1
|
Hernandez MI, Miller EC, Prieto LA, Sehmer MN, Schaefer DA, Biese KM, Columna LA, Andreae S, McGuine TA, Snedden TR, Eberman LE, Bell DR. Youth Sport Participation Experiences From the Perspective of Hispanic/Latinx Parents and Their Children. FAMILY & COMMUNITY HEALTH 2023; 46:165-175. [PMID: 37199990 DOI: 10.1097/fch.0000000000000366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/19/2023]
Abstract
Hispanic/Latinx communities remain an underserved population in terms of health and physical activity opportunities. The rise of sport specialization can jeopardize these opportunities. Understanding the appeal and welcomeness that minoritized populations feel toward sport and sport specialization culture can play an important role in health promotion and breaking down barriers that widen the gap on physical activity levels in Hispanic/Latinx communities. To date, these studies have not qualitatively investigated Hispanic/Latinx youth sport dyads (parent and child) and how sport specialization perceptions have affected their sport participation experiences. We used a qualitative interpretative phenomenological analysis to explore experiences of Hispanic/Latinx high school athletes. We engaged in semistructured interviews with 12 parent-child dyads. The following 3 interrelated themes emerged: (a) expectations of youth sport participation, (b) meeting expectations of youth sport participation, (c) and (mis)alignment of cultures. Dyads describe a negative youth sport experience when both cultures do not align because of the rise in sport specialization and pay-to-play culture. Findings indicate that dyads understand what is necessary to participate in organized sport and do this by methods that are rooted in their Hispanic/Latinx culture.
Collapse
Affiliation(s)
- Mayrena Isamar Hernandez
- Department of Kinesiology, Sam Houston State University, Huntsville, Texas (Dr Hernandez); Department of Kinesiology (Mss Miller, Prieto, and Sehmer, and Drs Schaefer, Columna, Andreae, and Bell), Department Orthopedics and Rehabilitation (Drs McGuine and Bell), and School of Nursing (Dr Snedden), University of Wisconsin-Madison; Department of Kinesiology, The University of Wisconsin Oshkosh (Dr Biese); and Department of Applied medicine and Rehabilitation, Indiana State University, Terre Haute (Dr Eberman)
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
2
|
Quiñones MM, Silva C, Ross C, Sörensen S, Serrano R, Van Orden K, Heffner K. Recruiting Socially Disconnected Latinos Caring for a Person with Alzheimer's Disease and Related Dementias During the COVID-19 Pandemic: Lessons Learned. Clin Gerontol 2023:1-14. [PMID: 37005703 PMCID: PMC10542654 DOI: 10.1080/07317115.2023.2197895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/04/2023]
Abstract
OBJECTIVES The purpose of this article is to present conceptual and methodological challenges to recruitment strategies in enrolling socially disconnected middle-aged and older Latino caregivers of a loved one with Alzheimer's disease and related dementias (ADRD). METHODS Middle-aged and older Latino ADRD caregivers were recruited into two early stage, intervention development studies during the COVID-19 pandemic via online or in-person methods. Recruitment criteria included Latino ADRD caregivers over the age of 40 reporting elevated loneliness on the UCLA 3-item Loneliness Scale (LS) during screening. RESULTS Middle-aged, Latino caregivers were recruited predominantly from online methods whereas older caregivers were mostly recruited from in-person methods. We report challenges identifying socially disconnected Latino caregivers using the UCLA 3-item LS. CONCLUSIONS Our findings support previously reported disparities in recruitment by age and language and suggest further methodological considerations to assess social disconnection among Latino caregivers. We discuss recommendations to overcome these challenges in future research. CLINICAL IMPLICATIONS Socially disconnected Latino ADRD caregivers have an elevated risk for poor mental health outcomes. Successful recruitment of this population in clinical research will ensure the development of targeted and culturally sensitive interventions to improve the mental health and overall well-being of this marginalized group.
