Appropriate Care of URI in Children of Latino Immigrants: The ACURI Project

描述（由申请人提供）：本申请涉及广泛的挑战领域（05）比较有效性研究和特定挑战主题，05- md -105：健康素养。有限的卫生知识普及影响着9000多万美国人，并与健康状况不佳密切相关。虽然有限的卫生知识普及影响到所有社会、文化和经济背景的人，但在低收入家庭、少数民族和英语水平有限的人中尤其普遍。幼儿每年有多个病毒性uri，特别是在日托等团体活动中。拉丁裔父母对尿路感染的健康知识缺乏的风险很高。在拉丁裔父母中，与知识、态度和护理做法有关的保健知识有限，可直接影响他们照顾和治疗自己及其家人的能力。这可能导致昂贵的急诊就诊增加，以及不适当的抗生素寻求导致个人和社区范围内抗生素耐药性增加。美国疾病控制与预防中心建议以社区为基础，采取文化上适当的干预措施，教育家庭了解病毒性尿路感染。虽然以前的研究发现，提高父母对尿路感染和抗生素耐药性的认识的教育努力产生了积极影响，但这些研究并不是针对卫生知识贫乏的少数民族人口开发的，也没有包括成本效益分析。针对低收入家庭的早期启智教育项目已被证明是社区健康教育干预的有希望的场所，但需要进一步评估。本研究的目的是进行一项随机对照试验，以比较评估我们量身定制的教育干预的有效性，URI的适当护理（ACURI）项目，提高上呼吸道感染（URI）的健康素养水平，减少儿科急诊科（PED）就诊，在拉丁裔家庭中，早期开端/开端。我们的干预为参与的EHS/HS建立了能力，并可以推广到全国其他EHS/HS。为这个项目提供的资金将允许雇用三名社区成员，包括两名社区卫生工作者，从而建设社区能力。它还将通过父母的奖励和从当地企业购买用品来促进当地经济。这种针对拉丁裔早期领先/领先父母的URI量身定制的健康素养干预措施不仅有可能改善参与的少数民族家庭的护理，而且还可能允许向全国近100万在EHS/HS地点就读的儿童传播这种和其他健康素养干预措施。

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area (05) Comparative Effectiveness Research and specific Challenge Topic, 05-MD-105: Health Literacy. Limited health literacy affects over 90 million Americans, and is strongly associated with poor health. While limited health literacy affects people of all social, cultural and economic backgrounds, it is especially prevalent in low income households, and among minorities and people with limited English proficiency. Young children have multiple viral URIs a year, especially those in group activities like daycare. Latino parents have been shown to be at high risk for poor health literacy regarding URIs. Limited health literacy, as related to knowledge, attitudes and care practices, among Latino parents can directly affect their ability to care for and treat themselves and their families. This can result in increased costly emergency department visits, and inappropriate antibiotic seeking leading to increased individual and community-wide antibiotic resistance. The CDC recommends community based culturally appropriate interventions to educate families about viral URIs. While previous studies have found a positive impact of educational efforts to increase parental knowledge regarding URIs and antibiotic resistance, they were not developed for minority populations with poor health literacy, and did not include cost-effective analyses. Early Head Start/Head Start (EHS/HS) educational programs for low-income families have been shown to be promising sites for community based health education interventions, but need further evaluation. The purpose of this study is to conduct a randomized controlled trial to comparatively assess the effectiveness of our tailored educational intervention, The Appropriate Care of URI (ACURI) Project, to improve health literacy levels regarding upper respiratory infections (URIs) and to decrease pediatric emergency department (PED) visits, among Latino households in Early Head Start/Head Start. Our intervention builds capacity in the participating EHS/HS, and can be disseminated to other EHS/HS nationally. Funding for this project will allow hiring of three community members, including two community health workers, thereby building community capacity. It will also contribute to the local economy through parental incentives and purchase of supplies from local businesses. PUBLIC HEALTH RELEVANCE This tailored health literacy intervention regarding URI for Latino Early Head Start/Head Start parents has the potential to not only improve the care of participating minority families, but also may allow for dissemination of this and other health literacy interventions to the nearly 1 million children that attend EHS/HS sites nationally.