Building Partnerships to Promote Health in Low Literacy Populations

描述(申请人提供)：低识字率影响个人对健康信息和研究的态度，并与较差的健康结果相关。低识字率的成年人不成比例地是种族和少数民族，他们也是这个国家结核病患病率最高的群体。这项申请的总体长期目标是加强罗切斯特科学界和霍桑扫盲社区的研究合作，以解决影响不同人群的敏感健康问题。这项应用的重点是开发具有文化敏感性的卫生信息交流的创新方式，并利用基于社区的参与性研究(CBPR)方法加以实施。通过引导社区成员掌握研究方法，建设社区卫生研究能力。我们将利用成人非正规教育模式，了解影响结核病评估的社会文化因素，并为霍桑社区开发具有文化敏感性和语言适宜性的结核病评估学习方法。该应用程序旨在通过将其总部设在霍桑社区而不是科学机构来实现这些目标。霍桑社区成员将参与整个过程，他们在重点小组和深入访谈中表达的文化信仰和关切将构成结核病教育和评估的基础。将从重点小组参与者中招募霍桑社区的一个卫生小组，并在项目的设计、实施和评估阶段分配重要角色。罗切斯特科学界将把其在健康促进和护理、研究和分析方面的优势带到该项目中。这两个社区将作为一个研究团队获得经验，并拥有了解CBPR的经验基础。在明尼苏达州罗切斯特市，一个有10万人口的城市，科学界(梅奥诊所、明尼苏达大学罗切斯特大学和威诺纳州立大学)和低识字率社区(霍桑教育中心)之间存在着脱节。无论是字面上还是比喻意义上，这两个社区都说不同的语言。通过建立的CBPR伙伴关系，这两个不同的社区将共同工作和学习健康科学研究的过程。随着两个社区的学习和合作，他们将在尊重、信任和改善霍桑社区健康的共同承诺的基础上建立持续的关系。这一应用在改变社区对科学过程和研究以及公共卫生的看法方面至关重要。该项目将促进受影响的社区成员积极参与，与研究人员合作，最大限度地改变与社区卫生需求有关的知识、态度和行为的潜力。它还通过设计和实施有效的传播战略，在该国一些风险最高的人群中评估结核病，从而解决了重大的公共卫生利益。

DESCRIPTION (provided by applicant): Low literacy influences individuals' attitudes toward health information and research, and is associated with poor health outcomes. Low literacy adults are disproportionately racial and ethnic minorities who also have the highest tuberculosis (TB) prevalence in this country. The overall long-term objective of this application is to strengthen the research collaboration of Rochester's scientific community and the Hawthorne literacy community for addressing sensitive health issues affecting diverse populations. This application focuses on the development of innovative ways for communication of culturally sensitive health information and implementation using community-based participatory research (CBPR) approach. We will build community health research capacity by orienting community members to research methods. We will use the model of adult informal education to understand socio cultural factors influencing TB evaluation, and develop culturally sensitive and linguistically appropriate learning approach to TB evaluation for the Hawthorne community. The application is designed to achieve the aims by basing it in the Hawthorne community, rather than in a scientific institution. Hawthorne community members will be engaged in the entire process and it is their cultural beliefs and concerns, expressed in focus groups and in-depth interviews that will form the basis of TB education and evaluation. A health team from the Hawthorne community will be recruited from focus group participants and assigned significant roles in the design, implementation, and evaluation phases of the project. The Rochester scientific community will bring its strengths in health promotion and care, research and analysis to the project. Together, the two communities will gain experience as a research team and have an experiential base to learn about CBPR. In Rochester, MN, a city of 100,000 people, there is a disconnect between the scientific community (Mayo Clinic, University of Minnesota Rochester, and Winona State University) and the low level literacy community (Hawthorne Education Center). Both literally and figuratively, these two communities do not speak the same language. Through an established CBPR partnership, these two disparate communities will jointly work and learn the process of health science research. As the two communities learn and work together, they will build an ongoing relationship based on respect, trust and a shared commitment to improving the health of the Hawthorne community. This application is of paramount importance in transforming community perceptions of the scientific process and research, and to public health. This project will promote the active engagement of affected members of the community to work with researchers to maximize the potential for change in knowledge, attitudes, and behavior as they pertain to the health needs of the community. It also addresses a vital public health interest by devising and implementing effective communication strategies for tuberculosis evaluation in some of the highest risk populations in this country.