Toda Promotora Clearinghouse: Supporting nonprofits' use of promotores

Toda Promotora Clearinghouse：支持非营利组织使用 promotora

• 批准号: 8538833
• 负责人: Eric Charles Twombly
• 金额: $ 58.21万
• 依托单位: KDH RESEARCH AND COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-04 至 2017-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8538833
• 关键词: Address; Attitude; Benchmarking; Client; Communication Research; Communities; Community Health; Control Groups; Data; Data Analyses; Development; Disease; Drug Formulations; Economics; Effectiveness; Evaluation; Evaluation Reports; Exposure to; Funding; Goals; Head; Health; Health Promotion; Health Services; Health Services Accessibility; Healthcare; Hispanics; Insurance; Interview; Knowledge; Language; Latino; Literature; Low income; Mainstreaming; Medical; Methodology; Mission; Nonprofit Organizations; Outcome; Participant; Phase; Prevention; Process; Program Effectiveness; Provider; Public Health; Publications; Publishing; Reporting; Research; Research Proposals; Resources; Self Efficacy; Services; Site; Small Business Innovation Research Grant; Source; Stretching; Structure; System; Testing; Underserved Population; United States Health Resources and Services Administration; Women' s Health; base; commercialization; cost; design; evidence base; experience; falls; health disparity; health organization; improved; innovation; interest; male health; meetings; outreach; outreach program; programs; prototype; web site

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.

描述（由申请人提供）：由 KDH 研究与传播 (KDHRC) 提交的快速小企业创新研究申请的目标是开发和评估在线信息交换所，以支持社区非营利组织 (NPO) 使用 promotores 计划向服务不足的拉丁美洲人提供健康信息。 Promotores 计划利用社区卫生工作者 (CHW) 开展健康促进、预防和医疗外展活动，越来越多的证据表明它们可以改善健康结果。拟议的 Toda Promotora 信息交换所 (TPC) 将为为拉丁裔服务的非营利组织提供有关 promotores 计划的制定、实施和评估的信息。通过提供集中的、基于科学的信息，TPC 将支持非营利组织有效利用 promotores 计划，以提高其服务客户的积极健康成果。 对 TPC 的需求是巨大的。拉丁裔人群在疾病存在、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健康差距的最前沿，因为它们是卫生服务的主要提供者，特别是对于拉丁裔来说，他们可能因为缺乏保险、语言障碍或对主流医疗系统的不信任而寻求社区医疗保健。但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，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进者计划，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 promotores 计划的循证信息交换所，提高为拉丁裔服务的非营利组织的医疗服务能力，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 董事进行广泛的形成性研究。然后，我们将开发 TPC 原型，并使用预测试/后测试控制组设计进行可行性评估。该评估将检查 TPC 原型在多大程度上改变了一组 NPO 董事对发起人编程的知识、态度和自我效能。 在第二阶段，我们将通过为网站开发附加内容和功能来最终确定 TPC。然后我们将进行结果评估，其中包括两项研究。第一项研究将使用与可行性评估类似的方法。第二项评估将是对非营利组织及其董事如何以及在何种程度上使用 TPC 以及其使用如何影响 promotores 计划成果的过程研究。两项评估共同将为 TPC 的商业化提供信息，并为发布提供丰富的数据。