Collapse
Affiliation(s)
- Maria M Quiñones
- Elaine C. Hubbard Center for Nursing Research on Aging School of Nursing, University of Rochester Medical Center, New York, USA
| | - Caroline Silva
- Department of Psychiatry, University of Rochester Medical Center, New York, USA
| | - Carmona Ross
- Warner School of Education and Human Development, University of Rochester, New York, USA
| | - Silvia Sörensen
- Warner School of Education and Human Development, University of Rochester, New York, USA
| | | | - Kimberly Van Orden
- Department of Psychiatry, University of Rochester Medical Center, New York, USA
| | - Kathi Heffner
- Elaine C. Hubbard Center for Nursing Research on Aging School of Nursing, University of Rochester Medical Center, New York, USA
- Department of Psychiatry, University of Rochester Medical Center, New York, USA
- Division of Geriatrics & Aging Department of Medicine, University of Rochester Medical Center, New York, USA
| |
Collapse
|
3
|
Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results. Ear Hear 2022; 43:1620-1634. [DOI: 10.1097/aud.0000000000001268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
4
|
Vanegas SB, Dueñas AD, Kunze M, Xu Y. Adapting
parent‐focused
interventions for diverse caregivers of children with intellectual and developmental disabilities: Lessons learned during global crises. JOURNAL OF POLICY AND PRACTICE IN INTELLECTUAL DISABILITIES 2022. [DOI: 10.1111/jppi.12422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | - Ana D. Dueñas
- College of Education and Human Services Lehigh University Bethlehem Pennsylvania USA
| | - Megan Kunze
- Department of Special Education and Clinical Sciences and Center for Brain Injury Research and Training University of Oregon Eugene Oregon USA
| | - Yue Xu
- Department of Health Sciences Education University of Illinois College of Medicine at Rockford Rockford Illinois USA
| |
Collapse
|
5
|
Abstract
AbstractCurrent policies aim to promote and develop community-based support of disabled elderly persons, yet knowledge of the cost implications is insufficient. Thus, we aimed to estimate, for three disability profiles and three presence levels of the main informal carer (none, non-cohabitant, cohabitant), the cost of formal and informal support currently provided at home in Belgium. In this cross-sectional study, a sample of 5,642 disabled elderly persons living at home was established between 2010 and 2016. The administrative database of the Belgian public healthcare insurance was merged with other prospective data on social care service utilisation, informal care and disability. The total cost of formal support ranged from €725 to €1,344 (on average, per person, per month), depending on the three disability profiles identified. Twenty-five per cent of persons with the highest level of disability (important functional limitations and cognitive impairment) and helped by a cohabitant carer, had a low total cost of formal support: below €382 per month. Informal care represented the main cost component of total support costs in the three disability profiles (between 64 and 76%). To prevent the worsening of situations of disabled older persons and their informal carers, better detection of seriously disabled persons with low levels of formal support is crucial.
Collapse
|
6
|
De Santis JP, Gattamorta KA, Valdes B, Sanchez M, Provencio-Vasquez E. The Relationship of Hispanic Cultural Factors and Sexual Behaviors of Hispanic Men who have Sex with Men. SEXUALITY & CULTURE 2019; 23:292-309. [PMID: 37090487 PMCID: PMC10121202 DOI: 10.1007/s12119-018-9557-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Background/Significance Hispanics are the largest ethnic minority group in the U.S., and account for 21% of new cases of HIV infection. Previous researchers have examined the relationship of Hispanic cultural factors and the sexual behaviors of Hispanic men who have sex with men (HMSM). However, the exact influence of Hispanic culture factors on the sexual behaviors of these men is currently unclear. Objective The purpose of this study was to investigate the relationship of selected Hispanic cultural factors and the sexual behaviors of a sample of HMSM. Method A descriptive, cross-sectional design was used to collect data from 125 Hispanic men in Miami-Dade County, FL. Participants completed standardized measures of Hispanic cultural factors, sexual behaviors, and a demographic questionnaire. Results Statistically significant positive correlations were noted between age and total cultural constructs, familism, personalism, and machismo. Statistically significant negative correlations were noted between education and total cultural constructs, and education and fatalism. No statistically significant correlation coefficients were noted between total cultural constructs and total sexual behaviors. However, statistically significant positive correlations were noted between condom use and personalism, and assertiveness and personalism. A statistically significant negative correlation was noted between familism and anal sex. Implications Nurses and other clinicians providing care for HMSM need awareness of certain Hispanic cultural factors (personalism and familism) that may be related to sexual behaviors among HMSM. More research is needed to understand how personalism and familism may be used as protective factors to decrease sexual risk of HMSM.
