Speaking of Health Assessing Health Communication Strategies for Diverse Populations (2002) / Chapter Skim
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1Executive Summary Clear evidence from the Centers for Disease Control and Prevention, the National Institutes of Health, the Institute of Medicine, and other agencies that collect data on health behaviors and outcomes shows that significant health disparities continue to exist across diverse populations, despite efforts to reduce or eliminate those disparities. This problem is likely to grow if predictions of increasing social and cultural diversity in the United States over the next 50 years are correct.
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2 SPEAKING OF HEALTH development and implementation, there is little evidence of the differential effects of these programs according to diversity subgroups. As a result, money and time are spent without knowing when a common format would suffice, or when a variety of targeted or even tailored interventions would be more appropriate.
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Executive Summary 3 • What is the role of theory in the construction of communication programs, in the context of diversity? In particular, is there a need to modify theory for different subgroups of the population?
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4 SPEAKING OF HEALTH access to health care facilities) as well as studies that examined communication strategies exclusively.
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Executive Summary 5 Theories of behavior change and communication have an important place in the construction of communication programs in general and for diverse populations. The committee encourages program developers and implementers to use these theories in a more consistent and aggressive way in developing implementation plans for health communication interventions.
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6 SPEAKING OF HEALTH recommendation may be complex to implement in practice, given the need to choose among potential representatives and the possible tension between technical "expertise" and preferences of intended beneficiaries. However, the committee believes that health communication program managers should not only explicitly consider ethical guidelines in their decisions about implementation, but also should involve affected individuals and communities as active participants in decision making about each campaign.
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Executive Summary 7 those programs have been successful in changing behavior, including that of the diversity subgroups of particular interest in this volume. However, the available data do not effectively address whether there is added benefit in addressing health disparities by using communication that takes diversity into account.
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8 SPEAKING OF HEALTH Components of a Successful Program Many successful communication programs have been reported in the literature. A review of these can be found in Chapters 3 and 4.
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Executive Summary 9 face-to-face contact and telephone counseling. Research methods are needed to estimate untapped potential and costs of communication technology used to improve health care for diverse populations.
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10 SPEAKING OF HEALTH INFRASTRUCTURE NEEDS The field of public health communication relies on contributions of many disciplines. Skilled communicators and intervention developers are central to successful communication programs, but they depend on expertise from many other fields.
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