Bilingual Foto-tabloids in Community Newspapers

描述（由申请人提供）：西班牙裔糖尿病已达到流行病的程度。(1)[糖尿病前期]教育是糖尿病预防和控制的关键，然而，如何将教育工具转化为具有文化吸引力的、简单易懂的信息，对拉美裔人来说是一个挑战。有限的健康知识，缺乏英语水平，难以获得医疗保健和社会文化障碍是这一服务不足人口的巨大差异(2)。截至2010年，美国的拉美裔人口达到5000万，占美国人口的16.7%以上(3)，拉美裔农村人口占美国非城市居民的6.3%(4)。在美国，近25%的西班牙裔人口不会说英语(2)，他们无法获得有关糖尿病预防和控制以及其他慢性疾病的重要健康信息。卫生服务提供者试图教育和告知320万生活在农村地区的拉美裔人，因为他们比城市地区的拉美裔人更孤立，这一挑战更加复杂(4)。Fotonovelas是拉丁美洲流行的一种讲故事的媒体，用照片和对话框讲述故事。因为fotonovelas具有娱乐性，图形和色彩丰富，并且具有最少的文本；它们本质上很容易阅读。fotonovelas最初是拉丁美洲的流行文化娱乐媒介，在美国西班牙裔人中很受欢迎和欢迎（5,6,7,8,9,10），它们已被证明是有效的健康教育工具（6,7,10,11,12,13,14,15,16,17）。第一阶段的SBIR应用是ACMA Social Marketing（美国最有经验的健康教育fotonovelas生产商）、新墨西哥州健康糖尿病预防和控制项目、Viridian health（一家国家医疗保健改善公司）和VisionQuest（一家致力于预防与糖尿病相关的眼病的生物医学公司）之间的合作。拟议的创新结合了三种受欢迎、可信和广为接受的传播媒介的潜力，以解决农村地区西班牙裔人的健康差距问题：卫生宣传册、双语和/或社区小报和宣传册。[我们的创新包括将健康新闻与社区报纸结合起来，将其迭代为“照片小报”，有效地将社区报纸转变为健康信息的载体，以接触到服务不足的拉美裔农村人。]在第一阶段，我们将以新墨西哥州的农村地区为试验基地，评估小报作为外联和健康沟通工具是否比标准的患者教育小册子更有效。

DESCRIPTION (provided by applicant): Diabetes among Hispanics has reached epidemic proportions. (1) [Pre-diabetes] education is key in diabetes prevention and control yet education tools that translate into culturally engaging, yet simple and easy to understand information is a challenge for Hispanics. Limited health literacy, lack of English-language proficiency, trouble accessing healthcare and socio-cultural barriers represent great disparities for this under- served population (2). As of 2010, the Hispanic population in the United States reached 50 million, comprising over 16.7% of the U.S. population (3) and rural Hispanics comprise 6.3% of the nation's non-metro inhabitants (4). Almost 25% of the Hispanic population in the U.S. does not speak English (2) and accessing important health information about diabetes prevention and control and other chronic diseases eludes them. The challenge is compounded as health providers attempt to educate and inform the 3.2 million Hispanics living in rural areas of the country, as they are even more isolated than those Hispanics in metro areas (4). Fotonovelas, a popular Latin American storytelling medium are stories told with photos and dialogue bubbles. Because fotonovelas are entertaining, graphic and colorful, and have a minimum of text; they are intrinsically easy to read. Originally a pop culture entertainment medium in Latin America, fotonovelas are popular and well- received among U.S. Hispanics (5,6,7,8,9,10) and they have proven to be effective health education tools (6,7,10,11,12,13,14,15,16,17). This Phase I SBIR application is a collaboration among ACMA Social Marketing, the most experienced producer of health education fotonovelas in the U.S., New Mexico Department of Health Diabetes Prevention and Control Program, [Viridian Health], a national healthcare improvement company, and VisionQuest, a biomedical firm dedicated to preventing eye disease related to diabetes. The proposed innovation combines the potential of three popular, credible and well-accepted communication agents to address Hispanic health disparities in rural areas: health fotonovelas, bilingual and/or community-based tabloid newspapers and promotoras. [Our innovation involves combining the health fotonovela with the community newspaper to iterate it into a "foto-tabloid," effectively turning the community newspaper into a health information vehicle to reach out to underserved rural Hispanics. In this Phase I period, we will use rural New Mexico as a test-bed and assess if foto-tabloids are more effective as outreach and health communication tools than the standard patient education pamphlet.]