Health Literacy Intervention for Korean Americans with HPB

描述（由申请人提供）：尽管在过去十年中，美国人口在改善心脏健康方面取得了巨大进展，但许多少数民族人口仍然经历着显著的健康差距。特别是，英语技能有限的人群卫生知识普及程度低，无疑阻碍了制定有效战略，以改善卫生成果和缩小卫生差距。本研究申请是根据广泛认可的健康素养促进干预的需要而制定的。本研究工作旨在回答以韩裔美国人社区为例，解决在语言和/或社会孤立的少数民族社区卫生素养干预领域的关键知识差距的研究问题。这些问题包括：1)使用基于社区的参与式研究（CBPR）过程的以卫生素养为重点的干预措施是否能有效地促进卫生素养，并在被称为临床研究“难以触及”的人群之一的社区中取得更好的HBP结果；(2)非专业卫生工作者（即社区卫生工作者）与注册护士合作提供的干预措施在这样的社区中是可以接受和有效的。该研究是一项基于社区的随机临床试验，采用延迟干预和纵向重复测量设计，使我们能够确定以健康素养为重点的HBP干预的有效性。共有360名美籍韩裔老年人将参与这项为期两年的研究。虽然这个研究项目的重点是韩裔美国移民老年人的扫盲促进和HBP控制，但我们相信，该干预原则和方法的核心组成部分可以为其他研究人员提供有意义的见解，这些研究人员正在寻求开发有效的、文化敏感的健康扫盲计划，以满足美国各地社会和/或语言孤立的HBP少数群体的需求

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.