Teach-With-Stories: Lay Educator Prenatal Outreach Program for Hispanics

描述（由申请人提供）：接触和参与西班牙裔妇女，鉴于他们在家庭中的核心作用，是努力减少差距和改善这些社区成人和儿童健康状况的关键战略。高质量的产前护理旨在促进健康，减少妇女、婴儿和家庭在怀孕前、怀孕期间和怀孕后的风险。不幸的是，西班牙裔妇女接受产前护理的可能性是非西班牙裔白色妇女的两倍。目前有1100万，在未来几十年内，预计育龄期的西班牙裔妇女人数将呈指数级增长。 拟议项目的长期目标是改善西班牙裔妇女获得优质、语言和文化上适当的产前教育和护理的机会。该方案将基于"故事教学法“，为基于赋权的团体教育而开发。现有的De Madre a Madre/From Mother to Mother产前护理photonovels将根据第一阶段开发的原型进行重新设计，并通过Teach-With-Stories免费出版网络分发。 第二阶段的目标将侧重于开发解决第一阶段确定的实施因素的计划组件，以促进采用，整合和可持续性的教学与故事奠定健康教育模式。该方案的目的是建立社区能力，在社区或诊所提供和评估产前教育。目标是增加西班牙裔妇女的机会，并促进与护理系统建立伙伴关系的机会。此外，研究小组将为随后的正式控制设计研究开发和测试研究仪器和数据收集协议。 研究团队将通过协作，参与为基础的发展过程，再加上一个计划-做-研究-行动（PDSA）的持续质量改进方法来实现这些目标。这将确保产品在医学上准确，文化上敏感，并且在实践中有效。西班牙裔消费者将实地测试photonovels的可读性和文化和语言的适当性。此外，将对整个计划进行测试，以确定其有效性，与接受常规护理的西班牙裔妇女对照组相比。 公共卫生相关性：积极的，文化上敏感的产前护理经验可以对西班牙裔妇女及其家庭使用医疗服务产生长期影响。一个授权为基础的外行教育模式，旨在解决系统和提供者的需求独特的产前护理可以帮助产生成本节约的医疗保健系统，提高护理质量，并解决这个不断增长的人口的多重需求。商业上成功的产前教育模式可适用于其他健康主题，并有可能适用于其他传统上得不到充分服务的人口。

DESCRIPTION (provided by applicant): Reaching and engaging Hispanic women, given their central role in families, is a critical strategy in efforts to reduce disparities and improve health outcomes for adults and children in these communities. Quality prenatal care is designed to promote health and reduce risks for women, infants, and families before, during, and after pregnancy. Unfortunately, Hispanic women are twice as likely to receive late or no prenatal care as non-Hispanic white women. Currently at 11 million, over the next several decades the number of Hispanic women in their childbearing years is projected to increase exponentially. The long-term goal of the proposed project is to improve access to quality, linguistically and culturally appropriate prenatal education and care for Hispanic women. The program will be based on the Teach-With- Stories (TWS) Method" developed for empowerment-based group education. The existing De Madre a Madre/From Mother to Mother prenatal care photonovels will be redesigned according to the prototype developed in Phase I to be distributed via the Teach-With-Stories Free Publication Network. Phase II aims will focus on the development of program components that address implementation factors identified in Phase I to facilitate the adoption, integration, and sustainability of a Teach-With-Stories lay health educator model. The program will be designed to build community capacity to offer and evaluate prenatal education in community-based or clinic-based sites The goal is to increase access for Hispanic women and foster opportunities for partnership with systems of care. In addition, the research team will develop and test study instruments and data collection protocols for a subsequent formal control design study. The study team will achieve these aims through a collaborative, participatory-based development process coupled with a Plan-Do-Study-Act (PDSA) continuous quality improvement methodology. This will ensure that the products are medically accurate, culturally sensitive, and effective in practice. Hispanic consumers will field-test the photonovels for readability and cultural and linguistic appropriateness. In addition, the complete program will be tested to determine its effectiveness as compared to a control-match group of Hispanic women who receive usual care. PUBLIC HEALTH RELEVANCE: Positive, culturally sensitive experiences in prenatal care can have a long-term impact on the use of healthcare services by Hispanic women and their families. An empowerment-based lay educator model designed to address system and provider needs unique to prenatal care could help generate cost-savings to the health care system, improve quality of care, and address the multiple needs of this growing population. A commercially successful model for prenatal education could be adapted for other health topics and potentially for other traditionally underserved populations.