Collapse
Affiliation(s)
- Joseph P De Santis
- University of Miami School of Nursing and Health Studies. Coral Gables, FL USA
- University of Texas at El Paso. School of Nursing. El Paso, TX USA
| | - Karina A Gattamorta
- University of Miami School of Nursing and Health Studies. Coral Gables, FL USA
| | - Beatriz Valdes
- University of Miami School of Nursing and Health Studies. Coral Gables, FL USA
| | | | | |
Collapse
|
7
|
Nance DC, Rivero May MI, Flores Padilla L, Moreno Nava M, Deyta Pantoja AL. Faith, Work, and Reciprocity: Listening to Mexican Men Caregivers of Elderly Family Members. Am J Mens Health 2018; 12:1985-1993. [PMID: 27352926 PMCID: PMC6199452 DOI: 10.1177/1557988316657049] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The purpose of this qualitative study was to examine the role of Mexican men caregivers of older adults. Studies investigating male caregiving practice in Mexico are lacking. Listening events for older adults and family caregivers were held in six cities, obtaining an ethnically and socioeconomically diverse sample of 121 participants-81 older adults and 57 primary caregivers (including 17 older adults). Focus groups discussed end-of-life issues and challenges of care. Discussions were audio recorded and field notes were made. Framework Analysis was used to analyze data. Nationally, 37% of the caregivers were men. In the metropolitan area of Mexico City, 57% of caregivers were men. The men caregivers discussed their roles and experiences. The results were categorized into three themes: (a) reciprocity in family caregiving, (b) a practical work-oriented attitude toward caregiving, and (c) strong religious faith. Caregiving formed an important part of their masculine role. Stereotypes related to gender and care should be reexamined. Further research is needed to explore gender variations in caregiving, evolving gender roles, and needs for support and services.
Collapse
Affiliation(s)
- Douglas C. Nance
- Universidad de la Sierra Sur, Miahuatlán de Porfirio Díaz, Oaxaca, Mexico
| | - Maria Isabel Rivero May
- Universidad Autonoma de la Yucatan and Instituto Mexicano de Seguro Social School of Nursing, Merida, Yucatan, Mexico
| | | | | | | |
Collapse
|
8
|
Corrigan PW, Torres A, Lara JL, Sheehan L, Larson JE. Prioritizing the healthcare needs of Latinos with mental illness. INTERNATIONAL JOURNAL OF CULTURE AND MENTAL HEALTH 2017; 10:19-32. [PMID: 30505348 PMCID: PMC6261424 DOI: 10.1080/17542863.2016.1246581] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Latinos with serious mental illness have higher morbidity and mortality rates than same age peers. In this paper, we review findings of a community based participatory research project meant to identify important health needs of this group, barriers to these needs, solutions to the barriers and the promise of peer navigators as a solution. Findings from a prior qualitative study yielded 84 themes related to needs, barriers and solutions. These findings were transposed into individual items, to which 122 Latino participants with mental illness responded using a 7-point importance scale. Results showed item importance means ranging from 4.34 to 5.47, with counseling/therapy services and mental health treatment topping the list for healthcare needs. Analyses also examined differences between those born in the USA versus those born elsewhere. Latinos who were native to the USA differed significantly from those born abroad in over one quarter of importance ratings. Implications of these findings for integrated care of Latinos with serious mental illness are discussed.
Collapse
Affiliation(s)
- Patrick W Corrigan
- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois
| | - Alessandra Torres
- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois
| | - Juana L Lara
- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois
| | - Lindsay Sheehan
- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois
| | - Jonathon E Larson
- Department of Psychology, Illinois Institute of Technology, Chicago, Illinois
| | | |
Collapse
|
9
|
Evans BC, Coon DW. The "Reckoning Point" as a Marker for Formal Palliative and End-of-Life Care in Mexican American Families. JOURNAL OF FAMILY NURSING 2016; 22:606-630. [PMID: 27903942 DOI: 10.1177/1074840716677994] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Palliative and end-of-life care (PEOLC) in Mexican American (MA) caregiving families remains unexplored. Its onset was uncovered in our mixed methods, multisite, interdisciplinary, qualitative descriptive study of 116 caregivers, most of whom had provided long-term informal home care for chronically ill, disabled older family members. This subanalysis used Life Course Perspective to examine the "point of reckoning" in these families, where an older person is taken in for care, or care escalates until one recognizes oneself as the primary caregiver. Ninety-three of 116 caregivers recognized and spontaneously reported a "reckoning point" that initiated the caregiving trajectory, while eight cited "gradual decline" into caregiving for elders in their homes. This "reckoning point," which marks the assumption of this role, may afford a fertile opportunity for referral to community resources or initiation of formal PEOLC, thereby improving the quality of life for these older individuals and their families.
