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Title & Content |
| 1 |
turning knowledge into practice
Tailoring Risk Communications for Underserved Communities: Differential Source Preferences and Responses
Presented by
David L. Driscoll, PhD, MPH
Presented at
The National Prevention Summit,
Washington, D.C., October 26–27, 2006
RTI International
3040 Cornwallis Road
P.O. Box 12194
Research Triangle Park, NC 27709
Phone 919-541-6565
Fax 919-541-7384
e-mail Driscoll@rti.org
(image: RTI International logos)
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Terms Defined
Message Tailoring
The adaptation of information and interventions that best fit the relevant needs and characteristics of specified target populations.
Cultural Tailoring
The development of interventions, strategies, messages and materials to conform with specific cultural characteristics.
Pasick et al.1996
Cultural Model
The culturally-transmitted conceptual framework composing a specific domain of knowledge and activity. Cultural models are structured along key elements, and can include such variables as social expectations, associations, and decision-making processes.
sensu lata D'Andrade 1984; Dressler and Blindon 2000
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Human exposure to methylmercury in fish
(image: screenshot of news story Web page)
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Subsistence Fishers Risk Communication Project: Data Collected
- Formative
- Structured observations
- Unstructured, informal interviews
- Asset mapping
- Materials development and assessment
- Semi-structured, formal interviews
- 82 residents (25 from the African-American, 25 from the Latino, and 32 from the Native-American communities)
- Evaluation
- Semi-structured, formal interviews
- 62 residents, organizational leaders, and resource organization representatives (21 from the African-American, 14 from the Latino, and 27 from the Native-American communities)
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Subsistence Fishers Risk Communication Project
Objective:
Develop and test three risk communication toolkits to promote the capacity of down-east North Carolina community residents to make informed decisions about methylmercury contamination in local fish.
Design:
Three-community experimental design. Communities matched by social capital, population density, and level of exposure. Communities possess differing demographic profiles; majority (at least 65%) African-American, Latino, or Native-American (Lumbee) residents.
Intervention:
Three culturally-tailored toolkits featuring structured risk communications, contact information for preferred resource organizations in each community, and responses to frequently asked questions.
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Cultural Tailoring: Methylmercury Exposure
(image: flowchart titled "Cultural Tailoring: Methylmercury Exposure")
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Cultural Tailoring: Analytic Categories
Risk Elements:
- Risk Status
- Age
- Gender
- Pregnancy
- Nursing
- Fishing Behaviors
- Consumption
- Size/Age of catch
- Location(s) of catch
- Species preferences
- Eating Habits
- Self caught
- Frequency
- Serving size
- Species preferences
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Cultural Tailoring: Native-American Model
(image: flowchart titled "Cultural Tailoring: Native-American Model")
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Cultural Tailoring: Native-American Toolkit
(image: hand-out titled "Cultural Tailoring: Native-American Toolkit")
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Cultural Tailoring: Preferred Sources of Health Risk Communication
Analytic Categories:
- Culturally-sensitive
- Understandable
- Engaging
- Relevant
- Credible
- Trusted
- Accurate
- Actionable
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Cultural Tailoring: Resource Preferences (African-American)
- Religious
- Ministers/pastors
- Newsletters
- Church-affiliated community centers
- Governmental
- County Health
- WIC office
- Health Education Center
- Social Services
- Fish and Wildlife (game warden)
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Cultural Tailoring: Resource Preferences (Latino)
- Spanish media
- Radio (La Ley 96.9)
- Television (Univision WUVC 40)
- Newspaper (Que Pasa)
- Religious
- Governmental
- Hispanic Outreach Center
- County Health
- Partnership for Children (Latino)
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Cultural Tailoring: Resource Preferences (Native-American)
- Tribal
- Tribal Council
- Native American Resource Center
- Native Home Health Care
- Healing Lodge
- Governmental
- Fish and Wildlife (game warden)
- Health Department
- Environmental Health Center
- Community Health Education Center
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Resource Preferences: Commonalities
Social nature of risk decision-making:
- Shared values
- "They know what I want to learn…how we live."
- Familiar
- "I can talk to them, and can understand what they're
telling me about this."
- Trusted
- "I know that I can believe what they tell me."
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Responses and Conclusion
- African-American
- Knowledge dramatically increased from baseline.
- Exposure reduction: high self- and high response-efficacy.
- Moderate additional resource contacts.
- Latino
- Knowledge moderately increased from baseline.
- Exposure reduction: moderate self- and low response-efficacy.
- No additional resource contacts.
- Native American
- Knowledge moderately increased from baseline.
- Exposure reduction: high self- and high response-efficacy.
- Highest additional resource contacts.
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| 16 |
turning knowledge into practice
Tailoring Risk Communications for Underserved Communities: Differential Source Preferences and Responses
Presented by
David L. Driscoll, PhD, MPH
Presented at
The National Prevention Summit,
Washington, D.C., October 26–27, 2006
RTI International
3040 Cornwallis Road
P.O. Box 12194
Research Triangle Park, NC 27709
Phone 919-541-6565
Fax 919-541-7384
e-mail Driscoll@rti.org
(image: RTI International logos)
|