Videodisc technology: teaching underserved populations about infant feeding.
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Biomedical subjects
Publications and source records attributed to C Gulino.
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This article illustrates one method of combining research results and computer technology to produce a "high-tech" patient-education program that has demonstrated its applicability in clinical practice. A videodisc entitled The Story of Maria was produced as part of a large primary care research project along the southwestern U.S.-Mexico border. A needs assessment of approximately 200 Hispanic mothers preceded the scripting of the videodisc. The paper presents an overview of the production process, as well as a description of some special technological features, including the bilingual soundtrack, touchscreen control, and careful design of instructions to eliminate the need for literacy. Pilot testing of the interactive video program in two community health centers in the U.S.-Mexico border area indicates that the program is not only fulfilling its purpose, but also being enthusiastically received by the patients.
Pender's modification of the health belief model was used to examine the motivations for breast-feeding in a group of 140 primiparous women along the US-Mexican border. The backward elimination technique of linear regression was used to order the variables in the model. The findings indicate that the three components of the health belief model--individual perceptions, modifying factors, and likelihood of action--are useful in predicting health-related outcomes. Each component of the model made an independent contribution to the breast-feeding decision but varied in the strength of the contribution. The only significant interpersonal influence on the feeding decision was that of the husband or partner. More empirical research with the model is necessary, however, in order to develop it as a paradigm for prenatal health.
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Too few Mexican and Mexican-American mothers breast feed their babies. Results of a study of breast-feeding attitudes in Tijuana and San Diego point to the need for education, guidance, and support at the community level if more young mothers in this population are to give their newborns the advantages of breast feeding.
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