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首页> 外文期刊>Frontiers in Public Health >Migrant Communities at the Center in Co-design of Health Literacy-Based Innovative Solutions for Non-communicable Diseases Prevention and Risk Reduction: Application of the OPtimising HEalth LIteracy and Access (Ophelia) Process
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Migrant Communities at the Center in Co-design of Health Literacy-Based Innovative Solutions for Non-communicable Diseases Prevention and Risk Reduction: Application of the OPtimising HEalth LIteracy and Access (Ophelia) Process

机译：基于健康识字疾病的基于健康识字症的创新解决方案的过程中的移民社区预防和减少风险：优化健康识字和访问（Ophelia）过程的应用

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The drivers of high prevalence of non-communicable diseases (NCD) among migrants are well-documented. Health literacy is regarded as a potential tool to reduce health inequalities and improve migrant's access to and quality of health care. Yet, little is known about the health literacy needs among these groups and how to address them. This paper outlines the protocol for a migrant community-based co-design project that seeks to optimize health literacy, health promotion, and social cohesion in support of prevention of NCDs among migrants in Lisbon using the OPtismizing HEalth LIteracy and Access (Ophelia) process. This participatory implementation research project starts with a mixed-methods needs assessment covering health literacy strengths, weaknesses and needs of migrants, and local data about determinants of health behaviors, service engagement, and organizational responsiveness. Diverse migrant groups will be engaged and surveyed using the Health Literacy Questionnaire and questions on sociodemographic and economic characteristics, health status, use of health services, and perceived impact of the COVID-19 pandemic. Semi-structured interviews with migrants will also be conducted. Based on data collected, vignettes will be developed representing typical persons with diverse health literacy profiles. Migrants and stakeholders will participate in ideas generation workshops for depth co-creation discussions in simulated real-world situations based on the vignettes, to design health literacy-based multisectoral interventions. Selected interventions will be piloted through quality improvement cycles to ensure ongoing local refinements and ownership development. Through a genuine engagement, the project will evaluate the uptake, effectiveness and sustainability of the interventions. This protocol takes a grounded approach to produce evidence on real health literacy needs from the perspective of key stakeholders, especially migrants, and embodies strong potential for effective knowledge translation into innovative, locally relevant, culturally and context congruent solutions for prevention of NCDs among migrants. Given the diverse communities engaged, this protocol will likely be adaptable to other migrant groups in a wide range of contexts, particularly in European countries. The scale-up of interventions to similar contexts and populations will provide much needed evidence on how health literacy interventions can be developed and applied to reduce health inequality and improve health in diverse communities.
机译：移民中非传染性疾病（NCD）高患病率的司机是良好的记录。卫生素养被视为减少健康不平等的潜在工具，并提高移民访问和保健质量。然而，对这些群体中的健康扫盲需求知之甚少，以及如何解决它们。本文概述了一种基于移民社区的共同设计项目的协议，寻求优化健康识字，健康促进和社会凝聚力，支持在里斯本的移民中预防NCDS使用光学扫力和访问（Ophelia）进程。该参与式实施研究项目以混合方法开始，需要评估涵盖卫生识字的优势，移民缺陷和需求，以及关于健康行为，服务参与和组织响应性的决定因素的本地数据。各种移民群体将使用健康识字问卷和关于社会血管性和经济特征，健康状况，卫生服务的问题，以及对Covid-19大流行的影响。还将进行半结构化访谈移民。基于收集的数据，将开发Vignettes，代表具有不同健康识字型材的典型人员。移民和利益攸关方将参与基于Vignettes的模拟现实世界情况的深度共建讨论的思想讲习班，以设计基于健康识字的多部门干预措施。选择的干预措施将通过质量改进周期进行试验，以确保正在进行的当地改进和所有权发展。通过真正的参与，项目将评估干预措施的摄取，有效性和可持续性。本议定书采取了基础的方法，从关键利益相关者，特别是移民的角度来看，有关真正的健康识字需求的证据，并体现了有效的知识翻译成创新，当地相关，文化和背景中的预防移民中NCD的潜力。鉴于各种社区所订，该议定书可能适应其他移民组，特别是在欧洲国家。对类似环境和人口的干预措施的扩大将提供有关如何制定健康识字干预的措施，以减少健康不平等，并在各种社区改善健康。

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