RURAL LEAD EDUCATION--EVALUATION OF CONSULTANT METHODS

描述：(改编自调查人员摘要)9%至17%之间 据估计，农村儿童面临铅破坏性影响的风险 下毒了。传统上，社区健康护士顾问的工作 与农村公共卫生提供者合作，减少风险因素，增加 预防活动，但没有规定对备选方案进行评估 顾问角色中的战略。这项研究将检验其有效性。 提供三个级别的咨询(最低限度/控制、适度和 最高)到随机分配的三个农村县发展 全县范围内的合作教育计划。会商将是 评估其对以下方面的影响：社区铅危害知识； 机构间协作；成本；铅筛选和确定的比率 案例；以及实施的领导教育方案的数量。每个县都会 被要求组成一个跨部门的社区领导教育联盟。这个 向联盟提供的磋商强度将因以下因素而有所不同 县里。在A县，会诊将在例行季度进行 联系人；在B县，顾问将启动每月联系人和 担任联盟的临时成员；在C县，顾问将 启动每周联系，加入联盟，并共同计划计划 首创精神。社区主导的教育活动将有三个主要方面 焦点：公益广告；对学龄前儿童和家长的教育； 以及对那些参与旧房改造的人进行教育。中的更改 社区领导知识水平将通过Pre和Post进行评估 干预调查：随机选择有手机的居民；WIC 没有电话的参与者；少数族裔居民；以及委员会 有效性清单。成本将通过直接监控来确定 顾问成本、计划成本和成本效益。主演放映 将在12个月之前和12个月内按月绘制图表 干预后。关于社区带头教育倡议的数据将是 在事件发生时收集，并在每次事件后记录顾问联系 相遇。这项研究的结果将为 公共卫生护士顾问和提供者的干预计划 农村社区健康教育。

DESCRIPTION: (Adapted from investigator's abstract) Between 9% and 17% of rural children are estimated at risk for the devastating effects of lead poisoning. Community health nurse consultants have traditionally worked with rural public health providers to reduce risk factors and increase prevention activities with no provision for evaluation of alternative strategies in the consultant role. This study will test the effectiveness of consultation provided at three levels (minimal/control, moderate, & maximum) to three randomly assigned rural counties for the development of county-wide, collaborative education programs. Consultation will be assessed for its impact on: community knowledge of lead hazards; interagency collaboration; cost; rates of lead screenings and identified cases; and number of implemented lead education programs. Each county will be asked to form an interagency community lead education coalition. The intensity of the consultation provided to the coalition will differ by county. In County A, consultation will occur during routine quarterly contacts; in County B, the consultant will initiate monthly contacts and serve as an ad-hoc member of the Coalition; in County C, the consultant will initiate weekly contacts, be on the coalition, and co-plan program initiatives. The community lead education initiatives will have three major foci: public service announcements; education of pre-schoolers and parents; and education of those involved in remodeling of older homes. Changes in community lead knowledge level will be assessed via pre and post intervention surveys of: random selected residents with a phone; WIC participants without a phone; minority residents; and the Committee Effectiveness Inventory. Costs will be determined by monitoring direct consultant costs, program costs, and cost effectiveness. Lead screenings will be charted monthly for 12 months prior to and 12 months post-intervention. Data on the community lead education initiatives will be gathered as they occur and consultant contact will be documented after each encounter. Results from this study will build empirical guidelines for interventions by public health nurse consultants and providers planning rural community health education.