Online professional development training for promotoras on lupus

 描述（由申请人提供）; KDH研究和通信（KDHRC）与美国流变学学院（ACR）将开发LLPI：Latinas con Lupus，Promotoras con Información（拉丁与狼疮，Promotoras与信息），一个文化能力，独特的，在线专业发展课程（课程），以提高promotoras de salud的能力（promotoras），以提高认识，并进行有效的推广，以低收入的拉丁美洲人对系统性红斑狼疮（狼疮）。LLPI培训的promotoras将通过提供转诊，建立医疗导航技能和促进自我宣传，为诊断或疑似狼疮的低收入拉丁美洲人提供心理社会支持和实际援助。LLPI将是一个六个模块的双语课程，使用文本和肥皂剧风格的视频。Promotoras将通过一个模仿虚拟患者的虚拟客户端来练习每个模块的技能。所有LLPI资源将在线分发。ACR承诺为该项目提供商业化支持，并将通过其狼疮倡议分发LLPI，这是一项传播循证资源以减少狼疮健康差异的国家计划。LLPI的相关性和创新源于四个因素。首先，狼疮不成比例地影响低收入的拉丁美洲人。其次，推广人越来越被认为是服务不足社区的医疗保健工作队伍的重要成员。《平价医疗法案》特别列举了推广者对公共卫生的潜在贡献。第三，职业化。到目前为止，15个州和哥伦比亚特区已经通过了关于促进劳动力发展或融资的法律，19个州已经有了现有的认证和/或培训计划。第四，在线培训现在被广泛用于培训类似的医疗保健辅助专业人员，并记录了疗效和成本效益。在第一阶段，我们将为完整的六个模块课程制定架构计划，并创建两个完整课程模块的原型，包括文本，视频故事板和粗略的虚拟客户体验。我们将在一项前测/后测对照组研究中评估原型，该研究探讨了暴露于LLPI和增加对狼疮的了解之间的关系，对狼疮社区外展的更积极的态度和信念，以及进行有效外展的更大自我效能。在第二阶段，我们将通过拍摄电视剧风格的视频，规划虚拟客户体验，规划整个课程，创建离线资源以及开发LLPI传播网站来完成LLPI。然后，我们将评估整个LLPI课程在一个强大的评估，探讨在何种程度上暴露于LLPI改变promotoras的知识，态度和信念，自我效能，并打算进行有效的推广。LLPI将是同类项目中唯一的项目，我们的市场研究表明，这是一个巨大的需求和迫切的市场。ACR对LLPI商业化的承诺，加上代表2,500多个发起人的38个组织的支持信，证实了LLPI的计划重要性。

 DESCRIPTION (provided by applicant); KDH Research and Communication (KDHRC), with the American College of Rheumatology (ACR), will develop LLPI: Latinas con Lupus, Promotoras con Información (Latinas with Lupus, Promotoras with Information), a culturally competent, unique, online professional development course (course) to improve the ability of promotoras de salud (promotoras) to raise awareness of and conduct effective outreach to low-income Latinas about systemic lupus erythematosus (lupus). LLPI-trained promotoras will offer psychosocial support and practical assistance to low-income Latinas with diagnosed or suspected lupus by providing referrals, building health care navigation skills, and promoting self-advocacy. LLPI will be a six-module, bilingual course that uses both text and telenovela-style video. Promotoras will practice each module's skills with a virtual client modeled after virtual patients. All LLPI resources will be distributed online. ACR commits commercialization support to this project and will distribute LLPI through its Lupus Initiative, a national program that disseminates evidence-based resources to reduce lupus health disparities. LLPI's relevance and innovation stem from four factors. First, lupus disproportionately affects low-income Latinas. Second, promotoras are increasingly recognized as vital members of the health care workforce for underserved communities. The Affordable Care Act specifically enumerates promotoras' potential contributions to public health. Third, promotoras are professionalizing. To date, 15 states and the District of Columbia have passed laws addressing promotoras workforce development or financing and 19 states have existing certification and/or training programs. Fourth, online training is now widely used to train similar health care paraprofessionals with documented efficacy and cost-effectiveness. In Phase I, we will develop an architecture plan for the full six-module course and create a prototype of two full course modules with text, video storyboards, and rough-cut virtual client experiences. We will evaluate the prototype in a pretest/post-test control group study that examines the relationship between exposure to LLPI and increased knowledge about lupus, more positive attitudes and beliefs about community outreach on lupus, and greater self-efficacy to conduct effective outreach. In Phase II, we will finalize LLPI by filming the telenovela-style videos, programming the virtual client experiences, programming the entire course, creating the offline resources, and developing the LLPI dissemination website. We will then evaluate the entire LLPI course in a well-powered evaluation that explores the extent to which exposure to LLPI changes promotoras' knowledge, attitudes and beliefs, self-efficacy, and intentions to conduct effective outreach. LLPI will be th only program of its kind, and our market research suggests a significant need and eager market. ACR's commitment to LLPI's commercialization, plus letters of support from more than 38 organizations representing more 2,500 promotoras, substantiate LLPI's programmatic importance.