Latino Eye Health: A Communication Strategy for Diabetes

描述（由申请人提供）：糖尿病和糖尿病性眼病是拉丁裔社区中重要的公共卫生问题，有证据表明，在这一人群中，缺乏知识和寻求适当眼科护理的障碍。目前的眼健康教育工作可以通过基于思维行为改变模型的新型健康传播策略的开发和传播来改善。战略设计的基本原则包括跨学科方法、拉丁裔社区参与、多种传播渠道和教育娱乐元素。该项目的目标是开发和评估巴尔的摩拉丁裔糖尿病患者的眼健康沟通策略。初始阶段，形成性研究，将包括1：在随机选择的街区组中对拉丁裔人进行家庭调查。调查将涵盖糖尿病和眼病的知识、态度和求医行为、卫生信息的来源以及各种媒体的使用情况；2 .焦点小组由主要领导人、社区成员和与拉丁裔社区合作的机构成员组成，提供投入并完善卫生传播战略本身。拉丁美洲人眼科保健传播战略将以传播理论的模式和原则为基础，特别是社区参与，以加强宣传和建立可持续性。设想的组成部分包括广播广告、中篇小说、海报、流动摊位/展览和小册子，提供关于预防拉丁裔糖尿病患者视力丧失和获得眼科保健服务的明确信息。对拉丁美洲人眼科保健传播战略的评价将分为两方面：在传播战略实施后进行一次重复的家庭调查，以确定知识、态度和做法。第二项研究是一项为期三年的纵向研究，研究对象是250名在哨点综合医疗诊所确诊的拉丁裔糖尿病患者。视诊行为的改变将在三年内确定。改善寻求眼科保健的行为应该有助于避免糖尿病视网膜病变和黄斑水肿造成的视力丧失，这是工作年龄拉丁裔人群视力丧失的主要原因。

DESCRIPTION (provided by applicant): Diabetes and diabetic eye disease are significant public health problems within the Latino community, and there is evidence for lack of knowledge and barriers to seeking appropriate eye care within this population. Current eye health education efforts can be improved through development and dissemination of novel health communication strategies based on the Ideation Behavior Change model. Among the basic principles of strategic design are interdisciplinary approaches, Latino community participation, multiple channels for dissemination, and educational entertainment elements. The goal of this project is to develop and evaluate an eye health communication strategy for Latinos with diabetes, in Baltimore MD. The initial phase, formative research, will include 1: a household survey of Latinos in randomly selected block groups. The survey will cover knowledge, attitudes, and care seeking behaviors for diabetes and eye disease, sources of health information, and use of various media; 2: Focus groups comprised of key leaders, community members, and members of agencies working with the Latino community to provide input, and refine, the health communication strategy itself. The Latino Eye Health Communication strategy will be based on models and principles of communication theory, especially community participation to enhance advocacy and build sustainability. Components are envisioned to be radio spots, novellas, posters, mobile booths/show, and pamphlets with clear information on prevention of vision loss for Latinos with diabetes, and on access to eye care services. The evaluation of the Latino Eye Health Communication strategy will be two pronged: a repeat household survey to determine knowledge, attitudes, and practices after the introduction of the communication strategy. The second is a longitudinal study over three years of 250 Latinos with diabetes identified at a sentinel general medical clinic. Change in eye care seeking behavior will be determined over the three years. Improvements in eye care seeking behaviors should help in avoiding visual loss from diabetic retinopathy and macula edema, the leading causes of visual loss in the working age Latino population.