SPANISH CHRONIC DISEASE EDUCATION PROGRAM EVALUATION

描述(改编自《调查者摘要》)：健康服务 要有效，并与慢性病患者相关，患者 必须在管理中发挥积极作用。过去的研究表明， 说英语的患者可以从慢性病自我管理中受益 教育。初步结果表明，同样的好处也适用于 讲西班牙语的关节炎患者。这尤其重要，因为 拉美裔美国人是美国增长最快的人口， 与此同时，慢性病带来了不成比例的负担。在……里面 此外，他们经常遇到获得保健和保健机会有限的问题。 教育由于一定的经济、语言和文化障碍。这个 拟议的项目将通过以下方式解决这些问题：1.开发和 实施以社区为基础的试验性西班牙语健康计划 三种慢性病患者自我管理的教育方案 疾病(冠状动脉疾病、慢性阻塞性肺疾病和 II型糖尿病)。不同病情的患者将参加相同的 联合计划在讲英语的患者中取得了成功。2. 进行为期4个月的随机试验，以确定该计划的影响 On：a.)随后采用自我管理做法；b.)自我效能感 管理与疾病有关的问题和症状；c.)身体上的和 参与者的情绪健康状况；以及d.)医疗服务 参与者的利用情况。3.进行为期1年的纵向研究 确定该计划的长期有效性。4.行为 探索性研究，以1)确定该计划是否对 一些亚群，以及2)探索健康状况 进步了。

DESCRIPTION (Adapted from the Investigator's Abstract): For health services to be efficient, and relevant for patients with chronic disease, patients must play an active role in management. Past studies have demonstrated that English-speaking patients can benefit from chronic disease self-management education. Initial results suggest that these same benefits occur for Spanish-speaking arthritis patients. This is especially important because Hispanics are the fastest growing population in the United States and, at the same time, carry a disproportionate burden of chronic disease. In addition, they often encounter limited access to health care and health education due to certain economic, language and cultural barriers. The proposed project will address these issues by: 1. Developing and implementing an experimental community-based Spanish language health education program for self-management for patients with three chronic diseases (coronary artery disease, chronic obstructive pulmonary disease and type II diabetes). Patients with different conditions will attend the same program together as has been successful with English-speaking patients. 2. Conduct a 4-month randomized trial to determine the impact of the program on: a.) the subsequent use of self-management practices; b.) self-efficacy to manage disease-related problems and symptoms; c.) the physical and emotional health status of the participants; and, d.) the health service utilization of the participants. 3. Conduct a 1-year longitudinal study to determine the long-term effectiveness of the program. 4. Conduct exploratory studies to 1) determine if the program is more beneficial for some subgroups, and 2) to explore the mechanisms by which health status improves.