University of Alabama at Birmingham, HPB 516, 1530 3rd Ave S, Birmingham, AL 35294-0010, USA.
Prev Chronic Dis. 2012;9:110344. doi: 10.5888/pcd9.110344.
US Hispanics have disproportionate rates of diabetes and other chronic diseases. We used the entertainment-education approach to develop a Spanish-language radio novella aimed at reducing risk factors for diabetes, obesity, and tobacco use. The approach is based on social cognitive theory and proposes modeling as a source of vicarious learning of outcome and efficacy expectations.
The Hispanic population in Alabama increased by 145% between 2000 and 2010. Nearly one-quarter of Hispanics aged 18 to 64 live below the federal poverty level, and 49% are uninsured. Several lifestyle factors lead to poor health behaviors in this community. Radio is a popular medium among Hispanic immigrants. The single local Spanish-language radio station reaches a large proportion of the local community and several communities beyond.
Through various methods, including workshops, review sessions, and other feedback mechanisms, we engaged stakeholders and community members in developing and evaluating a 48-episode radio novella to be broadcast as part of a variety show. We tracked participation of community members in all phases.
Community members participated significantly in developing, broadcasting, and evaluating the intervention. The desired outcome - development of a culturally relevant storyline that addresses salient health issues and resonates with the community - was realized.
Our approach to community engagement can serve as a model for other organizations wishing to use community-based participatory methods in addressing Hispanic health issues. The radio novella was a unique approach for addressing health disparities among our community's Hispanic population.
美国西班牙裔人群的糖尿病和其他慢性病发病率过高。我们采用娱乐教育方法，开发了一部西班牙语广播小说，旨在减少糖尿病、肥胖和烟草使用的风险因素。该方法基于社会认知理论，并提出了模仿作为间接学习结果和效能期望的来源。
亚拉巴马州的西班牙裔人口在 2000 年至 2010 年间增长了 145%。近四分之一的 18 至 64 岁西班牙裔人生活在联邦贫困线以下，49%的人没有医疗保险。一些生活方式因素导致该社区存在不良健康行为。广播是西班牙裔移民中很受欢迎的一种媒介。当地唯一的西班牙语广播电台覆盖了很大一部分当地社区和几个周边社区。
我们通过各种方法，包括研讨会、审查会议和其他反馈机制，让利益相关者和社区成员参与开发和评估一个 48 集的广播小说，作为一个综艺节目播出。我们跟踪了社区成员在所有阶段的参与情况。
社区成员显著参与了开发、广播和评估干预措施。实现了预期的结果——开发出一个具有文化相关性的故事情节，解决突出的健康问题，并与社区产生共鸣。
我们的社区参与方法可以为其他希望使用基于社区的参与方法解决西班牙裔健康问题的组织提供借鉴。广播小说是解决我们社区西班牙裔人口健康差距的一种独特方法。
