Explain at least three ways to deliver health information.

Explain at least three ways to deliver health information.
Traditional Evaluation and Multicultural Evaluation.

Communication and Health Promotion in Diverse Societies
People who are Promotores(as) have a gift for service and a noble and kind heart. We think about things and take care of people. We identify with the people and the needs of the community.

—Mirian Perez, Promotora There is a push, sometimes—“what’s the recipe” or “what are the ten things you have to do in

every multicultural community.” My experience says that there is a contextualization that needs to happen.

—Zoe Cardoza Clayson

Key Concepts
Fotonovela Digital divide Promotores Multicultural evaluation Reciprocity

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Learning Objectives

After reading this chapter, you should be able to:

1. Explain at least three ways to deliver health information.

2. Identify at least four issues to consider when developing printed materials.

3. Describe the Health Belief and PRECEDE–PROCEED models and how they can be utilized when working with diverse populations.

4. Describe at least three differences between traditional evaluation and multicultural evaluation.

In this chapter the focus is on communication in a one-to-one situation, as in patient-provider, or a one-to-many situation, as in a public health program. The chapter begins with a discussion about health communication, then addresses the delivery of the health message. It ends with a focus on models that can be used for developing a health promotion program and multicultural evaluation. Communication is the basis of any health promotion effort, but in this chapter special attention is paid to considerations that need to be taken into account when working with diverse populations.

Health Communication Consider the following case study. An elderly Irish woman was hospitalized and scheduled to have surgery at the end of the week. A few days before the surgery, she suddenly started complaining of pain to her family but said nothing to her physician. Her physician was also unaware of evidence that the Irish, as a group, tend to minimize expressions of pain. Confronted by the family, the physician expressed little concern because in the physician’s country, women having serious pain are much more vocal than this patient was being. The physician ignored their requests that the surgery be done sooner, deeming it unnecessary. By the time the patient went to surgery, her condition had worsened, and she died during the operation. Her daughter-in-law, a nurse, felt that had the surgeon operated when the patient first complained, she might have lived. In this case, the surgeon made the mistake of stereotyping the patient—she was a woman, and in the physician’s experience, women complained loudly when in pain. Therefore, the physician failed to even reexamine the patient (in itself, bad medical judgment). If the physician had been aware of the generalization about Irish

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

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