Trial Outcomes & Findings for English as a Second Language Health Literacy Program (NCT NCT04125680)

Results Overview

ESL Hispanic adult learners' lead exposure prevention adherence to the evidence-based recommendations set by the Environmental Protection Agency (EPA) and the Centre for Disease Control and Prevention (CDC) for reducing exposure to water containing levels of lead above 15 ppb for the use was measured using a 3 item questionnaire. Questions include: (1) I have had my water tested for lead; (2) I have an NSF approved filter for my drinking water; and (3) I use bottled water or water from a filtration system for drinking and cooking to reduce or eliminate my lead exposure. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

17 participants

Primary outcome timeframe

Baseline

Results posted on

2023-02-24

Participant Flow

Participant milestones

Participant milestones
Measure	ESL Health Literacy Classes The program will last 5-8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last 5-8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Overall Study STARTED	17
Overall Study COMPLETED	2
Overall Study NOT COMPLETED	15

Reasons for withdrawal

Reasons for withdrawal
Measure	ESL Health Literacy Classes The program will last 5-8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last 5-8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Overall Study Lost to Follow-up	15

Baseline Characteristics

English as a Second Language Health Literacy Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	ESL Health Literacy Classes n=17 Participants The program will last 5-8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last 5-8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Age, Continuous	42.21 years STANDARD_DEVIATION 9.77 • n=93 Participants
Sex: Female, Male Female	17 Participants n=93 Participants
Sex: Female, Male Male	0 Participants n=93 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	17 Participants n=93 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	0 Participants n=93 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=93 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Five people participated in the health literacy curriculum which is where this outcome was measured.

ESL Hispanic adult learners' lead exposure prevention adherence to the evidence-based recommendations set by the Environmental Protection Agency (EPA) and the Centre for Disease Control and Prevention (CDC) for reducing exposure to water containing levels of lead above 15 ppb for the use was measured using a 3 item questionnaire. Questions include: (1) I have had my water tested for lead; (2) I have an NSF approved filter for my drinking water; and (3) I use bottled water or water from a filtration system for drinking and cooking to reduce or eliminate my lead exposure. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=5 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Pre Test) I have had my water tested for lead.	1 Participants
Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Pre Test) I have an NSF-approved filter for my drinking water.	2 Participants
Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Pre Test) I use bottled water or water from a filtration system to reduce or eliminate my lead exposure	5 Participants

PRIMARY outcome

Timeframe: Up to 8-weeks post-treatment

Population: Five people participated in the health literacy curriculum which is where this outcome was measured.

ESL Hispanic adult learners' lead exposure prevention adherence to the evidence-based recommendations set by the Environmental Protection Agency (EPA) and the Centre for Disease Control and Prevention (CDC) for reducing exposure to water containing levels of lead above 15 ppb for the use was measured using a 3 item questionnaire. Questions include: (1) I have had my water tested for lead; (2) I have an NSF approved filter for my drinking water; and (3) I use bottled water or water from a filtration system for drinking and cooking to reduce or eliminate my lead exposure. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=5 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Post Test) I have had my water tested for lead.	3 Participants
Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Post Test) I have an NSF-approved filter for my drinking water.	5 Participants
Number of Participants Practicing Safe Lead Exposure Prevention Behaviors (Post Test) I use bottled water or water from a filtration system to reduce or eliminate my lead exposure	5 Participants

SECONDARY outcome

Timeframe: Baseline

ESL Hispanic adult learners' lead exposure prevention knowledge of the evidence-based recommendations set by the EPA and the CDC for reducing exposure to water containing levels of lead above 15 ppb. Numerical score measured by questions on the Chicago Lead Knowledge Test questionnaire. Five questions related to the 24 question Chicago Lead Knowledge test questionnaire were administered to participants. One point was assigned to each correct response. A participant could earn five total points; with five total points meaning all questions were answered correctly. A composite value was created for the 5 questions.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=17 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Lead Exposure Prevention Knowledge (Pre-Test)	3.35 units on a scale Standard Deviation 0.86

SECONDARY outcome

Timeframe: Up to 8-weeks post-treatment

Population: Only two participants were administered and completed the post test. Due to the COVID-19 pandemic overall enrollment in the study was low and several participants withdrew from the study.

