De la Mano con la Salud (Lend A Hand for Helath): A Male Lay Health Advisor Netwo
De la Mano con la Salud(为健康伸出援助之手):男性健康顾问网络
基本信息
- 批准号:8233990
- 负责人:
- 金额:$ 22.73万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2011
- 资助国家:美国
- 起止时间:2011-03-01 至 2014-02-28
- 项目状态:已结题
- 来源:
- 关键词:AIDS/HIV problemAddressAffectAlcohol abuseAreaAwarenessBehaviorCaringCellular PhoneClientClinicalCommunitiesContractsCountyDataEffectivenessEmotionalEnrollmentEnsureFaceFamilyFemaleFocus GroupsHandHealthHealth InsuranceHealth PromotionHealth Services AccessibilityHealth Services NeedsHealthcareHispanicsImmigrantIndividualInjuryInterviewLanguageLatin AmericaLatinoLifeLinguisticsMeasuresMental DepressionMental HealthMethodologyMexicanMinority GroupsNeeds AssessmentOutcomePennsylvaniaPhasePopulationPreparationProcessProviderPublic Health SchoolsPublishingPuerto RicanRecommendationResearchResearch PersonnelResearch Project GrantsResearch ProposalsRiskRisk FactorsSelf EfficacyServicesSexually Transmitted DiseasesSiteSocial ChangeSocial Health ServicesSocial isolationSocial supportSourceSouth AmericanSquirrelSubstance abuse problemSurveysTrainingUnited StatesUniversitiesVisitWorkcommunity based participatory researchcommunity organizationsdesignempoweredexperiencefollow-uphealth care qualityhealth disparityhigh riskimprovedinformantmalemeetingsmembermennew growthoutreachpreventprogramspromoterpublic health relevanceresearch studysocioeconomicssound
项目摘要
DESCRIPTION (provided by applicant): De la Mano con la Salud (Lend a Hand for Health): a male lay health advisor network in a new growth community Latinos, the fastest growing population in the United States, experience barriers to quality health care and have worse health outcomes than Whites. Lack of social support puts men living apart from their families at additional risk for depression, substance abuse and STDs. The effectiveness of promotores (lay health advisors) has been documented in communities with high concentrations of Latinos. However, today 20% of all Latinos in the U.S. -10 million people- live in "new growth communities" (NGC), areas with low, yet growing, concentrations of Latinos, where Latinos represent fewer than 5% of the population. Latinos residing in NGC face more health care access barriers because there are few services that address their cultural and language needs and because they face more social isolation. There are no published health promotion efforts using promotores in NGC. Promotores are usually female; there is need for studying the effectiveness of male promotores. The Latino Engagement Group for Salud (LEGS) is a partnership of health and social service providers, grassroots community members and university researchers that has been integral in the preparation of this CBPR proposal. We propose to accomplish three aims. 1. Assess the effect of the CBPR-led male promotores network on increasing health care access and social support for men living apart from their families, as measured by a) obtaining a source of care for 40% of clients without a usual source of care at enrollment; b) achieving a well-health visit for 50% of clients who have not had a well-health visit in the last year; and c) increasing clients' social support from baseline to 3 months after enrollment in the promotores program. 2. Explore qualitatively the impact of the male promotores network on clients in an NGC. 3. Examine the effect of the network in empowering male promotores. Our project will be organized using six steps to conduct CBPR. The LEGS has identified men living apart from their families as a population with critical health service needs. We are currently conducting further needs assessment with focus groups, surveys and key-informant interviews. For this study, we will implement a male promotores network that will include 5 promotores and a super-promotor or coordinator. Promotores will conduct outreach to clients (n=125) and follow up using cell phones. We will use surveys, summary data from our clinical partners, and in-depth interviews with network clients and promotores to gather data for our specific aims. This research will answer critical questions in CBPR: Will a promotores network be effective in improving health care access and social support in an NGC? What are the experiences of clients and promotores in networks with male promotores? Can the CBPR process empower male promotores?
PUBLIC HEALTH RELEVANCE: Relevance This study will provide information to fill two gaps in health promotion information: how to reach a dispersed new growth Latino community, and what the dynamics of a male promotores network are. Ten million Latinos now reside in new growth communities; the potential to use these findings to guide new programs in a similar geographical setting is vast.
