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

在线课程，帮助准备促销员，以支持有特殊医疗保健需求的儿童的低收入拉丁裔父母

• 批准号: 9807326
• 负责人: Eric Charles Twombly
• 金额: $ 58.94万
• 依托单位: KDH RESEARCH AND COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-07-11 至 2021-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9807326
• 关键词: Address; Advocate; Anxiety; Architecture; Arthritis; Asthma; Attitude; Back; Behavior; Behavioral; Belief; Benchmarking; Brain Injuries; Cerebral Palsy; Child; Chronic; Client; Clip; Cognition; Communication Research; Communities; Community Outreach; Development; Diabetes Mellitus; Education; Emotional; Epilepsy; Evaluation; Evaluation Reports; Evaluation Studies; Exhibits; Experimental Designs; Exposure to; Face; Feasibility Studies; Feedback; Film; Generations; Health; Health Personnel; Health Professional; Health Promotion; Healthcare; Healthcare Systems; Hearing; Human Resources; Immigrant; Insurance; Intellectual functioning disability; Intervention; Knowledge; Latina; Latino; Laws; Lead; Learning Disabilities; Legal; Letters; Linguistics; Low income; Market Research; Medical; Medical Care Team; Motivation; Outcome; Parents; Peer Review; Phase; Planning Theory; Population; Positioning Attribute; Problem behavior; Professional Organizations; Publications; Publishing; Randomized Controlled Trials; Reporting; Research Proposals; Resources; Risk; Schools; Secure; Self Efficacy; Services; Small Business Innovation Research Grant; Specialist; Speech; Structure; System; Testing; Text; Training; Training Programs; Trust; Vision; Vulnerable Populations; Work; Workforce Development; autism spectrum disorder; base; certificate program; commercialization; community building; cost effective; cost effectiveness; course development; course module; experience; follow-up; health care availability; health disparity; health training; improved; innovation; medically necessary care; member; online course; outreach; programs; prototype; psychosocial; skills; social; sound; stem; success; virtual; web site

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.

KDH Research&Communication(KDHRC)提交了这份快速跟踪SBIR建议，以开发、实施和严格评估一门具有文化能力的在线专业发展课程，以准备宣传材料，支持有特殊健康护理需要(CSHCN)儿童的低收入拉丁裔父母在教育和医疗保健系统中导航。CSHCN的健康、心理社会和学业结果比普通儿童群体表现出的更差，表现为频繁缺课、行为问题、年级重复和缺乏学校参与。与其他CSHCN相比，拉美裔CSHCN更有可能经历健康和教育差距，包括缺乏足够的医疗保险、专家转介和一致的、负担得起的医疗保健。 CSHCN的拉丁裔父母经常在教育和医疗方面遇到困难 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 在为他们的CSHCN寻求必要的医疗服务和教育住宿方面存在障碍。 在服务不足的社区中，推销员被公认为关键的卫生保健工作者，他们的理想定位是 支持CSHCN的拉丁裔父母。普恩特斯将拥有广泛的覆盖范围，具有成本效益，适合 推广者及其社区组织(CBO)雇主，以及满足专家的呼吁 解决文化上适当的干预措施的需要的方案，以支持这一弱势群体。普恩特斯培训的推销员将使拉丁裔父母掌握医疗保健和学校系统导航技能，使他们的CSHCN受益。Puentes将包含一个由六个模块组成的在线课程，其中将使用文本、视频剪辑和虚拟客户端互动培训。普恩特斯培训的推销员将建立家长的知识、态度、自我效能和技能，以请求教育住宿，与孩子的医疗团队建立联系，有意义地参与孩子的教育和医疗团队，协调医疗保健和学校服务，并与学校合作，解决与孩子住宿有关的任何挑战。Puentes的内容和评价将由计划行为理论驱动，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，我们将创建由课程大纲、视频情节串连图板和虚拟客户端详细信息组成的计划架构计划，以及两个完整课程模块的原型。我们将在两个阶段的可行性评估研究中对这些模块进行评估。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索Puentes在为拉丁裔服务的CBO中实施时的疗效。我们的市场研究表明，普恩特斯有着巨大的需求和迫切的市场，来自代表6,000多名促销人员的39多个组织的支持证实了普恩特斯的计划重要性和商业潜力。