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)比较有效性研究和具体挑战主题，05-MD-105：健康素养。有限的健康素养影响着9000多万美国人，并与健康状况不佳密切相关。虽然有限的健康素养影响到所有社会、文化和经济背景的人，但它在低收入家庭以及少数群体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，特别是那些参加日托等集体活动的儿童。拉丁裔父母在URI方面的健康素养较差的风险很高。拉丁裔父母在知识、态度和护理做法方面的健康素养有限，可能直接影响他们照顾和治疗自己及其家人的能力。这可能导致费用高昂的急诊科就诊增加，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的增加。疾控中心建议以社区为基础的文化适当的干预措施，教育家庭有关病毒性URI的知识。虽然以前的研究发现，教育努力增加父母关于URI和抗生素耐药性的知识具有积极影响，但这些研究并不是为健康素养较差的少数群体开发的，也不包括成本效益分析。针对低收入家庭的早期启动/启动(EHS/HS)教育计划已被证明是基于社区的健康教育干预的有前景的地点，但需要进一步评估。这项研究的目的是进行一项随机对照试验，以比较评估我们的量身定制的教育干预措施-适当护理URI(Acuri)项目的有效性，以提高上呼吸道感染(URI)的健康知识水平，并减少儿童急诊科(PED)的就诊，在早期先行先试/先行先试的拉美家庭中。我们的干预在参与的EHS/HS中建立了能力，并可以传播到全国其他EHS/HS。该项目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。它还将通过父母激励和从当地企业购买物资来为当地经济做出贡献。公共卫生相关性这项针对拉丁裔早期启蒙/启蒙父母的关于URI的健康素养干预措施不仅有可能改善参与的少数族裔家庭的护理，而且可能允许将这一干预措施和其他健康素养干预措施传播到全国EHS/HS站点的近100万儿童。

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.