描述(由申请人提供):De la Mano con la Salud(为健康伸出援助之手):新增长社区中的男性非专业健康顾问网络 拉丁裔是美国人口增长最快的群体,在获得优质医疗保健方面遇到障碍,健康状况比白人更差。缺乏社会支持使与家人分开生活的男性面临抑郁、药物滥用和性传播疾病的额外风险。在拉丁裔人口较多的社区,promotores(非专业健康顾问)的有效性已得到证实。然而,如今,美国拉丁裔人口中的 20%(即 1000 万人)生活在“新增长社区”(NGC),这些地区的拉丁裔人口密度较低,但仍在不断增加,其中拉丁裔人口仅占总人口的不到 5%。居住在 NGC 的拉丁美洲人面临更多的医疗保健获取障碍,因为很少有服务能够满足他们的文化和语言需求,而且他们面临更多的社会孤立。 NGC 中尚未公布使用启动子的健康促进工作。发起人通常是女性;需要研究雄性启动子的有效性。拉丁裔健康参与小组 (LEGS) 是一个由健康和社会服务提供者、基层社区成员和大学研究人员组成的合作伙伴关系,在本 CBPR 提案的准备过程中发挥了不可或缺的作用。我们建议实现三个目标。 1. 评估 CBPR 领导的男性促进者网络对增加与家人分开居住的男性的医疗保健获取和社会支持的影响,衡量标准为:a) 为 40% 的入组时没有常规护理来源的客户获得护理来源; b) 为去年未进行过健康就诊的客户实现 50% 的健康就诊; c) 将客户的社会支持从基线增加到加入 promotores 计划后 3 个月。 2. 定性探索 NGC 中男性发起人网络对客户的影响。 3. 检查网络在赋予男性发起人权力方面的效果。我们的项目将通过六个步骤来组织进行 CBPR。 LEGS 已将与家人分开居住的男性确定为具有关键医疗服务需求的人群。我们目前正在通过焦点小组、调查和关键知情人访谈进行进一步的需求评估。在本研究中,我们将实施一个男性启动子网络,其中包括 5 个启动子和一个超级启动子或协调器。 Promotores 将向客户 (n=125) 进行外展并使用手机进行跟进。我们将使用调查、临床合作伙伴的汇总数据以及对网络客户和发起人的深入访谈来收集用于我们特定目标的数据。这项研究将回答 CBPR 中的关键问题:promotores 网络能否有效改善 NGC 中的医疗保健获取和社会支持?客户和促销员在男性促销员网络中的体验如何? CBPR 流程能否赋予男性发起人权力?
公共卫生相关性:相关性 这项研究将提供信息来填补健康促进信息中的两个空白:如何接触分散的新增长拉丁裔社区,以及男性促进者网络的动态是什么。 1000 万拉丁美洲人现在居住在新的增长社区;利用这些发现来指导类似地理环境中的新项目的潜力是巨大的。
项目成果
期刊论文数量(2)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Promotores' perspectives on a male-to-male peer network.
Promotores 对男性对男性同伴网络的看法。
- DOI:10.1093/her/cyw016
- 发表时间:2016
- 期刊:
- 影响因子:2.4
- 作者:Macia,Laura;Ruiz,HectorCamilo;Boyzo,Roberto;Documet,PatriciaIsabel
- 通讯作者:Documet,PatriciaIsabel
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Patricia Isabel Documet其他文献
Patricia Isabel Documet的其他文献
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{{ truncateString('Patricia Isabel Documet', 18)}}的其他基金
De la Mano con la Salud (Lend A Hand for Helath): A Male Lay Health Advisor Netwo
De la Mano con la Salud(为健康伸出援助之手):男性健康顾问网络
- 批准号:
8072372 - 财政年份:2011
- 资助金额:
$ 22.73万 - 项目类别:
A Collectivist Approach to Cervical Cancer Screening Among Latinos
拉丁裔宫颈癌筛查的集体主义方法
- 批准号:
8137127 - 财政年份:2009
- 资助金额:
$ 22.73万 - 项目类别:
A Collectivist Approach to Cervical Cancer Screening Among Latinos
拉丁裔宫颈癌筛查的集体主义方法
- 批准号:
7660718 - 财政年份:2009
- 资助金额:
$ 22.73万 - 项目类别:
A Collectivist Approach to Cervical Cancer Screening Among Latinos
拉丁裔宫颈癌筛查的集体主义方法
- 批准号:
8318252 - 财政年份:2009
- 资助金额:
$ 22.73万 - 项目类别:
A Collectivist Approach to Cervical Cancer Screening Among Latinos
拉丁裔宫颈癌筛查的集体主义方法
- 批准号:
7939618 - 财政年份:2009
- 资助金额:
$ 22.73万 - 项目类别:
A Collectivist Approach to Cervical Cancer Screening Among Latinos
拉丁裔宫颈癌筛查的集体主义方法
- 批准号:
8525094 - 财政年份:2009
- 资助金额:
$ 22.73万 - 项目类别:
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