Toda Promotora Clearinghouse: Supporting nonprofits' use of promotores

描述（由申请人提供）：由KDH研究与传播（KDHRC）提交的这个快速通道小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，以支持社区非营利组织（NPOs）使用促销计划向服务不足的拉丁美洲人提供健康信息。促进者项目利用社区卫生工作者（chw）进行健康促进、预防和医疗的外展，越来越多的证据表明，他们改善了健康结果。提议的Toda促进者信息中心（TPC）将为拉丁裔服务的非营利组织提供有关促进者计划的制定、实施和评估的信息。通过提供集中的、科学的信息，TPC将支持非营利组织有效地利用促进方案，在他们所服务的客户中增加积极的健康结果。对TPC的需求是巨大的。拉丁美洲人口在疾病、健康结果和获得护理方面存在健康差异或有害差异。非营利组织往往站在解决卫生差距的最前线，因为它们是卫生服务的主要提供者，特别是对于由于缺乏保险、语言障碍或不信任主流医疗系统而可能寻求社区卫生保健的拉丁美洲人。但是，最近的经济衰退和政府资金削减使许多非营利组织的财政能力紧张，因此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计划，但是对于非营利组织来说，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推广项目的循证信息交流中心，提高为拉丁裔服务的非营利组织的卫生服务能力，从而改善拉丁裔人的健康状况。在TPC的第一阶段，我们将与该领域的专家小组和非营利组织主任进行广泛的形成性研究。然后，我们将开发一个TPC原型，并使用测试前/测试后对照组设计进行可行性评估。评估将检查TPC原型在多大程度上改变了一群NPO主任关于促进规划的知识、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。然后我们将进行包括两项研究的结果评估。第一项研究将使用与可行性评估类似的方法。第二项评价将是一项关于非政府组织及其主任如何以及在多大程度上使用技术合作伙伴关系以及其使用影响如何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，并为出版提供丰富的数据。

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.