Toda Promotora Clearinghouse: Supporting nonprofits' use of promotores

描述(由申请人提供)：这项快速通道小型企业创新研究申请的目标是开发和评估一个在线信息交换中心，以支持基于社区的非营利组织(NPO)利用促销计划向服务不足的拉丁裔提供健康信息。推广计划利用社区卫生工作者(CHW)进行健康促进、预防和医疗方面的外展，越来越多的证据表明，他们改善了健康结果。拟议的Toda Promota Clearinghouse(TPC)将为为拉丁裔服务的非营利组织提供有关促销计划的制定、实施和评估的信息。通过提供集中的、以科学为基础的信息，TPC将支持非营利组织有效利用促销计划，以增加他们服务的客户的积极健康结果。对TPC的需求是巨大的。拉美裔人口经历了健康差距，或在疾病的存在、健康结果和获得护理的机会方面的有害差异。非营利组织往往站在解决健康差距的前列，因为他们是卫生服务的主要提供者，特别是对于可能因为缺乏保险、语言障碍或对主流医疗制度不信任而寻求基于社区的卫生保健的拉美裔人。但是，最近的经济低迷和政府资金削减使许多非营利组织的财政能力捉襟见肘，需要开发和实施低成本但有效的服务提供方法。一种有希望的方法是使用促销方案，但非营利组织缺乏关于其最佳制定、实施和评估的系统信息。因此，TPC旨在通过建立有效或改进现有促进方案的循证信息交流中心，提高为拉丁裔服务的非营利组织的保健提供能力，从而改善拉丁裔的健康结果。在TPC的第一阶段，我们将与该领域的专家小组和NPO主任一起进行广泛的形成性研究。然后，我们将开发TPC原型，并使用前测/后测控制组设计进行可行性评估。该评估将考察TPC原型在多大程度上改变了一组非营利组织主任对促销活动规划的知识、态度和自我效能。在第二阶段，我们将通过为网站开发额外的内容和功能来完成TPC。然后，我们将进行一项结果评估，其中将包括两项研究。第一项研究将使用与可行性评估类似的方法。第二个评价将是一项关于非营利组织及其主任如何以及在多大程度上使用技术政策以及其使用如何影响促进方案成果的过程研究。这两项评价将共同为TPC的商业化提供信息，并为出版提供大量数据。 公共卫生相关性：TPC将在两个方面显著影响公共卫生。首先，TPC将提供一个公开的、集中的、以证据为基础的、关于有效促进方案拟订的实用信息来源。这样的资源将使非营利组织(NPO)能够最大限度地利用他们的资金，而不是“重新发明轮子”来制定、实施和评估推广者计划。TPC的最终结果将是非营利组织更多地使用有效的健康推广计划，使用促进方案，并随后改善拉美裔人的健康结果。其次，TPC项目将产生有关为拉丁裔提供服务的非营利组织卫生组织提供的卫生服务的重要原始数据。通过分析这些数据并通过多种来源传播我们的研究结果，我们将为有关非营利组织有效性、推广计划和整体健康推广的科学文献做出贡献。TPC的创新之处在于它能够满足对系统的、广泛传播的和可复制的关于促销计划的制定、实施和评估的信息的记录需求。

DESCRIPTION (provided by applicant): The objective of this Fast Track Small Business Innovation Research application, submitted by KDH Research and Communication (KDHRC), is to develop and evaluate an online information clearinghouse to support community-based nonprofit organizations' (NPOs) use of promotores programs to provide health information to underserved Latinos. Promotores programs use community health workers (CHWs) to conduct outreach for health promotion, prevention, and medical treatment, and there is increasing evidence that they improve health outcomes. The proposed Toda Promotora Clearinghouse (TPC) will provide information on the formulation, implementation, and evaluation of promotores programs to Latino-serving NPOs. Through the provision of centralized, scientifically-based information, TPC will support NPOs in the effective use of promotores programs to increase positive health outcomes among the clients that they serve. The need for TPC is significant. Latino populations experience health disparities, or detrimental differences in the presence of disease, health outcomes, and access to care. NPOs are often at the forefront of addressing health disparities because they are key providers of health services, particularly for Latinos that may seek community-based health care because of lack of insurance, language barriers, or distrust of the mainstream medical system. But the recent economic downturn and governmental funding cuts have strained the fiscal capacity of many NPOs, necessitating the development and implementation of low-cost, yet effective, service delivery approaches. One promising approach is the use of promotores programs, but there is a lack of systematic information available to NPOs about their optimal formulation, implementation, and evaluation. Therefore, TPC aims to improve Latino health outcomes by increasing the health delivery capacity of Latino-serving NPOs through a clearinghouse of evidence-based information on establishing effective or improving existing promotores programs. In Phase I of TPC we will conduct extensive formative research with a panel of experts in the field and NPO directors. We will then develop a TPC prototype and conduct a feasibility evaluation using a pretest/post test control group design. The evaluation will to examine the extent to which the TPC prototype changes knowledge, attitudes, and self-efficacy about promotores programming in a group of NPO directors. In Phase II, we will finalize TPC by developing additional content and features for the website. We will then conduct an outcome evaluation that will include two studies. The first study will use similar methodology to the feasibility evaluation. The second evaluation will be a process study of how and to what extent NPOs and their directors use TPC and how its use impacts promotores programmatic outcomes. Together, the two evaluations will provide information for the commercialization of TPC and a wealth of data for publishing. PUBLIC HEALTH RELEVANCE: TPC will significantly impact public health in two ways. First, TPC will provide a publicly available, centralized source of evidence-based, practical information on effective promotores programming. Such a resource will allow nonprofit organizations (NPOs) to maximize their funding and not "reinvent the wheel" to formulate, implement, and evaluate promotora programs. The ultimate result of TPC will be increased use of effective health outreach programs by NPOs using promotores programs and, subsequently, improved health outcomes for Latinos. Second, the TPC project will generate significant primary data on health delivery by NPO health organizations that serve Latinos. By analyzing these data and disseminating our research results through multiple sources, we will contribute to the scientific literature on NPO effectiveness, promotores programs, and health outreach overall. The innovation of TPC lies in its ability to meet the documented need for systematic, widely disseminated, and replicable information on the formulation, implementation, and evaluation of promotores programs.