Alvarez Gonzalo G, Van Dyk Deborah D, Colquhoun Heather, Moreau Katherine A, Mulpuru Sunita, Graham Ian D
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.
PLoS One. 2016 Jul 14;11(7):e0159241. doi: 10.1371/journal.pone.0159241. eCollection 2016.
Inuit in Canada have the highest reported tuberculosis (TB) incidence rate in Canada, even higher than other Canadian Indigenous groups. The aim of this study was to increase TB awareness among Inuit youth and their communities by equipping those who can best reach this population with a community based, youth focused, education initiative built on interventions adapted from a previous TB awareness study.
The Taima TB Youth Education Initiative was a field test case study of a knowledge translation (KT) strategy aimed at community members who provide health education in these communities. In the first stage of this study, interventions from a larger TB awareness campaign were adapted to focus on youth living in remote Inuit communities. During the second stage of the study, investigators field tested the initiative in two isolated Inuit communities. It was then applied by local implementation teams in two other communities. Evaluation criteria included feasibility, acceptability, knowledge uptake and health behavior change.
Implementation of the adapted KT interventions resulted in participation of a total of 41 youth (19 females, 22 males) with an average age of 16 years (range 12-21 years) in four different communities in Nunavut. Community celebration events were attended by 271 community members where TB messaging were presented and discussed. All of the health care workers and community members surveyed reported that the adapted interventions were acceptable and a useful way of learning to some extent. Knowledge uptake measures indicated an average TB knowledge score of 64 out of 100. Local partners in all four communities indicated that they would use the Taima TB Youth Education Initiative again to raise awareness about TB among youth in their communities.
The TB awareness interventions adapted for the Taima TB Youth Education Initiative were acceptable to the Inuit communities involved in the study. They resulted in uptake of knowledge among participants. Implementation by local implementation teams was feasible as evidenced by the participation and attendance of youth and community members in all communities. The ability to implement the interventions by local implementation teams indicates there is potential to scale up in other remote communities in the arctic setting.
加拿大因纽特人的结核病发病率在加拿大最高，甚至高于其他加拿大原住民群体。本研究的目的是通过为那些最能接触到这一人群的人提供一项基于社区、以青年为重点的教育倡议，来提高因纽特青年及其社区对结核病的认识，该倡议基于先前结核病认识研究中采用的干预措施。
泰马结核病青年教育倡议是一项知识转化（KT）策略的实地测试案例研究，目标受众是在这些社区提供健康教育的社区成员。在本研究的第一阶段，对一项更大规模的结核病宣传活动中的干预措施进行了调整，以关注居住在偏远因纽特社区的青年。在研究的第二阶段，研究人员在两个与世隔绝的因纽特社区对该倡议进行了实地测试。然后由当地实施团队在另外两个社区应用。评估标准包括可行性、可接受性、知识吸收和健康行为改变。
调整后的KT干预措施实施后，努纳武特地区四个不同社区共有41名青年（19名女性，22名男性）参与，平均年龄16岁（12 - 21岁）。271名社区成员参加了社区庆祝活动，会上展示并讨论了结核病相关信息。所有接受调查的医护人员和社区成员都表示，调整后的干预措施是可以接受的，并且在一定程度上是一种有用的学习方式。知识吸收测量表明，结核病知识平均得分在满分100分中为64分。所有四个社区的当地合作伙伴都表示，他们将再次使用泰马结核病青年教育倡议来提高其社区青年对结核病的认识。
为泰马结核病青年教育倡议调整的结核病认识干预措施为参与研究的因纽特社区所接受。这些措施使参与者吸收了知识。青年和社区成员在所有社区的参与和出席证明了当地实施团队的实施是可行的。当地实施团队实施这些干预措施的能力表明，在北极地区的其他偏远社区有扩大规模的潜力。
