Evaluation of a Tuberculosis Education Video Among Immigrants and Refugees at an Adult Education Center: A Community-Based Participatory Approach

Abstract

Tuberculosis disproportionately affects immigrants and refugees to the United States. Upon arrival to the United States, many of these individuals attend adult education centers, but little is known about how to deliver tuberculosis health information at these venues. Therefore, the authors used a participatory approach to design and evaluate a tuberculosis education video in this setting. The authors used focus group data to inform the content of the video that was produced and delivered by adult learners and their teachers. The video was evaluated by learners for acceptability through 3 items with a 3-point Likert scale. Knowledge (4 items) and self-efficacy (2 items) about tuberculosis were evaluated before and after viewing the video. A total of 159 learners (94%) rated the video as highly acceptable. Knowledge about tuberculosis improved after viewing the video (56% correct vs. 82% correct; p <.001), as did tuberculosis-related self-efficacy (77% vs. 90%; p <.001). Adult education centers that serve large immigrant and refugee populations may be excellent venues for health education, and a video may be an effective tool to educate these populations. Furthermore, a participatory approach in designing health education materials may enhance the efficacy of these tools.

Acknowledgments

The authors thank the Hawthorne Education Center learners and staff and community volunteers who participated in this project. This project is supported by the National Institutes of Health through a Partners in Research grant, R03 AI082703, and by grant number 1 UL1 RR024150 from the National Center for Research Resources, a component of the National Institutes of Health, and the National Institutes of Health Roadmap for Medical Research.

Notes

Note. Average correct (%) refers to the average percentage correct across four knowledge items. Average positive self efficacy (%) refers to the average percentage positive self-efficacy across two items. The p values represents t test or one-way analysis of variance as appropriate.

Note. The p values represent paired t test.