Hablame Bebe: Improving health information access for low-income Hispanic children's early language environments

项目总结 家庭生活贫困的拉美裔婴儿认知能力较差的风险显著增加 发展和学术成就。研究表明，这在一定程度上是由他们早期的语言解释的 环境：来自较低社会经济地位(SES)家庭的儿童通常体验不到高质量 语言输入比来自更高SES家庭的孩子更多，这反过来可能导致以后的延迟或差距 语言技能。不幸的是，对于那些移民的西班牙裔儿童来说，这些情况可能会更糟 照顾者认为，由于同化压力或压力，他们应该从西班牙语转向英语 错误的建议。此外，拉美裔父母健康素养低的可能性是西班牙裔父母的两倍多 参加托儿所健康体检的可能性也大大降低。 为了应对这种差异，我们的跨学科团队创造了第一部手机--哈蒙德·贝贝 为低收入西班牙裔缩小单词差距并促进西班牙语-英语双语的应用程序 孩子们。2017年，哈乌德·贝贝被选为美国人权协会弥合世界鸿沟奖的获胜者 挑战。在这次挑战中，我们开发了两个原型，并在32名低收入西班牙裔美国人中进行了测试 家人。在这项研究中，我们了解到，尽管我们的应用程序在改善以下方面的总体结果方面有效 经历过语言种族主义的孩子和父母不太可能给他们的孩子 婴儿用他们的母语西班牙语。只有在我们在应用程序中创建了一个社会语言自豪感组件后，它才导致 照顾者为他们的孩子提供明显更多的“语言营养”。 根据我们团队对Háunder Bebé影响的研究，我们需要在应用程序中添加一些内容 为了最大限度地扩大低收入、低识字率的拉美裔照顾者的范围和效果。这个 拟议的项目旨在通过开发、传播和评估来服务于这一高风险群体 与早期发育里程碑和语言环境有关的健康信息 有收入的西班牙裔家庭。我们已经与健康科学图书馆员以及迈阿密-戴德出版社合作 县公共图书馆系统将通过以下方式做到这一点：(目标1)提高交付能力、可用性和 低社会地位拉美裔家庭对儿童早期发展信息的理解能力；(目标2)发展 针对低健康素养和文化代表性的额外教育内容；以及(目标3)评估 使用定量和定性分析来评估HáUnder BebéPhone应用程序的有效性。 我们的目标是设计最有效的基于证据的应用程序干预，以消除 美国的低收入拉美裔儿童，并提供更好的、与文化相关的和可用的健康 向低收入拉美裔家庭提供信息，以减少其子女之间的差距。开发了新的内容 将协助在项目结束后为临床试验测试准备Háunder BebéPhone应用程序。好了！

PROJECT SUMMARY Hispanic infants whose families live in poverty are at a significantly elevated risk of poorer cognitive development and academic achievement. Research shows that this is explained in part by their early language environment: children from lower socioeconomic status (SES) homes often experience less high-quality language input than children from higher SES homes, which in turn may lead to delays or gaps in later language skills. Unfortunately, these circumstances can be worse for Hispanic children whose immigrant caregivers believe that they should switch from Spanish to English as a result of assimilation pressure or misinformed advice. Additionally, Hispanics parents are more than twice as likely to have low health literacy and significantly less likely to attend well-child care check-ups. In response to this disparity, our interdisciplinary team created Háblame Bebé, the first mobile phone application that reduces the word gap and promotes Spanish-English bilingualism for low-income Hispanic children. In 2017, Háblame Bebé was selected as the winner of the U.S. HRSA Bridging the Word Gap Challenge. For this Challenge, we developed two prototypes and tested them with 32 low-income Hispanic families. In this study, we learned that although our app was effective in improving overall outcomes for children, parents who had experienced linguistic racism were not as likely to give “Language Nutrition” to their babies in their native Spanish. Only after we created a sociolinguistic pride component in the app did it lead to caregivers providing significantly more “Language Nutrition” to their children. Based on our team’s research on the impact of Háblame Bebé, we need to make additions to the app in order to maximize outreach and effectiveness for low-income, low-literacy Hispanic caregivers. The proposed project seeks to serve this high-risk group by developing, disseminating, and evaluating health information pertaining to early developmental milestones and language environments for low- income Hispanic families. We have partnered with a health sciences librarian as well as the Miami-Dade County Public Library System, and together, will do this by: (Aim 1) improving the deliverability, usability, and understandability of early child development information to low-SES Hispanic families; (Aim 2) developing additional educational content targeting low health literacy and cultural representation; and (Aim 3) assessing the effectiveness of the Háblame Bebé phone app using quantitative and qualitative analyses. Our goal is to design the most impactful evidence-based app intervention to eliminate the word gap in low-income Hispanic children in the United States and to deliver better, culturally relevant, and usable health information to low-income Hispanic families to reduce disparities in their children. The new content developed will assist in making the Háblame Bebé phone app ready for clinical trial testing upon conclusion of the project. !