Improving Latino Health Literacy: An Intergenerational Approach

提高拉丁裔健康素养：代际方法

• 批准号: 8107766
• 负责人: KRISTEN D HOLTZ
• 金额: $ 34.5万
• 依托单位: KDH RESEARCH AND COMMUNICATION, INC.
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8107766
• 关键词: Address; Advocacy; Advocate; Affect; Area; Attitude; Behavior; CD-ROM; Caring; Categories; Censuses; Cervix Uteri; Collaborations; Communication Research; Communities; Community Outreach; Confusion; Country; Cultural Characteristics; Custom; Development; Disease; Economics; Education; Educational Models; Effectiveness; Elements; Evaluation; Face; Family; Family member; Focus Groups; Fright; Geographic Locations; Goals; HIV; Health; Health Alliance; Health Insurance; Health care facility; Health education; Healthcare; Hispanics; Individual; Intervention; Interview; Knowledge; Language; Latin America; Latina; Latino; Lead; Learning; Legal Status; Life; Link; Literature; Liver Cirrhosis; Liver diseases; Longevity; Manuals; Medical; Minority Groups; Multimedia; New York; Not Hispanic or Latino; Obesity; Outcome; Overweight; Parents; Participant; Phase; Plant Roots; Policies; Population; Poverty; Pre-Post Tests; Prenatal care; Preventive; Printing; Program Effectiveness; Provider; Public Health; Recording of previous events; Reporting; Research; Risk; Role; Screening for cancer; Semantics; Site; Small Business Innovation Research Grant; Source; Spain; Stroke; System; Teenagers; Terminology; Testing; Texas; Training; Training Programs; Trust; Ursidae Family; Vaccination; Work; base; burden of illness; cancer type; design; empowered; evaluation/testing; experience; grandparent; health disparity; health literacy; improved; innovation; intergenerational; journal article; literacy; malignant stomach neoplasm; meetings; member; metropolitan; prevent; programs; prototype; skills; social; symposium; tool

DESCRIPTION (provided by applicant): The purpose of this FAST TRACK SBIR is to develop and evaluate a culturally relevant health literacy- training program for Latinos to improve the knowledge and skills to protect health and prevent disease. This program is tentatively entitled Entre Nuestra Familias/Among Our Latino Families (ENF). Drawing from traditional Hispanic values, the ENF Program provides an intergenerational approach to health education, offering multiple members of the family simultaneous training in key health literacy skills and information on cross-cutting health topics to reinforce healthy behaviors within families and communities. This training program will be offered through community-based organizations to reduce institutional barriers to care that are often experienced by Latinos. The U.S. Census reported in 2007 that there are45.5 million Hispanics living in the U.S. Not only do Latinos constitute the fastest growing minority group in the country, but they also face significant health challenges. Indeed, Hispanics bear a higher burden of disease than non-Hispanic whites in almost every category of risk, and there is evidence that the health disparities experienced by Latinos may be linked to significant barriers to health care, including low rates of health insurance, low English proficiency, lack of accurate and culturally relevant health information, a dearth of culturally competent health facilities and information, fear and mistrust of the U.S. Medical system. Because of these disparities and their resulting impact on health, there have been strong calls to develop culturally appropriate public health initiatives to improve the health of Latinos in the U.S. To that end, KDH Research & Communication will develop the ENF Program. In Phase I, KDHRC will develop the print portions of the training program, and conduct a pilot evaluation of the product's effectiveness, in collaboration with Dia de la Mujer Latino, a health advocacy group that serves Latinos. In Phase II, we will expand the training program to include video elements for the participants and multimedia aspects for the facilitator. Then, we will implement and evaluate the training program at multiple sites to examine the program's effectiveness and the extent to which different social factors (poverty, education, country of origin, geographic location) best predict efficacy of the program, using a quasi- experimental pre-test, post-test evaluation design. Following product completion and evaluation, the ENF program will be disseminated to community-based organizations nationwide. The results of the evaluation will be disseminated through the academic literature and practice and policy briefs to add to scientific knowledge about best practices for reducing health disparities in Latino communities. Further, we will conduct town hall meetings in our target communities to disseminate results of the evaluation to those most affected by the research. PUBLIC HEALTH RELEVANCE: Hispanics bear a higher burden of disease than non-Hispanic whites in almost every category of risk, and as a result, there have been strong calls for the public health community to develop culturally appropriate interventions to reduce health disparities. This proposal is to develop an intergenerational health literacy training program that incorporates key aspects of Latino culture to engage and retain participants. The program will be delivered through community based nonprofit and faith-based organizations to reduce barriers to care. After the development and evaluation of this product, the training program will be disseminated nationwide to provide the public health field with an effective and innovative tool to reduce health disparities among Latinos.

描述（由申请人提供）：这个快速通道SBIR的目的是开发和评估一个文化相关的健康素养-培训计划，为拉丁美洲人，以提高知识和技能，以保护健康和预防疾病。该方案暂定名为“我们的拉丁美洲家庭”（ENF）。从传统的西班牙裔价值观，ENF计划提供了一个代际健康教育的方法，提供多个家庭成员的关键健康素养技能和信息的交叉健康主题，以加强家庭和社区内的健康行为同步培训。这项培训计划将通过社区组织提供，以减少拉丁美洲人经常遇到的医疗机构障碍。 2007年美国人口普查报告称，美国有4550万拉美裔人。拉美裔人不仅是美国增长最快的少数民族，而且他们还面临着重大的健康挑战。事实上，拉美裔人在几乎所有风险类别中承担的疾病负担都高于非拉美裔白人，有证据表明，拉美裔人所经历的健康差异可能与医疗保健的重大障碍有关，包括医疗保险率低，英语水平低，缺乏准确和文化相关的健康信息，缺乏文化上合格的医疗设施和信息，对美国医疗系统的恐惧和不信任由于这些差异及其对健康的影响，人们强烈呼吁制定文化上适当的公共卫生举措，以改善美国拉丁美洲人的健康状况。 在第一阶段，KDHRC将开发培训计划的印刷部分，并与为拉丁美洲人服务的健康倡导组织Dia de la Mujer Latino合作，对产品的有效性进行试点评估。在第二阶段，我们将扩大培训计划，为参与者提供视频内容，为主持人提供多媒体内容。然后，我们将在多个地点实施和评估培训计划，以检查该计划的有效性和不同社会因素（贫困，教育，原籍国，地理位置）最好地预测该计划的有效性的程度，使用准实验前测试，后测试评估设计。 在产品完成和评估之后，ENF方案将传播到全国的社区组织。评价结果将通过学术文献以及实践和政策简报传播，以增加关于减少拉丁美洲社区健康差距的最佳做法的科学知识。此外，我们将在目标社区举行市民大会，向受研究影响最大的社区传播评估结果。 公共卫生相关性：西班牙裔人在几乎所有风险类别中承担的疾病负担都高于非西班牙裔白人，因此，人们强烈呼吁公共卫生界制定文化上适当的干预措施，以减少健康差距。该提案旨在制定一项代际健康素养培训计划，其中包括拉丁美洲文化的关键方面，以吸引和留住参与者。该计划将通过以社区为基础的非营利组织和以信仰为基础的组织提供，以减少护理障碍。在开发和评估这一产品之后，培训方案将在全国范围内推广，为公共卫生领域提供一个有效和创新的工具，以减少拉丁美洲人之间的健康差距。