Hablame Bebe: Improving health information access for low-income Hispanic children's early language environments

项目摘要 家庭生活贫困的西班牙裔婴儿的认知能力较差的风险显着增加。 发展和学术成就。研究表明，这在一定程度上是由他们的早期语言解释的。 环境：来自较低社会经济地位（SES）家庭的儿童通常体验不到高质量的 来自社会经济地位较高家庭的儿童的语言输入，这反过来又可能导致后来的延迟或差距 语言技能。不幸的是，这些情况可能会更糟的西班牙裔儿童的移民 照顾者认为，由于同化压力，他们应该从西班牙语转向英语， 错误的建议此外，西班牙裔父母的健康素养低的可能性是其他人的两倍多。 也不太可能去做儿童保健检查。 为了应对这种差异，我们的跨学科团队创造了第一部移动的手机Háblame Bebé 一个应用程序，减少单词差距，促进西班牙语和英语双语低收入西班牙裔 孩子2017年，Háblame Bebé被选为美国HRSA弥合文字鸿沟的赢家 挑战.在这次挑战中，我们开发了两个原型，并在32名低收入的西班牙裔美国人中进行了测试。 家庭在这项研究中，我们了解到，虽然我们的应用程序在改善整体结果方面是有效的， 经历过语言种族主义的父母不太可能给他们的孩子提供“语言营养”。 孩子们用他们的母语西班牙语只有在我们在应用程序中创建了一个社会语言学自豪感组件之后， 照顾者为孩子提供更多的“语言营养”。 根据我们团队对Háblame Bebé影响的研究，我们需要对应用程序进行添加 为了最大限度地扩大低收入，低识字率的西班牙裔照顾者的范围和有效性。的 拟议的项目旨在通过开发，传播和评估为这一高风险群体服务 健康信息有关的早期发展里程碑和语言环境的低- 西班牙裔家庭收入。我们与一位健康科学图书管理员以及迈阿密戴德大学合作， 县公共图书馆系统将通过以下方式实现这一目标：（目标1）提高服务的可交付性、可用性， 早期儿童发展信息的可理解性低SES西班牙裔家庭;（目标2）发展 针对健康知识普及率低和文化代表性差的额外教育内容;以及（目标3）评估 使用定量和定性分析评估Háblame Bebé手机应用程序的有效性。 我们的目标是设计最具影响力的循证应用干预，以消除 低收入西班牙裔儿童在美国，并提供更好的，文化相关的，和可用的健康 向低收入西班牙裔家庭提供信息，以减少其子女的差异。新内容开发 将协助Háblame Bebé手机应用程序在项目结束后进行临床试验测试。!

PROJECT SUMMARY Hispanic infants whose families live in poverty are at a significantly elevated risk of poorer cognitive development and academic achievement. Research shows that this is explained in part by their early language environment: children from lower socioeconomic status (SES) homes often experience less high-quality language input than children from higher SES homes, which in turn may lead to delays or gaps in later language skills. Unfortunately, these circumstances can be worse for Hispanic children whose immigrant caregivers believe that they should switch from Spanish to English as a result of assimilation pressure or misinformed advice. Additionally, Hispanics parents are more than twice as likely to have low health literacy and significantly less likely to attend well-child care check-ups. In response to this disparity, our interdisciplinary team created Háblame Bebé, the first mobile phone application that reduces the word gap and promotes Spanish-English bilingualism for low-income Hispanic children. In 2017, Háblame Bebé was selected as the winner of the U.S. HRSA Bridging the Word Gap Challenge. For this Challenge, we developed two prototypes and tested them with 32 low-income Hispanic families. In this study, we learned that although our app was effective in improving overall outcomes for children, parents who had experienced linguistic racism were not as likely to give “Language Nutrition” to their babies in their native Spanish. Only after we created a sociolinguistic pride component in the app did it lead to caregivers providing significantly more “Language Nutrition” to their children. Based on our team’s research on the impact of Háblame Bebé, we need to make additions to the app in order to maximize outreach and effectiveness for low-income, low-literacy Hispanic caregivers. The proposed project seeks to serve this high-risk group by developing, disseminating, and evaluating health information pertaining to early developmental milestones and language environments for low- income Hispanic families. We have partnered with a health sciences librarian as well as the Miami-Dade County Public Library System, and together, will do this by: (Aim 1) improving the deliverability, usability, and understandability of early child development information to low-SES Hispanic families; (Aim 2) developing additional educational content targeting low health literacy and cultural representation; and (Aim 3) assessing the effectiveness of the Háblame Bebé phone app using quantitative and qualitative analyses. Our goal is to design the most impactful evidence-based app intervention to eliminate the word gap in low-income Hispanic children in the United States and to deliver better, culturally relevant, and usable health information to low-income Hispanic families to reduce disparities in their children. The new content developed will assist in making the Háblame Bebé phone app ready for clinical trial testing upon conclusion of the project. !