Developing a "Talking Fotonovela" on Sexually Transmitted Diseases for U.S. Migra

描述（由申请人提供）：该项目解决了一个重要的健康需求，性传播疾病和感染（STTD/I）的健康教育低识字移民，一个服务不足的人口有限的机会和巨大的障碍，以获得健康教育材料。“Talking Fotonovela "开发了一种新的媒体格式，在Fotonovela中添加了音频;这是一种漫画书格式，已被证明能有效地向移民人口提供健康信息。该产品设计用于移民个人，以及与健康教育工作者或非专业健康顾问一起在团体环境中使用。该产品将采用多种语言（西班牙语、英语和Mixtec）。米斯特克语（Mixtec）是墨西哥和中美洲土著移民使用的许多不成文语言之一。Mixtecs是美国最大和最有组织的墨西哥土著群体之一。这一产品将满足诊所和社区团体的需要，向低文化群体提供性病/艾滋病预防教育和移民健康促进。为了评估拟议的Talking Fotonovela的可行性，我们需要回答以下技术问题：1）移民人口使用什么样的音频技术？2)话题的敏感性（性病）和潜在的隐私问题将如何影响音频组件？3)什么是最合适的音频技术，以达到这一人口与有声读物？4)什么是使土著语言使用者能够使用Talking Fotonovela的最佳方式？为此，我们开始通过审查现有的音频技术和选择可能的候选人。下一步是对技术的使用进行受众研究。在此基础上，项目小组将开发一个音频产品，与现有的疾病预防控制中心赞助的fotonovela的改编相结合，该产品使用疾病预防控制中心有效行为创新司的循证模型，以促进安全套的使用和避免危险行为。在最终设计中，将纳入对原型产品的可用性和理解性进行测试的其他受众研究的反馈。 公共卫生相关性：为这一项目进行的研究将解决一项重要的保健需要-为识字率低的移民提供关于性传播疾病/感染的保健教育材料。受众研究的目的是找到创新的方法，利用技术来克服向技术经验有限的低文化水平人口传播健康信息的障碍。该项目还涉及向缺乏书面语言的群体提供健康教育视听材料的问题。

DESCRIPTION (provided by applicant): The project addresses an important health need, Sexually Transmitted Diseases and Infections (STTD/I) health education for low-literate migrants, an underserved population with limited access and large barriers to accessing health education materials. The "Talking Fotonovela develops a new media format that adds audio to the fotonovela; a comic book format that has proven effective in providing health information to migrant populations. The product is designed to be used individually by migrants, as well as in group settings with health educators or lay health advisors. The product will be multilingual (Spanish, English and Mixtec). Mixtec is one of many mostly unwritten languages of indigenous Mexican and Central American migrants. The Mixtecs are one of the largest and most organized of the indigenous Mexican groups in the United States. This product will fill a need for clinics and community groups providing STD/I prevention education and migrant health promotion with low-literate groups. To assess the feasibility of the proposed Talking Fotonovela, we will need to answer the following technical questions: 1) what kinds of audio technologies are used by migrant populations? 2) How will the sensitive nature of the topic (STDs) and potential privacy concerns affect the audio component? 3) What is the most appropriate audio technology to use to reach this population with a talking book? 4) What is the best way to make the Talking Fotonovela accessible to indigenous language speakers? To do this, we begin by reviewing existing audio technologies and selecting likely candidates. The next step is to undertake audience research about technology use. Building on this use, the project team will develop an audio product to be combined with an adaptation of an existing CDC sponsored fotonovela that uses evidence-based models from CDC's Division of Effective Behavioral Innovations to promote condom use and risky behavior avoidance. Feedback from additional audience research testing a prototype product for usability and comprehension will be incorporated in the final design. PUBLIC HEALTH RELEVANCE: The research undertaken for this project will address an important health need -- health education materials on STD/I for low literate migrants. The audience research is designed to find innovative ways to bring technology to bear on barriers to communicating health messages to low-literate populations with limited technological experience. The project also addresses issues of providing health education audiovisual materials to groups lacking written language.