伙伴关系，这两个不同的社区将共同工作和学习健康科学研究的过程。随着两个社区共同学习和工作，他们将在尊重、信任和共同致力于改善霍桑社区健康的基础上建立持续的关系。该应用对于改变社区对科学过程和研究以及公共卫生的看法至关重要。该项目将促进受影响的社区成员积极参与，与研究人员合作，最大限度地发挥知识、态度和行为改变的潜力，因为它们与社区的健康需求有关。它还通过设计和实施有效的沟通策略来评估该国一些最高风险人群的结核病，从而解决至关重要的公共卫生利益。

DESCRIPTION (provided by applicant): Low literacy influences individuals' attitudes toward health information and research, and is associated with poor health outcomes. Low literacy adults are disproportionately racial and ethnic minorities who also have the highest tuberculosis (TB) prevalence in this country. The overall long-term objective of this application is to strengthen the research collaboration of Rochester's scientific community and the Hawthorne literacy community for addressing sensitive health issues affecting diverse populations. This application focuses on the development of innovative ways for communication of culturally sensitive health information and implementation using community-based participatory research (CBPR) approach. We will build community health research capacity by orienting community members to research methods. We will use the model of adult informal education to understand socio cultural factors influencing TB evaluation, and develop culturally sensitive and linguistically appropriate learning approach to TB evaluation for the Hawthorne community. The application is designed to achieve the aims by basing it in the Hawthorne community, rather than in a scientific institution. Hawthorne community members will be engaged in the entire process and it is their cultural beliefs and concerns, expressed in focus groups and in-depth interviews that will form the basis of TB education and evaluation. A health team from the Hawthorne community will be recruited from focus group participants and assigned significant roles in the design, implementation, and evaluation phases of the project. The Rochester scientific community will bring its strengths in health promotion and care, research and analysis to the project. Together, the two communities will gain experience as a research team and have an experiential base to learn about CBPR. In Rochester, MN, a city of 100,000 people, there is a disconnect between the scientific community (Mayo Clinic, University of Minnesota Rochester, and Winona State University) and the low level literacy community (Hawthorne Education Center). Both literally and figuratively, these two communities do not speak the same language. Through an established CBPR partnership, these two disparate communities will jointly work and learn the process of health science research. As the two communities learn and work together, they will build an ongoing relationship based on respect, trust and a shared commitment to improving the health of the Hawthorne community. This application is of paramount importance in transforming community perceptions of the scientific process and research, and to public health. This project will promote the active engagement of affected members of the community to work with researchers to maximize the potential for change in knowledge, attitudes, and behavior as they pertain to the health needs of the community. It also addresses a vital public health interest by devising and implementing effective communication strategies for tuberculosis evaluation in some of the highest risk populations in this country.