Brotanek Jane M, Grimes Kristen, Flores Glenn
Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX 75390-9063, USA.
Ethn Dis. 2007 Autumn;17(4):742-8.
Cultural competency leads to higher quality care for asthmatic children, yet it is not known whether asthma educational materials targeting minority children and families are culturally competent. The study objective was to evaluate the cultural competency of printed asthma educational materials targeting minorities in Wisconsin.
The Wisconsin Asthma Coalition Disparities Workgroup held a series of meetings to develop, test, and apply a tool for evaluating the cultural competency of asthma educational materials targeting minorities in Wisconsin. The tool consists of seven domains: language, normative cultural values, folk illnesses, parent/patient beliefs, provider practices, visuals, and an overall assessment. Asthma educational materials were obtained from healthcare organizations and clinics. All seven domains were scored using a 5-point Likert scale.
Only 17 asthma educational materials targeting minorities exist in Wisconsin: 16 for Latinos, one for Native Americans, none for African Americans, and none for Asians/Pacific Islanders. Overall assessment scores for each material ranged from 1-2 (poor-fair), with a mean+/-SD=1.4+/-0.5. The highest mean domain scores were for language (3.5+/-1.2) and illustrations (3.4+/-1.4); the lowest score was for folk illnesses (1.1+/-0.2), with weaknesses identified for parent/patient beliefs (1.8+/-0.7); provider practices (1.8+/-0.7); and normative cultural values (2.5+/-0.7).
The few asthma educational materials targeting minorities that exist in Wisconsin are not culturally competent. More culturally competent asthma educational materials for minorities are needed.
文化能力有助于为哮喘儿童提供更高质量的护理，但针对少数族裔儿童及其家庭的哮喘教育材料是否具备文化能力尚不清楚。本研究的目的是评估威斯康星州针对少数族裔的印刷哮喘教育材料的文化能力。
威斯康星州哮喘联盟差异问题工作组召开了一系列会议，以开发、测试和应用一种工具，用于评估威斯康星州针对少数族裔的哮喘教育材料的文化能力。该工具包括七个领域：语言、规范文化价值观、民间疾病、家长/患者信念、医疗服务提供者行为、视觉效果以及总体评估。哮喘教育材料来自医疗保健机构和诊所。所有七个领域均采用5分制李克特量表进行评分。
威斯康星州仅存在17种针对少数族裔的哮喘教育材料：16种针对拉丁裔，1种针对美国原住民，没有针对非裔美国人的，也没有针对亚裔/太平洋岛民的。每种材料的总体评估得分在1至2分之间（差至一般），平均±标准差为1.4±0.5。各领域平均得分最高的是语言（3.5±1.2）和插图（3.4±1.4）；得分最低的是民间疾病（1.1±0.2），在家长/患者信念（1.8±0.7）、医疗服务提供者行为（1.8±0.7）和规范文化价值观（2.5±0.7）方面存在不足。
威斯康星州现有的少数几种针对少数族裔的哮喘教育材料缺乏文化能力。需要更多具备文化能力的针对少数族裔的哮喘教育材料。
