HealthyU-Latinx: A Technology-based Tool for addressing Health Literacy in Latinx Secondary Students and their Families

项目概要/摘要 鉴于健康知识普及率低的广泛负面影响，多个机构（例如，中心 疾病控制和预防，美国儿科学会，世界卫生组织，美国 学校健康协会、公共健康教育协会），以提高健康素养 在美国人口的各个阶层。英语学习者面临着巨大的挑战， 英语熟练程度进一步加剧了健康知识普及率低的问题，使某些群体的健康状况恶化。 美国尤其容易受到健康差距的影响。研究表明，西班牙裔/拉丁裔人口 与其他少数群体人口相比，被认为是健康知识有限的最高风险。 有限的健康知识已被证明会对预防服务的使用产生不利影响， 医疗保健设施，增加不遵守医疗处方，并导致更高的可预防性疾病发生率 医院就诊以及使用紧急服务。 在第一阶段SBIR应用中，我们建议开发一种商业上可行的 基于技术的解决方案HealthyU-Latinx，旨在提高Latinx EL中学的健康素养 学校的学生和他们的家人。HealthyU-Latinx将是一个基于网络/移动设备的自定进度课程， 具有动画教学视频，现场演示视频，阅读材料，并从事互动 游戏和活动。该原型将具有面向学生的学校设置组件和 家庭环境中面向家庭的组成部分，其中包括对角色扮演的支持，以及基于家庭的 活动和游戏。最初的原型，基于我们成功的HealthyU计划，将侧重于技能， 如访问和使用保险，药物管理，管理医疗紧急情况， 社区卫生相关资源和服务。 原型将在多个迭代中开发，并与Latinx学生进行了大量接触 在整个发展过程中，他们和他们的家庭都将得到帮助，并将在一项有40个家庭参加的小型研究中进行评估。 学校和家庭环境，我们将评估可行性，可用性和知识的改进， 技能

Project Summary/Abstract Given the broad negative effects of low health literacy, national calls from multiple agencies (e.g., Centers for Disease Control and Prevention, American Academy of Pediatrics, World Health Organization, American School Health Association, Society for Public Health Education) have been made to improve health literacy across all levels of the US population. English Language Learners (ELs) face significant challenges as limited English proficiency further compounds the problem of low health literacy, making certain groups within the United States especially vulnerable to health disparities. Studies reveal that Hispanic/Latinx populations have been found to be at the highest risk of limited health literacy when compared to other minority populations. Limited health literacy has been shown to adversely impact use of preventative services, minimize visits to healthcare facilities, increase nonadherence to medical prescriptions, and lead to higher rates of preventable hospital visits as well as use of emergency services. In this Phase I SBIR application, we propose to develop a proof-of-concept for a commercially viable technology-based solution, HealthyU-Latinx, designed to improve health literacy for Latinx EL secondary school students and their families. HealthyU-Latinx will be a web/mobile-based, self-paced curriculum, featuring animated instructional videos, live demonstration videos, reading materials, and engaging interactive games and activities. The prototype will feature both a student-facing component for school settings and a family-facing component for the home setting which will include support for role-plays, and family-based activities and games. The initial prototype, based on our successful HealthyU program, will focus on skills such as accessing and using insurance, medication management, managing medical emergencies, and accessing health-related resources and services in the community. The prototype will be developed across multiple iterations with significant engagement with Latinx students and their families throughout the development process and will be assessed in a small study with 40 families in both school and home settings where we will assess feasibility, usability, and improvements in knowledge and skill.