The Lung Health Ambassador Program: A Community-Engagement Initiative Focusing on Pulmonary-Related Health Issues and Disparities Regarding Tobacco Use.
The Lung Health Ambassador Program: A Community-Engagement Initiative Focusing on Pulmonary-Related Health Issues and Disparities Regarding Tobacco Use.
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DOI：
10.3390/ijerph18010005
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发表时间：
2020-12-22
影响因子：
--
通讯作者：
McCormack M
中科院分区：
文献类型：
--
作者：
Galiatsatos P;Judge E;Koehl R;Hill M;Veira O;Hansel N;Eakin M;McCormack M
简介：教育活动有可能告知风险人群与肺部健康相关的关键问题，并促进积极参与，促进健康行为和风险预防。我们开发了一个以社区为基础的教育活动，称为肺部健康大使计划（LHAP），其目标是吸引年轻人并使他们成为社区肺部健康的倡导者。目的：评估首届LHAP（2018-2019学年）的过程结果和可行性，具体目标是影响马里兰州的烟草政策。研究方法：关于可行性的结果包括评估达到的学校数量，参与的学生和医疗保健专业人员数量，以及参与学生开发的影响肺部健康可改变风险因素的项目类型。LHAP的课程是在社区确定的日期和时间实施的五个1小时课程。LHAP的主题集中在肺部解剖，影响学龄青年的肺部疾病，烟草使用和流行率以及空气污染（室内和室外）。第五节课讨论了学生影响肺部健康的方法（例如，政策和宣传），并减轻肺部差异。主要结果：LHAP在一个大都市地区的两所小学/中学、一所高中和两个娱乐中心实施。共有268名青年（年龄从11岁到18岁不等）参加了LHAP，其中72名（26.9%）是西班牙裔/拉丁裔，110名（41.0%）是非洲裔美国人。在参与的学生中，有240人写信给当地的政治家，倡导将购买烟草产品的法律的年龄提高到21岁的政策。至于医疗保健专业人员，18名学术教职员工参与实施LHAP：8名医生和教职员工和10名护士。结论：LHAP是一个以社区为基础的计划，提供宣传教育和培训，目标是教授并最终减少呼吸健康差异。第一年的结果表明，该计划是可行的，成功地完成了教育模块和吸引学生。下一步将包括确保可持续性和可扩展性的战略，以增加该计划的覆盖面。
Introduction: Educational campaigns have the potential to inform at risk populations about key issues relevant to lung health and to facilitate active engagement promoting healthy behaviors and risk prevention. We developed a community-based educational campaign called the Lung Health Ambassador Program (LHAP) with a goal of engaging youth and empowering them to be advocates for pulmonary health in their community. Objective: To evaluate the process outcomes and feasibility of the inaugural LHAP (2018–2019 academic year), with a specific aim to impact tobacco policy in the state of Maryland. Methods: Outcomes regarding feasibility included assessment of number of schools reached, number of students and healthcare professionals participating, and types of projects developed by participating students to impact modifiable risk factors for lung health. The courses for the LHAP were five 1 h sessions implemented at days and times identified by the community. The topics of the LHAP focused on lung anatomy, pulmonary diseases affecting school aged youth, tobacco use and prevalence, and air pollution (both indoor and outdoor). The fifth class discussed ways in which the students could impact lung health (e.g., policy and advocacy) and mitigate pulmonary disparities. Main Results: The LHAP was implemented at two elementary/middle schools, one high school, and two recreation centers within an urban metropolitan region. A total of 268 youths participated in the LHAP (age ranging from 11 to 18), whereby 72 (26.9%) were Hispanic/Latino and 110 (41.0%) were African American. Of the participating students, 240 wrote letters to local politicians to advocate for policies that would raise the legal age of acquiring tobacco products to 21. As for healthcare professionals, 18 academic faculty members participated in implementing the LHAP: 8 physicians and faculty staff and 10 nurses. Conclusions: The LHAP is a community-based program that provides education and training in advocacy with a goal of teaching about and, ultimately, reducing respiratory health disparities. The results from the first year demonstrate that the program is feasible, with success demonstrated in completing educational modules and engaging students. Next steps will include strategies to ensure sustainability and scalability to increase the reach of this program.
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