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Improving Latino Health Literacy: An Intergenerational Approach

提高拉丁裔健康素养：代际方法

基本信息

批准号：
7802013
负责人：
KRISTEN D HOLTZ
金额：
$ 10.36万
依托单位：
KDH RESEARCH AND COMMUNICATION, INC.
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7802013
关键词：
Achievement Address Adverse effects Advocacy Advocate Affect Aftercare Age Aging Alcohols Appointment Appointments and Schedules Area Attitude Awareness Back Behavior Belief Belief System Blood Tests CD-ROM Cardiovascular Diseases Caring Categories Censuses Central American Cervix Uteri Characteristics Cigarette Cirrhosis Classification Clinic Collaborations Commit Communication Communication Research Communities Community Outreach Computers Confusion Country Cultural Characteristics Cultural Diversity Custom Development Development Plans Diabetes Mellitus Dictionary Disease Early Diagnosis Economics Education Educational Curriculum Educational Models Educational process of instructing Effectiveness Elderly Electronics Elements Emergency Care Encapsulated Ensure Equipment Evaluation Exercise Exposure to Extended Family Face Family Family health status Family member Film Focus Groups Folk Remedy Food Foundations Fright Generations Geographic Locations Geographic state Glass Goals Guidelines HIV Happiness Health Health Alliance Health Insurance Health Knowledge, Attitudes, Practice Health Personnel Health Promotion Health Services Accessibility Health behavior Health care facility Health education Health protection Healthcare Hispanics Home environment Hour Immigrant Immunization Individual Informed Consent Intention Internet Interpersonal Relations Intervention Interview Knowledge Label Language Latin America Latina Latino Lead Learning Left Legal Status Letters Life Life Style Link Literacy Programs Literature Liver diseases Local Government Location Longevity Maintenance Manuals Marketing Measures Medical Medical Records Medicare Medication Management Medicine Mental Health Mexican Mind Minority Groups Modification Multimedia Nature New York Not Hispanic or Latino Nutrition Labeling Obesity Oral Oral health Outcome Overweight Pamphlets Parents Participant Patients Persons Pharmaceutical Preparations Phase Plant Roots Play Policies Population Positioning Attribute Poverty Pre-Post Tests Prenatal care Press Releases Prevention Preventive Primary Health Care Printing Probability Procedures Production Program Effectiveness Program Evaluation Protocols documentation Provider Public Health Puerto Rican Reading Recording of previous events Recruitment Activity Refugees Reporting Reproductive Health Research Risk Ritual compulsion Role Sampling Screening for cancer Screening procedure Self Efficacy Semantics Series Services Site Small Business Innovation Research Grant Smoke Social support Societies Source Spain Specialist Staging Stream Stress Stroke Structure Suggestion Supportive care System Technology Teenagers Telephone Terminology Test Result Testing Texas Time Training Training Programs Translating Trust Ursidae Family Vaccination Work Writing advocacy organizations age group base behavior change burden of illness cancer type care delivery commercialization cost design disorder prevention drinking empowered energy balance evaluation/testing evidence base experience farm worker grandparent health disparity health literacy hypertensive heart disease improved innovation intergenerational intimate behavior journal article lectures literacy malignant breast neoplasm malignant stomach neoplasm meetings member metropolitan nutrition outreach program posters prevent product development programs prototype psychosocial public health relevance research and development rural area skill acquisition skills social social skills statistics suburb success symposium theories tool

项目摘要

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）：本快速通道 SBIR 的目的是为拉丁裔制定和评估文化相关的健康素养培训计划，以提高保护健康和预防疾病的知识和技能。该计划暂定名为 Entre Nuestra Familias/Among Our Latino Families (ENF)。 ENF 计划借鉴传统的西班牙裔价值观，提供了一种代际健康教育方法，为多个家庭成员同时提供关键健康素养技能和跨领域健康主题信息的培训，以加强家庭和社区内的健康行为。该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护理机构障碍。 2007 年美国人口普查报告显示，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群体，而且还面临着严峻的健康挑战。事实上，在几乎所有类别的风险中，拉美裔人比非拉美裔白人承受着更高的疾病负担，而且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，包括健康保险率低、英语水平低、缺乏准确和与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造成的影响，人们强烈呼吁制定适合文化的公共卫生举措，以改善美国拉丁裔的健康。为此，KDH 研究与传播将制定 ENF 计划。在第一阶段，KDHRC 将与为拉丁美洲人服务的健康倡导组织 Dia de la Mujer Latino 合作开发培训计划的印刷部分，并对产品的有效性进行试点评估。在第二阶段，我们将扩展培训计划，包括为参与者提供视频元素，为主持人提供多媒体方面。然后，我们将在多个地点实施和评估培训计划，以检验该计划的有效性以及不同社会因素（贫困、教育、原籍国、地理位置）最能预测该计划效果的程度，采用准实验性的前测、后测评估设计。产品完成和评估后，ENF 计划将分发给全国社区组织。评估结果将通过学术文献、实践和政策简报传播，以增加有关减少拉丁裔社区健康差距最佳实践的科学知识。此外，我们将在目标社区举行市政厅会议，向受研究影响最大的群体传播评估结果。公共卫生相关性：在几乎所有类别的风险中，西班牙裔人比非西班牙裔白人承受着更高的疾病负担，因此，人们强烈呼吁公共卫生界制定适合文化的干预措施，以减少健康差异。该提案旨在制定一项代际健康素养培训计划，其中纳入拉丁裔文化的关键方面，以吸引和留住参与者。该计划将通过社区非营利和信仰组织实施，以减少护理障碍。该产品开发和评估后，培训计划将在全国范围内传播，为公共卫生领域提供有效和创新的工具，以减少拉丁裔之间的健康差距。