Improving Latino Health Literacy: An Intergenerational Approach

描述（由申请人提供）：本快速通道SBIR的目的是为拉丁美洲人制定和评估与文化相关的卫生素养培训计划，以提高保护健康和预防疾病的知识和技能。这个项目暂定名为“拉丁裔家庭”（ENF）。根据传统的西班牙价值观，ENF方案提供了一种代际卫生教育方法，为家庭的多名成员同时提供关键卫生知识技能培训和跨领域卫生主题信息，以加强家庭和社区内的健康行为。这一培训方案将通过社区组织提供，以减少拉美裔人在获得护理方面经常遇到的体制障碍。2007年美国人口普查报告称，美国有4550万拉美裔美国人。拉美裔美国人不仅是美国人口增长最快的少数族裔，而且他们也面临着重大的健康挑战。事实上，在几乎所有的风险类别中，拉美裔人比非拉美裔白人承受着更高的疾病负担，有证据表明，拉美裔人所经历的健康差异可能与医疗保健的重大障碍有关，包括低医疗保险率、低英语水平、缺乏准确和文化相关的健康信息、缺乏文化上合格的卫生设施和信息、对美国医疗系统的恐惧和不信任。由于这些差异及其对健康的影响，人们强烈呼吁制定文化上适当的公共卫生举措，以改善美国拉丁裔人的健康状况。为此，KDH研究与传播部将制定ENF计划。在第一阶段，KDHRC将与为拉丁裔人服务的健康倡导组织Dia de la Mujer Latino合作，开发培训计划的印刷部分，并对该产品的有效性进行试点评估。在第二阶段，我们将扩大培训计划，为参与者提供视频内容，为主持人提供多媒体内容。然后，我们将在多个地点实施和评估培训计划，以检验计划的有效性，以及不同的社会因素（贫困、教育、原籍国、地理位置）在多大程度上最能预测计划的有效性，采用准实验的前测和后测评估设计。在产品完成和评估之后，ENF项目将被传播到全国的社区组织。评价结果将通过学术文献和实践以及政策简报进行传播，以增加关于减少拉丁裔社区健康差距的最佳做法的科学知识。此外，我们将在目标社区举行市民会议，向受研究影响最大的人传播评估结果。

DESCRIPTION (provided by applicant): The purpose of this FAST TRACK SBIR is to develop and evaluate a culturally relevant health literacy- training program for Latinos to improve the knowledge and skills to protect health and prevent disease. This program is tentatively entitled Entre Nuestra Familias/Among Our Latino Families (ENF). Drawing from traditional Hispanic values, the ENF Program provides an intergenerational approach to health education, offering multiple members of the family simultaneous training in key health literacy skills and information on cross-cutting health topics to reinforce healthy behaviors within families and communities. This training program will be offered through community-based organizations to reduce institutional barriers to care that are often experienced by Latinos. The U.S. Census reported in 2007 that there are45.5 million Hispanics living in the U.S. Not only do Latinos constitute the fastest growing minority group in the country, but they also face significant health challenges. Indeed, Hispanics bear a higher burden of disease than non-Hispanic whites in almost every category of risk, and there is evidence that the health disparities experienced by Latinos may be linked to significant barriers to health care, including low rates of health insurance, low English proficiency, lack of accurate and culturally relevant health information, a dearth of culturally competent health facilities and information, fear and mistrust of the U.S. Medical system. Because of these disparities and their resulting impact on health, there have been strong calls to develop culturally appropriate public health initiatives to improve the health of Latinos in the U.S. To that end, KDH Research & Communication will develop the ENF Program. In Phase I, KDHRC will develop the print portions of the training program, and conduct a pilot evaluation of the product's effectiveness, in collaboration with Dia de la Mujer Latino, a health advocacy group that serves Latinos. In Phase II, we will expand the training program to include video elements for the participants and multimedia aspects for the facilitator. Then, we will implement and evaluate the training program at multiple sites to examine the program's effectiveness and the extent to which different social factors (poverty, education, country of origin, geographic location) best predict efficacy of the program, using a quasi- experimental pre-test, post-test evaluation design. Following product completion and evaluation, the ENF program will be disseminated to community-based organizations nationwide. The results of the evaluation will be disseminated through the academic literature and practice and policy briefs to add to scientific knowledge about best practices for reducing health disparities in Latino communities. Further, we will conduct town hall meetings in our target communities to disseminate results of the evaluation to those most affected by the research.