Bowden Virginia M, Wood Frederick B, Warner Debra G, Olney Cynthia A, Olivier Evelyn R, Siegel Elliot R
University of Texas Health Science Center at San Antonio, P.O. Box 2968, Canyon Lake, Texas 78133, USA.
J Med Libr Assoc. 2006 Apr;94(2):180-9.
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 español. 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.
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 español 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.
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.
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.
本文概述了为期两年的得克萨斯州下里奥格兰德河谷健康信息西班牙裔推广（HI HO）项目。该项目包括一次需求评估、四个试点项目以及关于使用MedlinePlus和西班牙语版MedlinePlus的焦点小组。需求评估包括对医生信息使用情况的调查以及对1989年设立的巡回图书馆员项目的审查。试点项目分别设在一所高中、一家农村健康诊所、一家城市健康诊所和一个社区中心。创新扩散理论为解释试点项目的结果提供了一个框架。
对医生信息使用情况的调查部分重复了1990年的一项类似调查。对巡回图书馆员项目的审查包括使用统计数据、对管理人员的访谈以及对参与者的调查。试点项目的方法因地点而异。在高中，培训了四名学生指导同龄人使用MedlinePlus。在两家诊所，安装了计算机工作站供患者访问MedlinePlus。在社区中心，工作人员接受培训使用西班牙语版MedlinePlus培训社区居民。项目评估包括调查、焦点小组和访谈。成功指标包括MedlinePlus的消费者使用水平提高、关键信息提供者和消费者关于MedlinePlus使用方式的报告、关于培训的报告以及自我维持活动的开展。
医生调查记录了2002年与1990年相比健康信息资源的使用情况。对巡回图书馆员项目的审查记录了1989年至2003年期间项目使用情况的变化。高中的试点项目在向大量人群介绍MedlinePlus方面是四个试点项目中最成功的，其次是社区中心项目。在高中和社区中心项目中，参与机构有强化的教育使命且有积极性很高的带薪工作人员来实现项目目标。两家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。
HI HO项目测试了在得克萨斯州下里奥格兰德河谷地区接触西班牙裔社区的方法。四个HI HO试点项目在实现其既定目标方面各不相同。但总体而言，HI HO项目极大地有助于更好地理解向西班牙裔社区开展健康信息推广，这一知识对其他开展类似推广活动的人应是有用的。
