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English as a Second Language Health Literacy Program

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ClinicalTrials.gov Identifier: NCT04125680
Recruitment Status : Not yet recruiting
First Posted : October 14, 2019
Last Update Posted : October 14, 2019
Sponsor:
Collaborators:
ACE Community Health
Genesee County Hispanic Latino Collaborative
Information provided by (Responsible Party):
Emily Feuerherm, University of Michigan

Brief Summary:
This research is using a Community-Based Participatory Action Research (CBPAR) approach to design, implement, and evaluate English as a Second Language health literacy classes for Hispanic adults to reduce lead exposure.

Condition or disease Intervention/treatment Phase
Health Literacy Language Behavioral: ESL Health Literacy Classes Not Applicable

Detailed Description:

This Community-Based Participatory Action Research (CBPAR) aims to:

  1. Develop a community-based participatory English as a Second Language (ESL) health literacy curriculum for lead exposure that can be used in other locations or programs.
  2. Determine the outcomes of the curriculum, including changes in knowledge about lead, access to health resources, and health behavioral changes to reduce lead exposure.
  3. To evaluate the implementation of the ESL health literacy curriculum.

This research focuses on ESL health literacy classes provided over 8-weeks to Hispanic adults to reduce lead exposure. This research will use an experimental design with a waitlist control group. The curriculum uses pedagogies that move participants from health literacy as functional skill to health literacy as social practice where knowledge is used for empowerment and meaningful change. The goals of this research are to demonstrate increased health literacy knowledge, improved health behaviors, increased access to health services, and improved English language proficiency for Hispanic residents of Flint in relation to lead exposure prevention.


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: A pilot trial will be used with a waitlist design: study participants will be randomly assigned into treatment and control groups, where the control group is put on a waiting list to receive the intervention after the intervention group.
Masking: Single (Investigator)
Primary Purpose: Prevention
Official Title: Community-Based Participatory English as a Second Language Health Literacy Program to Prevent Lead Exposure in Flint
Estimated Study Start Date : January 2020
Estimated Primary Completion Date : February 2020
Estimated Study Completion Date : September 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Health Literacy

Arm Intervention/treatment
Experimental: ESL Health Literacy Classes
The intervention will last 8 weeks with classes that are held during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention.
Behavioral: ESL Health Literacy Classes
The intervention will last 8-weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.

8 Week Wait-List Control
The adults assigned to the wait-list control group will not receive access to the classes until after 8 weeks. After the 8 weeks, adults will be given access to the classes, and the curriculum in these classes will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention.
Behavioral: ESL Health Literacy Classes
The intervention will last 8-weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.




Primary Outcome Measures :
  1. Change in lead exposure prevention behaviors [ Time Frame: baseline and 8-weeks post-treatment ]
    ESL Hispanic adult learners' lead exposure prevention adherence to the evidence-based recommendations set by the Environmental Protection Agency (EPA) and the Centre for Disease Control and Prevention (CDC) for reducing exposure to water containing levels of lead above 15 ppb. Numerical score measured by questions on the Chicago Lead Knowledge Test questionnaire.


Secondary Outcome Measures :
  1. Change in lead exposure prevention knowledge [ Time Frame: baseline and 8-weeks post-treatment ]
    ESL Hispanic adult learners' lead exposure prevention knowledge of the evidence-based recommendations set by the EPA and the CDC for reducing exposure to water containing levels of lead above 15 ppb. Numerical score measured by questions on the Chicago Lead Knowledge Test questionnaire.

  2. Change in health literacy level [ Time Frame: baseline and 8-weeks post-treatment ]
    ESL Hispanic adult learner's health literacy score. Numerical score measured by questions on the Fostering Literacy for Good Health Today (FLIGHT) Nive Desarollando Amplia Salud (VIDAS) Test.


Other Outcome Measures:
  1. Change in the use of community health services as measured by the National Health and Nutrition Examination Survey [ Time Frame: baseline and 8-weeks post-treatment ]
    ESL Hispanic adult learners' use of community health services (e.g. food security and language barriers at the community clinic). Numerical score measured by questions on the National Health and Nutrition Examination Survey.

  2. Change in the use of community health services as measured by the Behavioral Risk Factor Surveillance Survey [ Time Frame: baseline and 8-weeks post-treatment ]
    ESL Hispanic adult learners' use of community health services (e.g. food security and language barriers at the community clinic). Numerical score measured by questions on the Behavioral Risk Factor Surveillance Survey.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 100 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Hispanic immigrants living in or around Flint.
  • Native speakers of Spanish, with varying degrees of English fluency and literacy.
  • 18 years old and older.

Exclusion Criteria:

  • Immigrants from other linguistic backgrounds will be excluded at this time because all program materials will be bilingually available in English and Spanish.
  • Children will be excluded at this time because we are focusing on ESL health literacy for adults.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04125680


Contacts
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Contact: Emily Feuerherm, PhD 810-762-3285 feuerher@umich.edu
Contact: Bonnie McIntosh, MBA, MPH, BA 1-800-958-9223 ext 710 mbonnie@acechealth.com

Sponsors and Collaborators
University of Michigan
ACE Community Health
Genesee County Hispanic Latino Collaborative

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Responsible Party: Emily Feuerherm, Associate Professor, University of Michigan
ClinicalTrials.gov Identifier: NCT04125680     History of Changes
Other Study ID Numbers: HUM #00148555
First Posted: October 14, 2019    Key Record Dates
Last Update Posted: October 14, 2019
Last Verified: October 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No