ESL Hispanic adult learners' lead exposure prevention knowledge of the evidence-based recommendations set by the EPA and the CDC for reducing exposure to water containing levels of lead above 15 ppb. Numerical score measured by questions on the Chicago Lead Knowledge Test questionnaire. Five questions related to the 24 question Chicago Lead Knowledge test questionnaire were administered to participants. One point was assigned to each correct response. A participant could earn five total points; with five total points meaning all questions were answered correctly. A composite value was created for the 5 questions.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=2 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Lead Exposure Prevention Knowledge (Post Test)	4 units on a scale Standard Deviation 0

SECONDARY outcome

Timeframe: Baseline

ESL Hispanic adult learner's health literacy score. Numerical score measured by questions on the Fostering Literacy for Good Health Today (FLIGHT) Nive Desarollando Amplia Salud (VIDAS) Test. The short 10-question FLIGHT VIDAS test was administered to participants in Spanish. One point was assigned to each correct response. A participant could earn 10 total points. The literacy level scale is: 0-3 below basic, 4-6 basic, 7-8 intermediate, 9-10 proficient.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=17 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Health Literacy Level (Pre-Test) Below basic literacy (0-3 correct answers)	3 Participants
Health Literacy Level (Pre-Test) Basic literacy (4-6 correct answers)	5 Participants
Health Literacy Level (Pre-Test) Intermediate literacy (7-8 correct answers)	3 Participants
Health Literacy Level (Pre-Test) Proficient literacy (9-10 correct answers)	6 Participants

SECONDARY outcome

Timeframe: Up to 8-weeks post-treatment

Population: Responses to the post test literacy questions not available because the FLIGHT/VIDAS was a separate test and the post test was not administered due to study team oversight.

ESL Hispanic adult learner's health literacy score. Numerical score measured by questions on the Fostering Literacy for Good Health Today (FLIGHT) Nive Desarollando Amplia Salud (VIDAS) Test.

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

ESL Hispanic adult learners' level of food security was measured using two questions from the National Health and Nutrition Examination Survey. The questions include: (1) In the past 12 months how often did you or anyone else in your household worry there would not be enough to eat because of a lack of money and (2) In the past 12 months how often did you or anyone else in your household not eat quality or variety of foods that you wanted to eat because of a lack of money. Possible response options include 'Often', 'Sometimes', 'Never', 'Don't Know', and 'Refuse to Answer'.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=17 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you worry that there would not be enough to eat because of a lack of money? · Often	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you worry that there would not be enough to eat because of a lack of money? · Sometimes	9 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you worry that there would not be enough to eat because of a lack of money? · Never	4 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you worry that there would not be enough to eat because of a lack of money? · Don't Know	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you worry that there would not be enough to eat because of a lack of money? · Refuse	4 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you not eat the quality or variety of foods because of a lack of money? · Often	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you not eat the quality or variety of foods because of a lack of money? · Sometimes	4 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you not eat the quality or variety of foods because of a lack of money? · Never	9 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you not eat the quality or variety of foods because of a lack of money? · Don't Know	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Pre Test) How often did you not eat the quality or variety of foods because of a lack of money? · Refuse	4 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 8 weeks post treatment

Population: Only two participants were administered and completed the post test. Due to the COVID-19 pandemic overall enrollment in the study was low and several participants withdrew from the study.

ESL Hispanic adult learners' level of food security was measured using two questions from the National Health and Nutrition Examination Survey. The questions include: (1) In the past 12 months how often did you or anyone else in your household worry there would not be enough to eat because of a lack of money and (2) In the past 12 months how often did you or anyone else in your household not eat quality or variety of foods that you wanted to eat because of a lack of money. Possible response options include 'Often', 'Sometimes', 'Never', 'Don't Know', and 'Refuse to Answer'.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=2 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you worry that there would not be enough to eat because of a lack of money? · Often	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you worry that there would not be enough to eat because of a lack of money? · Sometimes	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you worry that there would not be enough to eat because of a lack of money? · Never	2 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you worry that there would not be enough to eat because of a lack of money? · Don't Know	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you worry that there would not be enough to eat because of a lack of money? · Refuse	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you not eat the quality or variety of foods because of a lack of money? · Often	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you not eat the quality or variety of foods because of a lack of money? · Sometimes	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you not eat the quality or variety of foods because of a lack of money? · Never	2 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you not eat the quality or variety of foods because of a lack of money? · Don't Know	0 Participants
Number of Participants Who Experienced Food Insecurity as Measured by the National Health and Nutrition Examination Survey (Post Test) How often did you not eat the quality or variety of foods because of a lack of money? · Refuse	0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

ESL Hispanic adult learners' completed three questions to evaluate their ability to obtain health information. Three questions taken from the National Health and Nutrition Examination Survey were administered to participants. Questions include (1) In the past 12 months did you do anything to improve your health (2) In the past 12 months have you required health information or advice for yourself or a family member and (3) In the past 12 months did you ever experience any difficulties getting the health information or advice for yourself or a family member. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=17 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Pre Test) Did you do anything to improve your health?	9 Participants
Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Pre Test) Have you required health information or advice for yourself or a family member?	8 Participants
Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Pre Test) Did you ever experience any difficulties getting the health information or advice	5 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 8-weeks post-treatment

Population: Only two participants were administered and completed the post test. Due to the COVID-19 pandemic overall enrollment in the study was low and several participants withdrew from the study.

