Yale School of Public Health, Yale University, 60 College Street, P.O. Box 208034, New Haven, CT 06520-8034 USA.
Transl Behav Med. 2013 Dec;3(4):426-33. doi: 10.1007/s13142-013-0228-x.
Low health literacy contributes significantly to cancer health disparities disadvantaging minorities and the medically underserved. Immigrants to the United States constitute a particularly vulnerable subgroup of the medically underserved, and because many are non-native English speakers, they are pre-disposed to encounter language and literacy barriers across the cancer continuum. Healthy Eating for Life (HE4L) is an English as a second language (ESL) curriculum designed to teach English language and health literacy while promoting fruit and vegetable consumption for cancer prevention. This article describes the rationale, design, and content of HE4L. HE4L is a content-based adult ESL curriculum grounded in the health action process approach to behavior change. The curriculum package includes a soap opera-like storyline, an interactive student workbook, a teacher's manual, and audio files. HE4L is the first teacher-administered, multimedia nutrition-education curriculum designed to reduce cancer risk among beginning-level ESL students. HE4L is unique because it combines adult ESL principles, health education content, and behavioral theory. HE4L provides a case study of how evidence-based, health promotion practices can be implemented into real-life settings and serves as a timely, useful, and accessible nutrition-education resource for health educators.
健康素养低下是导致癌症健康差异的一个重要因素，使少数族裔和医疗服务不足的人群处于不利地位。移民到美国的人构成了医疗服务不足人群中一个特别脆弱的亚组，而且由于许多人不是以英语为母语的人，他们在癌症整个过程中容易遇到语言和读写能力障碍。《终身健康饮食》（HE4L）是一门英语作为第二语言（ESL）课程，旨在教授英语语言和健康素养，同时促进水果和蔬菜的消费，以预防癌症。本文介绍了 HE4L 的基本原理、设计和内容。HE4L 是基于健康行动过程方法的行为改变的内容为基础的成人 ESL 课程。课程包包括肥皂剧般的故事情节、互动学生手册、教师手册和音频文件。HE4L 是第一个由教师管理的多媒体营养教育课程，旨在降低初学者 ESL 学生的癌症风险。HE4L 的独特之处在于它将成人 ESL 原则、健康教育内容和行为理论结合在一起。HE4L 提供了一个案例研究，说明如何将循证健康促进实践付诸现实生活环境，并为健康教育工作者提供及时、有用和可访问的营养教育资源。
