Engaging Ethnic Community Agencies in Adopting Basic Worker Health Education

让少数民族社区机构参与基本的工人健康教育

• 批准号: 8910266
• 负责人: JENNY HSIN-CHUN TSAI
• 金额: $ 23.18万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2017-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8910266
• 关键词: Engaging; Ethnic; Community; Agencies; Adopting

DESCRIPTION (provided by applicant): Marked disparities in health status and health care access among immigrant ethnic minorities are alarming, and yet unaddressed issues for American public health. Compared to their native-born counterparts, this immigrant group is overrepresented in low wage and intrinsically dangerous jobs where they experience greater risks of hazard exposure, injury, and illness. Relatively unsuccessful OH prevention efforts, designed for worksite implementation with low-wage immigrant workers, compel re-thinking intervention strategies and optimizing novel community-focused, network-oriented approaches. Ethnic community agencies are important but underutilized assets capable of providing the essential building blocks for collaborative community OH approaches. This research will investigate the integration of basic worker health education (WHEB) in and by community agencies in order to reach a broad range of Chinese American immigrants. Study aims are: Aim 1: Critique and enhance WHEB materials for appropriateness, comprehensibility, and viability for use in community agencies, by engaging a community advisory panel of service providers; Aim 2: Characterize intra- and extra-organizational factors associated with community agency approaches to program changes, and agency openness to engage in adopting WHEB as a service innovation; and Aim 3: Describe the implementation process (planning, delivery model selection) and outcomes (suitability, continuation) of WHEB integration in diverse community agency settings, using a pilot implementation trial. A mixed-methods design will be used across study aims. Bilingual service providers familiar with Chinese culture and agency workflow (Aim 1) will critique the prototype WHEB materials, which are based on guidelines developed by OHSA, L&I and NIOSH. With agencies as observational units, middle/high level administrators from 21 Chinese and 23 non-Chinese community agencies will be interviewed regarding factors associated with agency approaches to program changes and openness to adopt WHEB (Aim 2). We will randomly select a sample of eight agencies that express interest in integrating WHEB into their services; an OH educator will work with each agency to conduct the pilot implementation trial for the set of WHEB materials (Aim 3). With online surveys (post- implementation & follow-up) completed by two representatives per agency, we will collect data on the specific implementation process and outcome variables. We will incorporate the OH educator's participant- observations into the analysis, integrating quantitative and qualitative data to provide direct and practical knowledge about how community agencies move forward in adopting new program ideas for WHEB. This developmental project responds directly to NORA programs and NIOSH's call for novel approaches to address OH disparities. Results, including Chinese immigrant targeted WHEB materials, will be used to develop a larger community intervention trial. Knowledge generated will advance translational research for community partner selection and intervention design to increase OH program diffusion and sustainability in communities.

描述（由申请人提供）：少数族裔移民在健康状况和获得医疗保健方面的显著差异令人担忧，这是美国公共卫生领域尚未解决的问题。与本土出生的同行相比，这些移民群体在低工资和本质上危险的工作中占了很大的比例，在这些工作中，他们面临着更大的危险暴露、受伤和生病的风险。针对低工资移民工人的工作场所实施的相对不成功的OH预防措施，迫使人们重新思考干预策略，并优化以社区为中心、以网络为导向的新方法。少数民族社区机构是重要的但未得到充分利用的资产，能够为协作社区卫生保健方法提供必要的构建模块。本研究将探讨社区机构整合基本劳工健康教育（WHEB），以达到更广泛的华裔美国移民。研究目标是：目标1：通过社区服务提供者咨询小组的参与，对社区机构使用的WHEB材料的适当性、可理解性和可行性进行评价和改进；目标2：描述与社区机构项目变化方法相关的组织内外因素，以及机构对采用WHEB作为服务创新的开放性；目标3：描述WHEB在不同社区机构环境中整合的实施过程（规划、交付模式选择）和结果（适用性、持续性），使用试点实施试验。混合方法设计将用于跨研究目标。熟悉中国文化和机构工作流程（目标1）的双语服务提供商将根据职业健康安全管理局、L&I和NIOSH制定的指南，对WHEB原型材料进行评论。以机构为观察单位，来自21个中国社区机构和23个非中国社区机构的中高层管理人员将接受采访，了解与机构方法有关的因素，以项目变化和采用WHEB的开放性（目标2）。我们将随机选择8个机构作为样本，这些机构表示有兴趣将WHEB纳入其服务；一名职业健康教育工作者将与每个机构合作，对WHEB材料进行试点实施试验（目标3）。通过每个机构两名代表完成的在线调查（实施后和后续），我们将收集有关具体实施过程和结果变量的数据。我们将把俄亥俄州立大学教育者的参与观察纳入分析，整合定量和定性数据，为社区机构如何为WHEB采用新的项目理念提供直接和实用的知识。这个发展项目直接响应了NORA项目和NIOSH对解决OH差异的新方法的呼吁。结果，包括针对中国移民的WHEB材料，将用于开发更大的社区干预试验。所产生的知识将推动社区合作伙伴选择和干预设计的转化研究，以增加OH项目在社区的传播和可持续性。