Silberberg Mina, Goldstein Larry B, Weaver Sarah, Blue Colleen
Department of Community and Family Medicine, Duke University Medical School, Durham, NC, USA.
Division of Community Health, Duke University Medical School, DUMC 104425, Durham, NC, 277210, USA.
J Immigr Minor Health. 2018 Dec;20(6):1490-1499. doi: 10.1007/s10903-018-0690-0.
Stroke knowledge is poor and stroke risk is growing for the U.S. Latino immigrant population. We present results of an evaluation of a tailored, community-based intervention in Durham, North Carolina. The intervention included integration of stroke knowledge into classes and workshops at a community-based organization. Knowledge surveys were administered to participants immediately before and after stroke education, and at multiple points over the following year. For both low-risk participants receiving classroom-based education and individually care managed participants with risk factors, stroke knowledge improved dramatically and remained high among those who could be reached for follow-up. Evidence of behavior change and change in clinical status was weak. These findings from an observational study conducted in a real-world context complement the results of previously reported efficacy studies, indicating potential gains from health education for Latino immigrants, even from classroom-based education for low-risk individuals.
美国拉丁裔移民群体的中风知识匮乏，且中风风险不断增加。我们展示了对北卡罗来纳州达勒姆市一项量身定制的社区干预措施的评估结果。该干预措施包括将中风知识融入一个社区组织的课程和研讨班中。在中风教育前后以及随后一年的多个时间点，对参与者进行了知识调查。对于接受课堂教育的低风险参与者以及有风险因素的个体护理管理参与者而言，中风知识都有显著提高，并且在能够进行随访的人群中保持较高水平。行为改变和临床状态变化的证据不足。在实际环境中进行的这项观察性研究的结果补充了先前报道的疗效研究结果，表明即使是针对低风险个体的课堂教育，对拉丁裔移民进行健康教育也可能带来潜在益处。
