Teach-With-Stories: Lay educator Prenatal Outreach Program for Hispanics

故事教学：西班牙裔非专业教育家产前推广计划

• 批准号: 7405380
• 负责人: Susan Jean Auger
• 金额: $ 13.95万
• 依托单位: AUGER COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-03-05 至 2009-08-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7405380
• 关键词: Address; Administrator; Adoption; Adult; Advertising; American; Caring; Child; Communities; Complex; Cost Savings; Development; Economics; Education; Educational process of instructing; Electronics; Family; Fertility Rates; Future; Health; Health Educators; Health Personnel; Health Professional; Healthcare; Healthcare Systems; Hispanics; Individual; Infant; Information Dissemination; Instruction; Interview; Language; Left; Link; Low income; Medical; Medical Care Team; Methods; Modeling; Mothers; Not Hispanic or Latino; Online Systems; Outcome; Phase; Population; Pregnancy; Pregnant Women; Prenatal care; Process; Provider; Publishing; Quality of Care; Reading; Risk; Series; Services; Stress; Surveys; System; Testing; Time; Trainers Training; Training Programs; Underserved Population; Uninsured; Visit; Woman; Women' s Role; base; child bearing; cost; cost effective; design; experience; improved; literacy; model design; outreach; outreach program; patient oriented; prenatal; programs; prototype; social

DESCRIPTION (provided by applicant): Currently at 11 million, over the next several decades the proportion of Hispanic women in their childbearing years is projected to increase exponentially. The central role women have in Hispanic culture with respect to the health of their families, along with their high fertility rates, make reaching and engaging Hispanic women a critical strategy in efforts to reduce disparities and improve health outcomes for adults and children in these communities. Quality prenatal care is designed to promote health and reduce risks for women, infants, and families before, during, and after pregnancy. This care is often the first introduction Hispanic families have to the American medical system and is also a place where disparities in care begin. Developing the healthcare system's capacity to provide quality, linguistically and culturally appropriate prenatal education and care for Hispanics is critical. As such, this project will determine the feasibility of developing a train-the-trainer program for lay health educators using a patient-centered prenatal education program for Hispanic women. The program will be based on the Teach-With-Stories (TWS) Method" developed for empowerment-based group education. It will use the De Madre a Madre/From Mother to Mother photonovels, an existing series of easy-to-read, bilingual, culturally appropriate photo-stories designed for prenatal education and literacy instruction. This project will determine the organizational and individual attributes that facilitate or hinder adoption, integration, and sustainability of a TWS lay health educator model among health professionals and in healthcare systems that serve low-income and uninsured Hispanics. It will also identify the components of a web-based TWS photonovel prototype necessary to promote corporate sponsorship, health professional acceptance, and improved outreach and dissemination of prenatal care information in local communities. Guided by a diverse and experienced advisory board, the study team will achieve these aims through a series of key informant interviews with health care administrators and corporate executives, and an electronic survey of health care professionals. Positive, culturally sensitive experiences in prenatal care can have a long-term impact on the use of healthcare services by Hispanic women and their families. An empowerment-based lay educator model designed to address system and provider needs unique to prenatal care could help generate cost-savings to the health care system, improve quality of care, and address the multiple needs of this growing population. A commercially successful model for prenatal education could be adapted for other health topics and potentially for other traditionally underserved populations.

描述（由申请人提供）：目前有1100万，在未来几十年内，预计育龄期西班牙裔妇女的比例将呈指数级增长。妇女在西班牙裔文化中对家庭健康的核心作用，沿着高生育率，使西班牙裔妇女接触和参与成为减少这些社区成人和儿童的差距和改善健康结果的关键战略。高质量的产前护理旨在促进健康，减少妇女、婴儿和家庭在怀孕前、怀孕期间和怀孕后的风险。这种护理通常是西班牙裔家庭对美国医疗系统的第一次介绍，也是护理差异开始的地方。发展医疗保健系统的能力，为西班牙裔提供高质量的、语言和文化上适当的产前教育和护理是至关重要的。因此，本项目将确定为西班牙裔妇女制定一个以病人为中心的产前教育计划的可行性。该方案将基于"故事教学法“，为基于赋权的团体教育而开发。它将使用De Madre a Madre/从母亲到母亲的照片故事，这是一个易于阅读、双语、适合文化的照片故事系列，旨在进行产前教育和扫盲。该项目将确定促进或阻碍TWS非专业健康教育者模型在卫生专业人员和为低收入和无保险西班牙裔服务的医疗保健系统中的采用、整合和可持续性的组织和个人属性。它还将确定一个基于网络的TWS photonovel原型的组成部分，这些组成部分对于促进企业赞助、卫生专业人员的接受以及改善产前护理信息在当地社区的推广和传播是必要的。在一个多元化和经验丰富的咨询委员会的指导下，研究小组将通过与医疗保健管理人员和企业高管的一系列关键线人访谈以及对医疗保健专业人员的电子调查来实现这些目标。积极的，文化上敏感的产前护理经验可以对西班牙裔妇女及其家庭使用医疗服务产生长期影响。一个授权为基础的外行教育模式，旨在解决系统和提供者的需求独特的产前护理可以帮助产生成本节约的医疗保健系统，提高护理质量，并解决这个不断增长的人口的多重需求。商业上成功的产前教育模式可适用于其他健康主题，并有可能适用于其他传统上得不到充分服务的人口。