NATIONAL DES EDUCATION PROGRAM

这项研究的目的是记录障碍和测试策略 一种可复制的模式，以改进适当的识别、诊断、 以及DES相关疾病的治疗。的具体目标 这项研究是：L)以识别潜在的DES暴露的妇女和后代 除了那些已经在DESAD项目中登记的人；2)达到 具有成本效益的卫生服务提供者和接触DES的人群 传播有关DES暴露的最新信息的战略 后遗症和治疗；以及3)提供临床和教育 咨询医生、护士和去暴露妇女及其 通过扩大以前与机构的努力来保护儿童 西南地区得克萨斯临床中心。行为模型，由 普罗查斯卡和迪克莱门特在这项研究中被使用，它假设所有的 人们并不在同一时间点上采取特定的健康相关 实践，如DES暴露的监测和治疗。这 理论模型将有助于解释 两种人群目标的健康沟通干预：健康 得克萨斯州的提供者和暴露于DES的妇女。几种方法 将被使用，包括特定的采样技术来识别 暴露人群；多媒体和其他模式的教育； 测量暴露人群中的卫生做法和就绪性 根据相关信息采取行动；以及，识别和教育 医疗服务提供者。这些方法具有成本效益和效率， 利用现有的专业组织和印刷/电视媒体 发布特定的健康信息，以提高对 潜在接触DES的妇女及其后代和保健提供者。

The purpose of this study is to document barriers and test strategies with a replicable model to improve the appropriate identification, diagnosis, and treatment of DES-associated medical conditions. The specific aims of this study are: l) to identify potentially DES-exposed women and offspring in addition to those already registered in the DESAD project; 2) to reach health providers and the DES-exposed population in a cost effective strategy to disseminate the most current information about DES exposure sequelae and treatment; and, 3) to provide clinical and educational consultation to physicians, nurses and DES-exposed women and their children through an expansion of previous efforts with the establishment of the Southwest Regional DES Clinical Center. A behavioral model by Prochaska & DiClemente is utilized in this study which presumes that all persons are not at the same point of adopting a specific health-related practice, such as surveillance and treatment of DES exposure. This theoretical model will facilitate the interpretation of the effect of a health communication intervention with two population targets: health providers and DES-exposed women in the state of Texas. Several methods will be used including specific sampling techniques to identify the exposed population; education with multi-media and other schema; measurement of health practices in the exposed population and readiness to act on germane DES information; and, identification and education of health providers. These methods are cost effective and efficient, utilizing existing professional organizations and print/television media to promulgate specific health information to improve identification of potential DES-exposed women and their offspring and health providers.