ESL Hispanic adult learners' completed three questions to evaluate their ability to obtain health information. Three questions taken from the National Health and Nutrition Examination Survey were administered to participants. Questions include (1) In the past 12 months did you do anything to improve your health (2) In the past 12 months have you required health information or advice for yourself or a family member and (3) In the past 12 months did you ever experience any difficulties getting the health information or advice for yourself or a family member. Response options are yes, no and don't know. The numbers below represent participants who answered 'Yes' to each question.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=2 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Post Test) Did you do anything to improve your health?	0 Participants
Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Post Test) Have you required health information or advice for yourself or a family member?	0 Participants
Number of Participants Able to Obtain Health Information as Measured by the National Health and Nutrition Examination Survey (Post Test) Did you ever experience any difficulties getting the health information or advice	0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

ESL Hispanic adult learners' were asked to describe their sense of belonging to thier local community. Participants were asked to complete a question taken from the National Health and Nutrition Examination Survey asking them to rate their sense of belonging to their local community from 'very strong' (1) to 'very weak' (4). Responses could include 'very strong','somewhat strong', 'somewhat weak', 'very weak', 'don't know', and 'refuse to answer'. The numbers below represent the participants who selected each response.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=17 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Pre Test) Refused to Answer	3 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Pre Test) Very Strong	0 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Pre Test) Somewhat Strong	2 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Pre Test) Somewhat Weak	1 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Pre Test) Very Weak	10 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Pre Test) Don't Know	1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 8 weeks post treatment

Population: Only two participants were administered and completed the post test. Due to the COVID-19 pandemic overall enrollment in the study was low and several participants withdrew from the study.

ESL Hispanic adult learners' were asked to describe their sense of belonging to thier local community. Participants were asked to complete a question taken from the National Health and Nutrition Examination Survey asking them to rate their sense of belonging to their local community from 'very strong' (1) to 'very weak' (4). Responses could include 'very strong','somewhat strong', 'somewhat weak', 'very weak', 'don't know', and 'refuse to answer'. The numbers below represent the participants who selected each response.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=2 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Post Test) Very Stong	0 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Post Test) Somewhat Strong	0 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Post Test) Somewhat Weak	1 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Post Test) Very Weak	0 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Post Test) Don't Know	0 Participants
Perception of Community Belonging as Measured by the National Health and Nutrition Examination Survey (Post Test) Refused to Answer	1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline

ESL Hispanic adult learners' were asked to describe their health care coverage status. Numerical score measured by questions on the Behavioral Risk Factor Surveillance Survey. Participants were asked (1) Do you have any kind of health case coverage including health insurance, prepaid plans such as HMOs, or government plans such as Medicare, or Indian Health Service? Responses could include 'Yes', 'No' and 'Don't Know'. The participants who answered 'Yes' are represented below.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=17 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants With Health Care Coverage as Measured by the Behavioral Risk Factor Surveillance Survey (Pre Test)	7 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 8 weeks post-treatment

Population: Only two participants were administered and completed the post test. Due to the COVID-19 pandemic overall enrollment in the study was low and several participants withdrew from the study.

ESL Hispanic adult learners' were asked to describe their health care coverage status. Numerical score measured by questions on the Behavioral Risk Factor Surveillance Survey. Participants were asked (1) Do you have any kind of health case coverage including health insurance, prepaid plans such as HMOs, or government plans such as Medicare, or Indian Health Service? Responses could include 'Yes', 'No' and 'Don't Know'. The participants who answered 'Yes' are represented below.

Outcome measures

Outcome measures
Measure	ESL Health Literacy Classes n=2 Participants The program will last up to 8 weeks with classes held online during evening hours. The curriculum will focus on using pedagogies for health literacy as a practice. Assessments will be administered pre-post intervention. ESL Health Literacy Classes: The intervention will last up to 8 weeks, and the first and last classes will be devoted to survey assessments. Participants will be asked to reflect on their health knowledge and behaviors, and how they have changed since starting the program. The curriculum administered during the classes will use pedagogies for health literacy as a practice. It will focus on skills needed to learn about lead exposure in the ESL classroom: (1) vocabulary; (2) grammar; and (3) identifying risk factors, symptoms and preventive strategies. A focus on health literacy as practice will include personal engagement using language in context: (1) role-play interactions about lead exposure prevention; (2) discussing views about risk, and how to talk about it with peers and family members; (3) identifying sources of reliable health information; and (4) learning to ask for support and resources.
Number of Participants With Health Care Coverage as Measured by the Behavioral Risk Factor Surveillance Survey (Post Test)	2 Participants

Adverse Events

ESL Health Literacy Classes

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Emily Feuerherm

University of Michigan

Phone: 810-766-6725

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place