Collapse
|
10
|
Evans BC, Coon DW, Belyea MJ, Ume E. Collective Care: Multiple Caregivers and Multiple Care Recipients in Mexican American Families. J Transcult Nurs 2016; 28:398-407. [PMID: 27389911 DOI: 10.1177/1043659616657878] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PURPOSE Specific stressors associated with caregiving in Mexican American (MA) families are not well documented, yet caregiving issues are paramount because informal care for parents is central to their culture. Although MA families who band together to provide care for one member are not unique, the literature does not describe the phenomenon of collective caregiving, which may be widespread but unrecognized. This article describes these understudied families who are poorly served by contemporary health systems because their characteristics are unknown. DESIGN Descriptive, multisite, longitudinal mixed-methods study of MA caregiving families. FINDINGS We identified three types of collective caregivers: those providing care for multiple family members simultaneously, those providing care successively to several family members, and/or those needing care themselves during their caregiving of others. DISCUSSION AND CONCLUSIONS Collective caregiving of MA elders warrants further investigation. IMPLICATIONS FOR PRACTICE Exploration of collective caregiving may provide a foundation for tailored family interventions.
Collapse
Affiliation(s)
- Bronwynne C Evans
- 1 Arizona State University College of Nursing and Health Innovation, Phoenix, AZ, USA
| | - David W Coon
- 1 Arizona State University College of Nursing and Health Innovation, Phoenix, AZ, USA
| | - Michael J Belyea
- 1 Arizona State University College of Nursing and Health Innovation, Phoenix, AZ, USA
| | - Ebere Ume
- 2 Charles R. Drew University of Medicine and Science, Los Angeles, CA, USA
| |
Collapse
|
11
|
Abstract
This report extends knowledge about the informal caregiving trajectory in Mexican American (MA) families, constituting the second known empirical study of the emerging phenomenon of personal care by (MA) sons for their aging mothers, previously reported by our research team. It uses life course perspective (LCP) to compare caregiving patterns over time through case-based comparative-historical methods. “Historical” within-case analysis searches for themes, while “comparative” cross-case analysis allows exploration of themes across multiple cases, enabling examination of eight cases of caregiving MA sons who were currently providing personal care or confronting the imminent need to do so. We used the comparative-historical technique of pattern matching to determine the worth of LCP for exploration of MA family caregiving, test data-derived theoretical propositions, and function as a template for combining multiple methods. Qualitative findings were buttressed in this sub-analysis of a parent study by results from a battery of variable-oriented scales.
