245951 A Participatory Approach to Develop and Evaluate Tuberculosis Educational Products for Spanish-Speaking Foreign-born Persons

Tuesday, November 1, 2011

Paula Hamsho-Diaz, MD, MA , Southeastern National Tuberculosis Center, College of Medicine, University of Florida, Gainesville, FL
Lolia Fernandez, MPH , Southeastern National Tuberculosis Center, College of Medicine, University of Florida, Gainesville, FL
Joan Mangan, PhD, MST , Southeastern National Tuberculosis Center, College of Medicine, University of Florida, Gainesville, FL
Sebastian Galindo, DVM, PhD , Department of Agricultural Education and Communication, IFAS, University of Florida, Gainesville, FL
Donna Wegener, MA , Southeastern National Tuberculosis Center, College of Medicine, University of Florida, Gainesville, FL
Michael Lauzardo, MD, Msc , Southeastern National Tuberculosis Center, College of Medicine, University of Florida, Gainesville, FL
Background: Spanish-speaking foreign born persons comprise approximately 35% of U.S. tuberculosis (TB) cases annually. Responding to a lack of educational materials tailored to this population, the SNTC employed participatory methodologies to develop and evaluate a fotonovela to facilitate awareness of TB services and processes of care in the US. Methods: Project staff convened a Project Advisory Committee comprised of TB program staff, health educators, and county extension staff to develop and validate the storyline and script. This was followed by an extensive formative evaluation, involving focus group discussions with foreign-born Hispanic persons diagnosed with TB and those without a prior diagnosis; intercept interviews based on the Maguire's Communication Matrix with persons seeking services at a community organization where the product was made available; and in-depth interviews with TB healthcare professionals. Results: In general, participants found the fotonovela easy to understand, culturally sensitive, relevant, credible, and persuasive. Most intercept interview participants who retrieved the fotonovela recalled key messages and reported gaining knowledge, sharing and discussing information, and positive intentions towards TB testing and treatment. Evaluation results have been used to plan diverse changes in the format, content, and dissemination of the fotonovela. Actionable items included: developing chapter 1 as stand-alone material (format); adding Quick Facts to chapters and providing a better explanation of the BCG vaccine (content); and developing an English version and designing an attractive display (dissemination). Conclusions: This participatory approach incorporated the perspective of various stakeholders and provided multiple levels of evidence to further guide product development and marketing.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Discuss the value of a participatory approach in the context of this project. Describe findings from each phase of the formative evaluation and the corresponding actionable items.

Keywords: Tuberculosis, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the project leader, wrote a significant portion of the content within the educational products, lead conference calls with members of the product advisory committee, conducted focus group discussions and intercept interviews with community members, conducted in-depth interviews with healthcare professionals and conducted data analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.