REACH OUT FOR HEALTHIER COMMUNITIES

描述（由申请人提供）：西班牙裔女性在做出医疗保健决策时，历史上获得循证信息的机会有限。由社区卫生工作者与提供者、翻译研究人员和社区机构合作领导的现有的、基础广泛的伙伴关系已经成功地调整了循证信息，并通过正式和非正式的社交网络传播，以接触到服务不足的西班牙裔妇女及其家庭。本提案将扩大和加强这一联盟及其努力，利用互动系统框架和基于社区的前瞻性研究，处理和优先处理与优先社区有关的已确定的卫生信息专题;调整关于这些专题的循证信息;并有效地传播文化和社区有关妇女健康问题的信息，以服务不足的西班牙裔妇女及其家庭，提高这一信息利用率 优先人群及其卫生保健提供者参与卫生保健决策。拟议的项目将扩大这一社区卫生工作者联盟机制，以适应和翻译AHRQ和USPTF A级和B级以及lOM建议的基于证据的妇女健康信息，并将翻译研究的结果转化为与文化和社区相关的格式，西班牙裔妇女及其家庭在与其提供者做出医疗保健决定时将使用这些格式。该项目将侧重于三个不同的妇女保健领域; 宫颈癌、性传播感染和抑郁症。第一年将翻译和传播新的USPTF关于宫颈癌的指导方针，以更新当前的活动，并翻译和传播关于其他性传播感染的信息。第二年将重点关注联盟确定的与抑郁症有关的优先问题。第三年将侧重于根据反馈改进材料和数据收集工具。此外，在第三年的最后六个月，该联盟将审查USPSTF的建议，并利用基于社区的参与性方法，确定和优先考虑其他需要解决的卫生领域。

DESCRIPTION (provided by the applicant): Hispanic women historically have had limited access to evidence based Information to use when making health care decisions. An existing, broad based partnership led by community health workers in collaboration with providers, translational researchers, and community based institutions has been successful at adapting evidence based information and disseminating it through formal and informal social networks to reach underserved Hispanic women and their families. The present proposal will expand and reinforce this coalition and its efforts utilizing an Interactive Systems Framework and Community Based Participatory Research (CBPR) to address and prioritize identified health information topics relevant to the priority community; adapt evidence based information on those topics; and effectively disseminate culturally and community relevant information on women's health issues to underserved Hispanic women and their families that will increase utilization of this information by the priority population and their health care providers in health care decision making. The proposed project will expand this community health worker coalition mechanism to adapt and translate evidence based women's health information from AHRQ and USPTF level A and B and lOM recommendations and the results of translational research into culturally and community relevant formats that Hispanic women and their families will use when making health care decisions with their providers. The project will focus on three distinct women's health areas; cervical cancer, sexually transmitted Infections and depression. The first year will translate and disseminate the new USPTF guidelines on cervical cancer to update current activities as well as translate and disseminate information on other sexually transmitted infections. The second year will focus on priority issues related to depression as identified by the coalition. The third year ill focus on refining materials and data collection instruments based upon feedback. During the last six months of year three In addition the coalition will review USPSTF recommendations and utilizing a community based participatory approach identify and prioritize additional health areas to be addressed.