Collapse
Affiliation(s)
- Bronwynne C. Evans
- Arizona State University College of Nursing and Health Innovations, Phoenix, USA
| | - David W. Coon
- Arizona State University College of Nursing and Health Innovations, Phoenix, USA
| | - Michael J. Belyea
- Arizona State University College of Nursing and Health Innovations, Phoenix, USA
| |
Collapse
|
12
|
An Examination of Factors Associated with Healthcare Discrimination in Latina Immigrants: The Role of Healthcare Relationships and Language. J Natl Med Assoc 2014; 106:15-22. [PMID: 26744111 DOI: 10.1016/s0027-9684(15)30066-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
ACKNOWLEDGEMENT The authors are grateful to all of the women who took time to participate in the study, Dr. Elmer Huerta and members of the Latin American Cancer Research Coalition. Funding for these activities were supported, in part, by ACS grants MRSGT-06-132-01-CPPB (VBS), Herbert W. Nickens, M.D., Junior Faculty Achievement Award, AAMC (VBS), and MRSGT-05-104-01-CPPB (JW), National Cancer Institute grants UO1 CA86114 (EH, JM), U01-CA114593 (JM), and KO5 CA96940 (JM). BACKGROUND Understanding factors that are associated with perceived discrimination in Latina immigrants may provide opportunities to improve care for this growing population. OBJECTIVE To examine the prevalence of discrimination experiences in urban Latina immigrants and identify socio-cultural and healthcare factors that predict discrimination experiences. DESIGN Cross-sectional survey of 166 Latina immigrants. MEASUREMENTS Socio-cultural: region of origin, primary language, and education. Healthcare factors: insurance, place of care, patient-provider communication, trust in provider, and satisfaction with care. Multivariable logistic regression was used to examine factors that predicted discrimination. RESULTS 42% had at least one discrimination experience. Communication with providers was the factor most strongly associated with reporting having a discrimination experience while controlling for other variables (p < 01). Women with good communication with their provider were 71% less likely to report discrimination. CONCLUSION Better communication with providers may reduce Latinas' perceptions of discrimination and thereby improve healthcare access and use of services.
Collapse
|
13
|
Izumi S, Vandermause R, Benavides-Vaello S. Adapting cognitive interviewing for nursing research. Res Nurs Health 2013; 36:623-33. [PMID: 24142451 DOI: 10.1002/nur.21567] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/19/2013] [Indexed: 11/07/2022]
Abstract
Cognitive interviewing (CI) has been used by instrument developers to examine how well an instrument generates the intended data when tested with prospective respondents. In using CI to test a new instrument to measure patients' perceptions of the quality of nursing care, the authors found challenges in applying a theory-based traditional CI approach derived from experimental psychology to more clinically oriented nursing research. The purposes of this article are to describe these challenges and the modifications of CI to capture the nursing care perspectives of hospitalized participants, and to present interpretive phenomenology as a theoretical orientation for clinically situated CI.
Collapse
Affiliation(s)
- Shigeko Izumi
- Oregon Health and Science University School of Nursing, Portland, OR
| | | | | |
Collapse
|
14
|
Identifying Barriers Preventing Latina Women from Accessing WIC Online Health Information. J Immigr Minor Health 2013; 16:699-705. [DOI: 10.1007/s10903-013-9801-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
|
15
|
Evans BC, Ume E. Psychosocial, cultural, and spiritual health disparities in end-of-life and palliative care: where we are and where we need to go. Nurs Outlook 2013; 60:370-5. [PMID: 23141196 DOI: 10.1016/j.outlook.2012.08.008] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2012] [Revised: 08/18/2012] [Accepted: 08/20/2012] [Indexed: 12/13/2022]
Abstract
Although health disparities are well documented, the extent to which they affect end-of-life care is unknown. Limited research funding leads to sparse and often contradictory palliative care literature, with few studies on causal mechanisms. This article explores the psychosocial, cultural, and spiritual health disparities existing in palliative and end-of-life care with the goal of identifying future research needs. This article reports efforts to determine knowledge gaps related to health disparities in psychosocial, cultural, and spiritual aspects of end-of-life care in which the authors draw upon recent literature from multiple databases. Although few data are available, studies show that minorities make little use of hospice, often because of lack of knowledge about hospice or palliative care, family-centered cultures, and preferences for more aggressive end-of-life care than hospice allows. The authors conclude that future research should include a search for theoretical and causal mechanisms; prospective longitudinal investigations; diverse patients, conditions, contexts, and settings; methodological diversity and rigor; and interdisciplinary, culturally sensitive interventions.
