English as a Second Language Health Literacy Program

NCT04125680 | Completed Results

• 2 other identifiers: HUM #00148555UL1TR002240
• Study Type: interventional
• Target: 17
• Locations: 1 country
• Sites: 1

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.

Conditions

Health Literacy; Language

Outcome Measures

Primary Outcomes (2)

• Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Pre Test)

  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 for the use was measured using a 3 item questionnaire. Questions include: (1) I have had my water tested for lead; (2) I have an NSF approved filter for my drinking water; and (3) I use bottled water or water from a filtration system for drinking and cooking to reduce or eliminate my lead exposure. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

  Baseline

• Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Post Test)

  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 for the use was measured using a 3 item questionnaire. Questions include: (1) I have had my water tested for lead; (2) I have an NSF approved filter for my drinking water; and (3) I use bottled water or water from a filtration system for drinking and cooking to reduce or eliminate my lead exposure. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

  Up to 8-weeks post-treatment

Secondary Outcomes (4)

• Lead Exposure Prevention Knowledge (Pre-Test)

  Baseline

• Lead Exposure Prevention Knowledge (Post Test)

  Up to 8-weeks post-treatment

• Health Literacy Level (Pre-Test)

  Baseline

• Health Literacy Level (Post-Test)

  Up to 8-weeks post-treatment

Other Outcomes (8)

• Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test)

  Baseline

• Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test)

  Up to 8 weeks post treatment

• Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Pre Test)

  Baseline

Study Arms (1)

ESL Health Literacy Classes

OTHER

The program will last 8 weeks with classes held online 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

Interventions

ESL Health Literacy Classes BEHAVIORAL

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.

ESL Health Literacy Classes

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

• 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.

Sponsors & Collaborators

• University of Michigan: lead
• ACE Community Health: collaborator
• Genesee County Hispanic Latino Collaborative: collaborator
• National Center for Advancing Translational Sciences (NCATS): collaborator

Study Sites (1)

University of Michigan - Flint

Flint, Michigan, 48502, United States

Location

Related Publications (1)

• Baumeister A, Aldin A, Chakraverty D, Hubner C, Adams A, Monsef I, Skoetz N, Kalbe E, Woopen C. Interventions for improving health literacy in migrants. Cochrane Database Syst Rev. 2023 Nov 14;11(11):CD013303. doi: 10.1002/14651858.CD013303.pub2.

  PMID: 37963101 DERIVED

MeSH Terms

Conditions

Language

Condition Hierarchy (Ancestors)

Communication; Behavior

Limitations and Caveats

The main limitation to this study was low enrollment: (1) it was moved online for the pandemic and they preferred in-person, (2) they did not have time or technology to join the online program, and/or (3) interest had waned because of pandemic-related delays, or community-internal politics made some people distrust the community partner.

Results Point of Contact

• Title: Emily Feuerherm
• Organization: University of Michigan

feuerher@umich.edu

810-766-6725

Study Officials

• Emily Feuerherm, PhD

  University of Michigan-Flint

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: Investigator
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: A pilot trial will be used: study participants will be registered and placed into the program on a first-come, first-served basis. This will result in a study assessing correlation rather than causation.

Study Record Dates

• First Submitted: October 3, 2019
• First Posted: October 14, 2019
• Study Start: May 20, 2021
• Primary Completion: September 15, 2021
• Study Completion: September 15, 2021
• Last Updated: February 24, 2023
• Results First Posted: February 24, 2023

Record last verified: 2023-02

Locations

US (1)