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

项目摘要/摘要 鉴于低健康素养的广泛负面影响，来自多个机构(例如，中心)的国家呼吁 疾病控制和预防，美国儿科学会，世界卫生组织，美国 学校卫生协会、公共卫生教育协会)已作出努力，以提高健康素养 覆盖了美国各个阶层的人口。英语学习者(ELS)面临着巨大的挑战 英语水平进一步加剧了健康素养低下的问题，使 美国特别容易受到健康差距的影响。研究表明，西班牙裔/拉丁裔人口有 与其他少数群体相比，被发现健康素养有限的风险最高。 有限的健康知识已被证明会对预防性服务的使用产生不利影响，将就诊次数减少到 医疗设施，增加不遵守医疗处方，并导致更高的可预防比率 就诊和使用急救服务。 在此第一阶段SBIR应用程序中，我们建议为商业上可行的 基于技术的解决方案HealhyU-Latinx，旨在提高Latinx El中学的健康素养 学生和他们的家人。HealthU-Latinx将是一个基于网络/移动设备的、自定进度的课程， 提供动画教学视频、现场演示视频、阅读材料和互动互动 游戏和活动。原型将具有面向学生的学校设置组件和 面向家庭环境的组件，包括对角色扮演和基于家庭的支持 活动和游戏。最初的原型，基于我们成功的HealthU计划，将专注于以下技能 如获得和使用保险、药物管理、管理医疗紧急情况以及访问 社区中与健康相关的资源和服务。 原型将在多次迭代中开发，并与Latinx学生进行大量接触 和他们的家庭在整个发育过程中，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，我们将在这些环境中评估可行性、可用性和知识和 技巧。

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.