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为第一代韩裔移民家庭中患有自闭症谱系障碍和发育障碍的儿童开展基于社区、文化适应的健康促进项目。

Piloting a Community-Based, Culturally Adapted Health Promotion Program for Children with Autism Spectrum Disorder and Developmental Disabilities in First-Generation Korean Immigrant Families.

机构信息

PhD, MSW, is associate professor, Department of Social Work, School of Health Sciences, College of Staten Island, City University of New York, 2800 Victory Boulevard, Staten Island, NY 10314, USA.

LMSW, MPhil, is a PhD candidate in social welfare, Graduate Center, City University of New York, New York, NY, USA.

出版信息

Health Soc Work. 2024 Apr 29;49(2):105-114. doi: 10.1093/hsw/hlae008.

Abstract

Children with autism spectrum disorder and developmental disabilities (ASD/DD) face barriers to participation in health promotion programs due to the lack of available and/or affordable programs and trained staff at recreation centers. Children with ASD/DD in Korean immigrant families are one of the most underserved minority groups due to language, racial/ethnic discrimination, and stigma and shame within their own ethnic community. However, little research is available on development, implementation, and evaluation of a culturally adapted community health promotion program in this population. The purpose of this study is to assess effectiveness of a pilot program for children with ASD/DD from first-generation Korean immigrant families. The pilot study used a quantitative, quasiexperimental design (one-group design with pre- and posttest) following a seven-week health promotion program. We recruited 15 children with ASD/DD, ages nine through 16, from first-generation Korean immigrant families. The findings of the study suggest that the pilot program was effective in gaining nutrition knowledge and increasing physical involvement among participants. Given the fact that Asian immigrants are a fast-growing population and that nearly 75 percent of them were born abroad, development and evaluation of a community-based, culturally adapted health promotion program is urgently needed.

摘要

患有自闭症谱系障碍和发育障碍(ASD/DD)的儿童由于娱乐中心缺乏可用的和/或负担得起的项目以及训练有素的工作人员,参与健康促进计划面临障碍。在韩裔移民家庭中,患有 ASD/DD 的儿童由于语言、种族/族裔歧视以及他们自己族裔社区内的耻辱和羞耻感,是服务最不足的少数群体之一。然而,针对这个群体的文化适应性社区健康促进计划的开发、实施和评估的研究很少。本研究的目的是评估针对第一代韩裔移民家庭的 ASD/DD 儿童的试点计划的有效性。该试点研究采用了一种定量、准实验设计(一个群组设计,有前后测试),遵循了为期七周的健康促进计划。我们招募了来自第一代韩裔移民家庭的 15 名年龄在 9 至 16 岁之间的 ASD/DD 儿童。研究结果表明,试点计划在提高参与者的营养知识和增加身体参与方面是有效的。鉴于亚洲移民是一个快速增长的群体,其中近 75%的人在国外出生,因此迫切需要开发和评估基于社区的、文化适应性的健康促进计划。

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