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Providing Internet Based Health Information to Underserved Populations a Promotora Model Barbara Hau RN, MS La Plaza Telecommunity Taos, New Mexico bhau@laplaza.org 505-758-1836 Taos County Rural – Population density 9.8 per Sq Mi Median Household Income $24,831 Tricultural

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Providing Internet Based Health Information to Underserved Populations a Promotora Model


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providing internet based health information to underserved populations a promotora model

Providing Internet Based Health Information to Underserved Populations a Promotora Model

Barbara Hau RN, MS

La Plaza Telecommunity

Taos, New Mexico

bhau@laplaza.org

505-758-1836

taos county
Taos County
  • Rural – Population density 9.8 per Sq Mi
  • Median Household Income $24,831
  • Tricultural
    • 67% Hispanic
    • 7% Native American
    • 26% Anglo
  • 28.2% less than H.S Education
la plaza telecommunity
La Plaza Telecommunity
  • Community Technology Center established in 1994
  • Mission: To provide rural tri-cultural communities with:
    • Access to information technology resources
    • Education in Computer and Internet technology
    • A Virtual Library of Community Resources
  • Internet Access (ISP) 2200 dial in users
  • 4 public access computer centers
  • Free or low cost classes in Internet technology
  • Local and regional information on website: www.laplaza.org
diabetes wellness connection
Diabetes Wellness Connection
  • Department of Commerce TIIAP (TOPS)
  • Technology Demonstration Project
  • Health Category
  • 1996-1998
goals
Goals
  • Provide Internet access to 3 rural clinics
    • Taos~Picuris Indian Health Center
    • PMS Questa Health Center
    • HCNNM Penasco Clinic
  • Provide Internet training for health care providers and consumers
  • Provide health content related to diabetes on La Plaza’s Website
access
Access
  • Tech assessment (no capacity)
  • 12 months to build technical capacity
  • Installed phone lines and dial up connection
  • Installed computers
    • consumers - 1 desktop on roll cart in clinic lobby available for public access 10 hrs/week
    • Providers - 1 laptop available for “check out”
website content
Website Content
  • Focus groups:
    • POSITIVE Information re diabetes
    • Culturally sensitive messages
    • Trusted/familiar sources
    • Local resources/programs
    • Nutrition/diet/recipes
    • Exercise information/motivation
    • Emotional support
diabetes wellness connection http laplaza org health dwc
Diabetes Wellness Connectionhttp://laplaza.org/health/dwc/
  • Links to National Websites
    • American Diabetes Association
    • Eli Lilly
  • Mark Up of ExistingHealth Education Materials
  • Personal Stories “Living Well with Diabetes”
promotora model community outreach trainers
Promotora ModelCommunity Outreach Trainers
  • Native residents of respective communities
  • Bilingual (Spanish/Tiwa)
  • Strong desire to learn computer and Internet skills
  • Strong desire to help community members to learn skills
train the trainer model
Train the Trainer Model
  • Conducted 6 computer/Internet trainings with COTs
  • COTs present 10 hours/week at clinic sites (lobby) homes, H&H agencies
  • Logged encounters on Excel spreadsheet
  • Submitted monthly Excel reports of client encounters
curriculum
Curriculum
  • Hardware software (unpack, assemble, set up dial up connection)
  • Keyboard/Mouse/Windows
  • WWW navigation, search, bookmarks
  • Email send, receive, address, files, attach
  • MS Word
  • Excel (logs)
excel logs
Excel Logs
  • Date
  • Provider/Consumer
  • Sex
  • Age
  • Search/Topic
evaluation data
Evaluation Data
  • Intervention time - 8 months
  • 1835 hours of Internet access for health providers and COTs
  • Trained 27 health care providers
  • COTs provided 297 individual training encounters in clinics
  • 23,358 website “hits”
evaluation data24
Evaluation Data

% pre % post

  • Seeking health info daily 37 50
  • Using computer daily 42 69
  • Access health info via

computer 57 75

  • Access to health info good 44 61
  • Comfortable using computer 55 69
lessons learned
Lessons Learned
  • Perform a technical assessment prior to implementing technology based health education projects
  • Adapt existing health information for website content
  • COT’s effective in introducing Internet based health information to peers AND HCP
  • Personal stories and culturally appropriate health information was most popular
  • Internet information interest broader than “health”
  • Community members desired participation in development of health content
recommendations
Recommendations
  • Increase Internet access through wireless broadband microwave radios
  • Increase pubic access computer sites in Taos County - 26
  • Continue the COT Model – 6 COTs
  • Continue to develop locally and culturally appropriate information on La Plaza Website
current health projects
Current Health Projects
  • Internet a Change agent for Rural Muticultural Adults
    • NCI 2000-2004
    • Partners
      • AMC Cancer Research Center, Denver
      • University of New Mexico
      • Colorado State University
    • Determine most effective strategies for training rural multicultural adults in using computers and Internet technology
    • Determine efficacy of website promoting

increased intake of fruits and vegetables among residents of the Upper Rio Grande Valley

current projects cont
Current Projects cont.
  • CyberYouth Project
    • New Mexico Department of Health

Holy Cross Hospital

    • Train “at risk” youth in:
      • TUPAC Issues
      • Media Literacy
      • Website Design
    • Create websites addressing TUPAC issues
    • “World Premier” at Taos Talking Picture Film Festival, April 2002