Health Literacy Intervention for Korean Americans with HPB

描述（由申请人提供）：尽管在过去十年中在改善美国人口的心脏健康方面取得了巨大进展，但许多少数民族人口仍然存在显著的健康差距。特别是，英语技能有限的人群健康素养低，无疑阻碍了改善健康结果和减少健康差距的有效战略的制定。这项研究应用程序是制定在响应广泛认识到需要健康素养促进干预。这项研究工作的目的是回答研究问题，解决关键的知识差距，在语言和/或社会孤立的少数民族社区的健康素养干预领域，使用韩裔美国人社区为例。这些问题包括：1）使用基于社区的参与性研究（CBPR）过程的以健康素养为重点的干预是否能有效促进健康素养，并在被称为临床研究“难以接触”人群之一的社区实现更好的HBP结果;以及（2）由非专业卫生工作者提供的干预（即，在这样的社区中，由注册护士组成的社区保健工作者将是可以接受的，也是有效的。拟议的研究是一项以社区为基础的随机临床试验，采用延迟干预和纵向重复测量设计，使我们能够确定拟议的以健康素养为中心的HBP干预措施的有效性。共有360名韩裔美国老年人将参加这项为期两年的研究。虽然这个研究项目的重点是识字促进和HBP控制在韩裔美国移民老年人，这是我们的信念，这种干预的原则和方法的核心组成部分可以提供有意义的见解，其他研究人员谁正在寻求开发有效的，文化敏感的健康素养计划，以满足社会和/或语言孤立的少数群体的需求HBP在整个美国。

DESCRIPTION (provided by applicant): Despite the tremendous progress that has been made in improving heart health in the US population during the last decade, many ethnic minority populations are still experiencing significant health disparity gaps. In particular, low health literacy in populations with limited English skills has undoubtedly hindered the development of effective strategies for improving health outcomes and reducing health disparity gaps. This research application is formulated in response to the widely recognized need for health literacy promoting intervention. This research effort is designed to answer research questions that address critical knowledge gaps in the field of health literacy intervention for linguistically and/or socially isolated ethnic minority communities, using the Korean American community as an example. These questions include whether or not: 1) a health literacy-focused intervention using a community-based participatory research (CBPR) process will be effective in promoting health literacy and achieving better HBP outcomes in a community that is known as one of the "hard-to reach" populations for clinical research; and (2) an intervention delivered by lay health workers (i.e., community health workers) teamed with registered nurses will be acceptable and effective in such a community. The proposed study is a community-based, randomized clinical trial with delayed intervention and a longitudinal repeated measures design that will allow us to determine the effectiveness of the proposed health literacy-focused HBP intervention. A total of 360 Korean American seniors will participate in this study over two- year period. While the focus of this research project is literacy promotion and HBP control in Korean American immigrant seniors, it is our belief that the core components of this intervention's principles and methodology can provide meaningful insights to other researchers who are seeking to develop effective, culturally sensitive health literacy programs to meet the needs of socially and/or linguistically isolated minority groups with HBP throughout the U.S.