Online course to prepare promotores to support low-income Latino parents of children with special healthcare needs

KDH Research & Communication（KDHRC）提交了这份快速通道SBIR提案，以开发，实施和严格评估文化能力，在线专业发展课程，以准备促销活动，以支持有特殊医疗保健需求的儿童的低收入拉丁裔父母（CSHCN），因为他们在教育和医疗保健系统中导航。CSHCN经历较差的健康，心理和学术成果比一般儿童人口表现出频繁的缺课，行为问题，留级，缺乏学校参与。与其他CSHCN相比，拉丁裔CSHCN更有可能经历健康和教育方面的差异，包括缺乏足够的医疗保险，专家转诊以及一致的，负担得起的医疗保健。 CSHCN的拉丁裔父母在浏览教育和医疗保健时经常遇到困难 系统.低收入的拉丁裔父母，特别是第一代移民，面临着语言和文化上的挑战。 在为他们的CSHCN寻求必要的医疗服务和教育设施时，他们会遇到障碍。 宣传员被认为是服务不足社区的关键卫生保健工作者， 支持CSHCN的拉丁裔父母。普恩特斯将有一个广泛的覆盖面，具有成本效益，适合 发起人和他们的社区组织（CBO）雇主，以及满足专家的呼吁， 解决需要采取文化上适当的干预措施以支持这一弱势群体的方案。 Puentes培训的推广人员将使拉丁裔父母能够获得医疗保健和学校系统导航技能，以使他们的CSHCN受益。Puentes将包含一个六个模块的在线课程，将使用文本，视频剪辑和虚拟客户互动培训。经过普恩特斯培训的宣传员将培养家长的知识、态度、自我效能和技能，以请求教育住宿，与孩子的医疗团队互动，有意义地参与孩子的教育和医疗保健团队，协调医疗保健和学校服务，并与学校合作解决与孩子住宿相关的任何挑战。Puentes的内容和评价将受到计划行为理论的驱动，该理论在健康促进干预中具有广泛的实证支持和广泛的适用性。在第一阶段，我们将创建一个程序架构计划，包括课程大纲，视频故事板和虚拟客户端的详细信息，以及两个完整的课程模块的原型。我们会分两个阶段进行可行性评估研究.在第二阶段，我们将使用架构计划和可行性研究结果来最终确定计划视频，课程，资源和传播网站。一项分组随机对照试验将探讨Puentes在拉丁裔服务CBO中实施的疗效。我们的市场研究表明，一个显着的需求和渴望的市场，并支持超过39个组织代表超过6,000 promotores证实了普恩特斯的程序的重要性和商业潜力。

KDH Research & Communication (KDHRC) submits this Fast Track SBIR proposal to develop, implement, and rigorously evaluate a culturally competent, online professional development course to prepare promotores to support low-income Latino parents of children with special health care needs (CSHCN) as they navigate the education and health care systems. CSHCN experience poorer health, psychosocial, and academic outcomes than the general child population exhibited by frequent school absences, behavioral problems, grade repetition, and lack of school engagement. Compared to other CSHCN, Latino CSHCN are more likely to experience health and educational disparities including a lack of adequate health care insurance, specialist referrals, and consistent, affordable health care. Latino parents of CSHCN frequently experience difficulties while navigating the education and health care systems. Low-income Latino parents, especially first-generation immigrants, face linguistic and cultural barriers when seeking necessary medical services and educational accommodations for their CSHCN. Promotores, recognized as key health care workers in underserved communities, are ideally positioned to support Latino parents of CSHCN. Puentes will have a broad reach, be cost-effective, appropriate for promotores and their community-based organization (CBO) employers, as well as meet experts’ calls for programs addressing the need for culturally appropriate interventions to support this vulnerable population. Puentes-trained promotores will empower Latino parents with health care and school system navigation skills to benefit their CSHCN. Puentes will contain a six-module online course, which will use text, video clips, and virtual client interactive training. Puentes-trained promotores will build parents’ knowledge, attitudes, self-efficacy, and skills to request educational accommodations, interface with the child’s medical team, meaningfully participate in their child’s educational and medical care teams, coordinate health care and school services, and work with the school to resolve any challenges related to their child’s accommodations. The content and evaluation of Puentes will be driven by the theory of planned behavior, which has extensive empirical support and widespread applicability in health promotion interventions. In Phase I, we will create a program architecture plan comprised of a course outline, video storyboards, and virtual client details as well as a prototype of two full course modules. We will evaluate the modules in a two- stage feasibility evaluation study. In Phase II, we will use the architecture plan and feasibility study findings to finalize program videos, courses, resources, and dissemination website. A group-randomized controlled trial will explore the efficacy of Puentes when implemented in Latino-serving CBOs. Our market research suggests a significant need and eager market, and support from more than 39 organizations representing over 6,000 promotores substantiates Puentes’ programmatic importance and commercial potential.