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

描述(申请人提供)：目前为1100万，在接下来的几十年里，西班牙裔妇女在其育龄年龄的比例预计将呈指数级增长。在拉美裔文化中，妇女在家庭健康方面的核心作用，以及她们的高生育率，使接触和吸引拉美裔妇女成为努力缩小差距和改善这些社区成年人和儿童健康结果的关键战略。高质量的产前护理旨在促进妇女、婴儿和家庭在怀孕前、怀孕期间和怀孕后的健康并降低风险。这种护理通常是拉美裔家庭第一次进入美国医疗体系，也是护理差距开始的地方。发展医疗保健系统的能力，为拉美裔提供高质量、语言和文化上合适的产前教育和护理是至关重要的。因此，该项目将确定利用以患者为中心的拉美裔妇女产前教育计划，为非专业健康教育人员开发培训培训者计划的可行性。该计划将基于为基于赋权的小组教育而开发的带故事教学(TWS)方法。它将使用De Madre a Madre/从母亲到母亲的摄影故事，这是一个现有的系列易于阅读的、双语的、适合文化的照片故事，旨在进行产前教育和扫盲教育。该项目将确定在卫生专业人员和为低收入和未参保的拉美裔美国人服务的卫生保健系统中，促进或阻碍TWS平凡健康教育者模式的采用、整合和可持续性的组织和个人属性。它还将确定基于网络的TWS Photoonovel原型的组成部分，以促进企业赞助、卫生专业人员的接受以及改善当地社区产前保健信息的外联和传播。在一个多元化和经验丰富的咨询委员会的指导下，研究小组将通过与卫生保健管理人员和公司高管进行一系列关键信息提供人的访谈，以及对卫生保健专业人员的电子调查来实现这些目标。积极的、对文化敏感的产前护理经历可能会对拉美裔妇女及其家人使用保健服务产生长期影响。一种基于赋权的非专业教育者模式，旨在解决产前护理所特有的系统和提供者需求，有助于节省医疗保健系统的成本，提高护理质量，并满足不断增长的人口的多种需求。一种商业上成功的产前教育模式可以适用于其他健康主题，并有可能适用于其他传统上服务不足的人群。

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.