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Health information Hispanic outreach in the Texas Lower Rio Grande Valley.

机译:健康信息在德克萨斯州下里奥格兰德河谷的西班牙裔外展活动。

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PURPOSE: This paper provides an overview of the two-year Texas Lower Rio Grande Valley Health Information Hispanic Outreach (HI HO) project. The project included a needs assessment, four pilot projects, and focus groups on the use of MedlinePlus and MedlinePlus en espanol. The needs assessment included a survey of physicians' information usage and a review of the circuit librarian program that had been established in 1989. The pilot projects were located at a high school, a rural health clinic, an urban health clinic, and a community center. Diffusion of innovation theory provided a framework for interpreting the results of the pilot projects. METHODS: The survey of physicians' information usage partially replicated a similar 1990 survey. The review of the circuit librarian program included usage statistics, interviews of administrators, and a survey of participants. Pilot project methodology varied by site. At the high school, four students were trained to instruct their peers in the use of MedlinePlus. At the two clinics, a computer workstation was installed for patients to access MedlinePlus. At the community center, staff were trained to use MedlinePlus en espanol to train community residents. Project evaluation included surveys, focus groups, and interviews. Indicators of success included increased level of consumer use of MedlinePlus, reports by key informants and consumers of how MedlinePlus was used, reports about training, and development of self-sustaining activity. RESULTS: The physician survey documented usage of health information resources in 2002 compared to 1990. The review of the circuit librarian program documented the change in program usage between 1989 and 2003. The pilot project at the high school was the most successful of the four pilot projects in introducing MedlinePlus to a large number of people, followed by the community center project. In the high school and community center projects, the participating institutions had reinforcing educational missions and paid staff who were highly motivated to achieve the project goals. The computer workstations projects at the two clinics were less successful, due in part to limited staff commitment and conflicting priorities. CONCLUSIONS: The HI HO project tested methods of reaching the Hispanic community in the Lower Rio Grande Valley region of Texas. The four HI HO pilot projects varied in achieving their stated objectives. But taken as a whole, the HI HO project significantly contributed to a better understanding of health information outreach to the Hispanic community, knowledge that should be useful to others with similar outreach activities.
机译:目的:本文概述了为期两年的德克萨斯州下里奥格兰德河谷健康信息西班牙裔外展(HI HO)项目。该项目包括需求评估,四个试点项目,以及有关使用MedlinePlus和MedlinePlus espanol的焦点小组。需求评估包括对医生信息使用情况的调查和对1989年建立的巡回图书馆员计划的审查。试点项目位于一所高中,农村卫生所,城市卫生所和社区中心。 。创新理论的传播为解释试点项目的结果提供了一个框架。方法:对医生信息使用情况的调查部分重复了1990年的类似调查。对巡回图书馆员计划的审查包括使用情况统计信息,对管理员的访谈以及对参与者的调查。试点项目方法因地点而异。在高中时,对四名学生进行了培训,以指导其同龄人使用MedlinePlus。在两家诊所中,安装了一个计算机工作站,供患者使用MedlinePlus。在社区中心,对员工进行了使用MedlinePlus en enpanol培训社区居民的培训。项目评估包括调查,焦点小组和访谈。成功的指标包括:消费者对MedlinePlus的使用水平提高,关键线人和消费者关于MedlinePlus的使用情况的报告,关于培训的报告以及自我维持活动的开展。结果:医师调查记录了2002年与1990年相比健康信息资源的使用情况。巡回图书馆员计划的记录记录了1989年至2003年之间计划使用情况的变化。高中的试点项目是四个试点中最成功的一个向大量人群介绍MedlinePlus的项目,其次是社区中心项目。在高中和社区中心项目中,参与机构加强了教育使命,并为实现项目目标充满了动力。这两个诊所的计算机工作站项目不太成功,部分原因是工作人员投入有限且优先事项相互冲突。结论:HI HO项目测试了到达德克萨斯州下里奥格兰德河谷地区的西班牙裔社区的方法。 HI HO的四个试点项目在实现其既定目标方面有所不同。但总体而言,HI HO项目极大地有助于更好地了解对西班牙裔社区的健康信息外联,这些知识对于开展类似外联活动的其他人应是有用的。

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