Toda Promotora Clearinghouse: Supporting nonprofits' use of promotores

描述（由申请人提供）：这个快速通道小企业创新研究申请的目的，由KDH研究和通信（KDHRC）提交，是开发和评估一个在线信息交换所，以支持社区为基础的非营利组织（NPO）使用promotores计划为服务不足的拉丁美洲人提供健康信息。Promotores计划使用社区卫生工作者（CHW）进行健康促进，预防和医疗外展，越来越多的证据表明他们改善了健康结果。拟议的户田Promotora信息交换所将向拉丁裔服务的非营利组织提供关于促进方案的制定、实施和评估的信息。通过提供集中的、基于科学的信息，TPC将支持非营利组织有效利用促进方案，以增加其服务的客户的积极健康成果。 对TPC的需求非常大。拉丁裔人口经历健康差距，或在疾病，健康结果和获得护理方面的有害差异。非营利组织往往站在解决健康差距的最前沿，因为它们是卫生服务的主要提供者，特别是对拉丁美洲人来说，他们可能会因为缺乏保险、语言障碍或对主流医疗系统的不信任而寻求社区卫生保健。但是，最近的经济衰退和政府资金削减使许多非营利组织的财政能力捉襟见肘，因此必须制定和实施低成本但有效的服务提供办法。一个很有希望的办法是使用promotores方案，但缺乏系统的信息提供给非营利组织关于其最佳的制定，执行和评估。因此，TPC旨在通过建立有效或改善现有促进方案的循证信息交换所，提高拉丁裔服务非营利组织的健康服务能力，从而改善拉丁裔的健康成果。 在TPC的第一阶段，我们将与该领域的专家小组和NPO主任一起进行广泛的形成性研究。然后，我们将开发一个TPC原型，并进行可行性评估，使用测试前/测试后的控制组设计。本研究将探讨在何种程度上，TPC原型改变知识，态度和自我效能感的promotores编程在一组非营利组织的董事。 在第二阶段，我们将通过为网站开发更多的内容和功能来完成TPC。然后，我们将进行结果评估，其中包括两项研究。第一项研究将采用与可行性评估类似的方法。第二项评价将是一项过程研究，研究非营利组织及其主任如何和在何种程度上使用技术方案合作，以及其使用如何影响促进方案成果。这两项评估将为TPC的商业化提供信息，并为出版提供丰富的数据。

DESCRIPTION (provided by applicant): The objective of this Fast Track Small Business Innovation Research application, submitted by KDH Research and Communication (KDHRC), is to develop and evaluate an online information clearinghouse to support community-based nonprofit organizations' (NPOs) use of promotores programs to provide health information to underserved Latinos. Promotores programs use community health workers (CHWs) to conduct outreach for health promotion, prevention, and medical treatment, and there is increasing evidence that they improve health outcomes. The proposed Toda Promotora Clearinghouse (TPC) will provide information on the formulation, implementation, and evaluation of promotores programs to Latino-serving NPOs. Through the provision of centralized, scientifically-based information, TPC will support NPOs in the effective use of promotores programs to increase positive health outcomes among the clients that they serve. The need for TPC is significant. Latino populations experience health disparities, or detrimental differences in the presence of disease, health outcomes, and access to care. NPOs are often at the forefront of addressing health disparities because they are key providers of health services, particularly for Latinos that may seek community-based health care because of lack of insurance, language barriers, or distrust of the mainstream medical system. But the recent economic downturn and governmental funding cuts have strained the fiscal capacity of many NPOs, necessitating the development and implementation of low-cost, yet effective, service delivery approaches. One promising approach is the use of promotores programs, but there is a lack of systematic information available to NPOs about their optimal formulation, implementation, and evaluation. Therefore, TPC aims to improve Latino health outcomes by increasing the health delivery capacity of Latino-serving NPOs through a clearinghouse of evidence-based information on establishing effective or improving existing promotores programs. In Phase I of TPC we will conduct extensive formative research with a panel of experts in the field and NPO directors. We will then develop a TPC prototype and conduct a feasibility evaluation using a pretest/post test control group design. The evaluation will to examine the extent to which the TPC prototype changes knowledge, attitudes, and self-efficacy about promotores programming in a group of NPO directors. In Phase II, we will finalize TPC by developing additional content and features for the website. We will then conduct an outcome evaluation that will include two studies. The first study will use similar methodology to the feasibility evaluation. The second evaluation will be a process study of how and to what extent NPOs and their directors use TPC and how its use impacts promotores programmatic outcomes. Together, the two evaluations will provide information for the commercialization of TPC and a wealth of data for publishing.