Project Title: Culturally Appropriate TB Educational Materials for Leaders and Staff of Hispanic Service Organizations

Principal Investigator(s): Scott McCoy, Med,1 and Steven Weis, MD2

Project Dates: September 2003 - September 2006

Background: According to the CDC Division of Tuberculosis Elimination's (DTBE) Reported Tuberculosis in the United States, 2004, foreign-born persons accounted for 54% of all tuberculosis (TB) cases in the United States in 2004. Case rates among persons of Hispanic origin were 27 per 100,000, compared to the rate of 3 per 100,000 for their U.S.-born counterparts. The purpose of this project is to develop culturally appropriate TB educational materials for leaders and staff of Hispanic service organizations (HSOs), for use by state and local TB programs to enhance their partnership efforts with HSOs. These materials, produced in both English and Spanish, will provide HSOs with information that addresses their specific cultural and educational needs about TB. The materials will also enable TB control programs to more effectively collaborate with HSOs in their efforts to eliminate TB.

Objectives: The information gathered from leaders and staff of HSOs and TB programs will be used to create material that will describe, but not be limited to, the following topics: 1) the TB burden in the Hispanic population; 2) latent TB infection; 3) active TB disease; 4) contact investigation; 5) specific issues for Hispanic foreign-born persons (both documented and undocumented immigrants) and Hispanic U.S.-born persons in regards to the treatment and testing of TB; 6) directly observed therapy (DOT); and 7) practical recommendations on how HSOs can help decrease TB among their high-risk clients.

Target Audience: Leaders and staff of Hispanic service organizations

Methods: A systematic health education planning process was utilized to develop culturally appropriate materials for leaders and staff of HSOs. The steps in this process are outlined below.

  1. Planning and strategy development: The initial activity of this project included strategy formulation and development of a written project plan. Existing materials were identified using a variety of methods, including an environmental scan, literature review, and exploratory channel identification.
  2. Developing messages and materials: Based on findings from planning and strategy development, culturally sensitive TB educational materials were drafted in both English and Spanish. These materials were pretested with representatives from the target audience.
  3. Pretesting the materials: Materials and messages were revised based on the results of exploratory research conducted with the target audience. Field-testing addressed (and will continue to address) content, format, and design issues.
  4. Assessing the effectiveness and making refinements: The materials will be finalized based on the results of field-testing conducted with the target audiences. TB controllers will also provide evaluations of the final product and further revisions will be made based on this feedback.

Results: Focus group discussion topics included formats for educational materials, content, and visuals for leaders and staff of HSOs. The format of the pretested HSO educational materials was based on the results of focus group sessions conducted with participants from these organizations. Field testing of materials ascertained the opinions, reactions, and beliefs of the target audience regarding acceptability, feasibility, usability, readability, and comprehension of the materials. These findings will also be used to prepare a marketing plan for the use and distribution of these materials.

Contact Information:
Scott McCoy, MEd
Health Education Specialist
Centers for Disease Control and Prevention
Division of Tuberculosis Elimination
1600 Clifton Road, NE, Mailstop E-10
Atlanta, GA 30333

Publications: Educational materials forthcoming

Relative Content:

1 Division of Tuberculosis Elimination, Centers for Disease Control and Prevention
2 University of North Texas Health Sciences Center (UNTHSC)