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培训社区卫生工作者成为健康促进的倡导者:一个社区组织为减少心血管疾病健康差距所做的努力。

Training community health workers to be advocates for health promotion: efforts taken by a community-based organization to reduce health disparities in cardiovascular disease.

作者信息

Boutin-Foster Carla, George Kimberly S, Samuel Tonya, Fraser-White Marilyn, Brown Humberto

机构信息

Weill Medical College, 525 East 68th Street, Box #46, New York, NY 10021, USA.

出版信息

J Community Health. 2008 Apr;33(2):61-8. doi: 10.1007/s10900-007-9074-4.

Abstract

Compared to white adults, blacks are less likely to be aware of their cardiovascular risk factors and are less likely to respond appropriately to signs and symptoms of a myocardial infarction or stroke. This fact highlights the need for better dissemination of health information about cardiovascular disease among communities of color. Community health workers (CHWs) are important resources for disseminating health information. Recognizing this important role of CHWs, the Greater Southern Brooklyn Health Coalition and its community and academic partners developed a workshop designed to educate CHWs about the risk factors, signs and symptoms of cardiovascular disease. The purpose of this workshop was to educate CHWs so that they themselves could be better informed and thus, be in a better position to educate their respective clients. The resulting workshop, Taking Action Against Cardiovascular Disease in Our Communities: A Training for Service Providers, was a half-day workshop attended by 70 CHWs from various community service organizations. Approximately 97% of attendees said that the workshop met their expectations. More than half said they learned the signs and symptoms of cardiovascular disease and about 90% said that they received clear and concrete information that they could use with their clients. These evaluations also provided critiques regarding aspects of the workshop that could be improved upon and other information which will be used as a formative tool in developing future educational initiatives. In conclusion, this workshop demonstrated that it was feasible to develop effective community programs targeted at educating CHWs about cardiovascular disease.

摘要

与白人成年人相比,黑人更不容易意识到自己的心血管危险因素,对心肌梗死或中风的体征和症状做出适当反应的可能性也更小。这一事实凸显了在有色人种社区更好地传播心血管疾病健康信息的必要性。社区卫生工作者是传播健康信息的重要资源。认识到社区卫生工作者的这一重要作用,大南布鲁克林健康联盟及其社区和学术伙伴开发了一个研讨会,旨在向社区卫生工作者传授心血管疾病的危险因素、体征和症状。该研讨会的目的是对社区卫生工作者进行培训,使他们自己能更好地了解相关知识,从而更有能力教育各自的服务对象。由此产生的研讨会“在我们的社区中采取行动对抗心血管疾病:服务提供者培训”是一个为期半天的研讨会,来自各个社区服务组织的70名社区卫生工作者参加了此次研讨会。约97%的与会者表示该研讨会达到了他们的期望。超过半数的人表示他们了解了心血管疾病的体征和症状,约90%的人表示他们获得了可以用于服务对象的清晰具体的信息。这些评估还对研讨会中可以改进的方面提出了批评意见,以及提供了将用作未来教育倡议发展的形成性工具的其他信息。总之,本次研讨会表明,开展针对教育社区卫生工作者了解心血管疾病的有效社区项目是可行的。

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