Collapse
Affiliation(s)
- Bronwynne C Evans
- Arizona State University College of Nursing & Health Innovation, Phoenix, AZ 85004, USA.
| | | |
Collapse
|
16
|
Evans BC, Belyea MJ, Coon DW, Ume E. Activities of daily living in Mexican American caregivers: the key to continuing informal care. JOURNAL OF FAMILY NURSING 2012; 18:439-466. [PMID: 22740307 PMCID: PMC3739688 DOI: 10.1177/1074840712450210] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
La familia drives elder care in Mexican-American (MA) families, but nursing home placement can result from day-to-day caregiving demands that increase caregiver difficulty with activities of daily living (ADLs). Using life course perspective, this article describes the initial data wave of 31 MA caregivers from a descriptive, longitudinal, mixed-methods study of 110 MA caregivers and care recipients over 15 months in their caregiving trajectories. Fifteen of 31 caregivers consistently indicated "no help needed" on the Katz ADL, whereas all but one reported "help needed" during semistructured interviews with cultural brokers. In addition to the discrepancy between results on the Katz ADL and interviews, findings include consideration of nursing home placement by moderately acculturated caregivers and minimization of their illnesses by caregivers. Additional methods of MA caregiver assessment may be needed due to the questionable accuracy of the Katz ADL; additional research should explore minimization and acculturation in MA caregivers.
Collapse
Affiliation(s)
- Bronwynne C Evans
- Arizona State University College of Nursing and Health Innovation, Phoenix, AZ, USA.
| | | | | | | |
Collapse
|
17
|
McDonald DD, Walsh S, Vergara C, Gifford T, Weiner DK. The Effect of a Spanish Virtual Pain Coach for Older Adults: A Pilot Study. PAIN MEDICINE 2012; 13:1397-406. [DOI: 10.1111/j.1526-4637.2012.01491.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
18
|
Lora CM, Ricardo AC, Brecklin CS, Fischer MJ, Rosman RT, Carmona E, Lopez A, Balaram M, Nessel L, Tao KK, Xie D, Kusek JW, Go AS, Lash JP. Recruitment of Hispanics into an observational study of chronic kidney disease: the Hispanic Chronic Renal Insufficiency Cohort Study experience. Contemp Clin Trials 2012; 33:1238-44. [PMID: 22841929 DOI: 10.1016/j.cct.2012.07.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2012] [Revised: 06/27/2012] [Accepted: 07/16/2012] [Indexed: 12/12/2022]
Abstract
Despite the large burden of chronic kidney disease (CKD) in Hispanics, this population has been underrepresented in research studies. We describe the recruitment strategies employed by the Hispanic Chronic Renal Insufficiency Cohort Study, which led to the successful enrollment of a large population of Hispanic adults with CKD into a prospective observational cohort study. Recruitment efforts by bilingual staff focused on community clinics with Hispanic providers in high-density Hispanic neighborhoods in Chicago, academic medical centers, and private nephrology practices. Methods of publicizing the study included church meetings, local Hispanic print media, Spanish television and radio stations, and local health fairs. From October 2005 to July 2008, we recruited 327 Hispanics aged 21-74 years with mild-to-moderate CKD as determined by age-specific estimated glomerular filtration rate (eGFR). Of 716 individuals completing a screening visit, 49% did not meet eGFR inclusion criteria and 46% completed a baseline visit. The mean age at enrollment was 57.1 and 67.1% of participants were male. Approximately 75% of enrolled individuals were Mexican American, 15% Puerto Rican, and 10% had other Latin American ancestry. Eighty two percent of participants were Spanish-speakers. Community-based and academic primary care clinics yielded the highest percentage of participants screened (45.9% and 22.4%) and enrolled (38.2% and 24.5%). However, academic and community-based specialty clinics achieved the highest enrollment yield from individuals screened (61.9% to 71.4%). A strategy focused on primary care and nephrology clinics and the use of bilingual recruiters allowed us to overcome barriers to the recruitment of Hispanics with CKD.
Collapse
|
19
|
Affiliation(s)
- Ebere Ume
- Arizona State University, College of Nursing and Health Innovation, Phoenixm, AZ 85004, USA.
| | | |
Collapse
|
20
|
Evans BC, Coon DW, Ume E. Use of Theoretical Frameworks as a Pragmatic Guide for Mixed Methods Studies: A Methodological Necessity? JOURNAL OF MIXED METHODS RESEARCH 2011; 5:276-292. [PMID: 22368533 PMCID: PMC3285373 DOI: 10.1177/1558689811412972] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
There is a growing acceptance of the utility of mixed methods in health sciences but there is no widely accepted set of ideas in regard to use of a conceptual or theoretical framework to guide inquiry. Few mixed methods health science articles report the use of such a framework. Lack of available conceptual maps provided by theoretical frameworks, necessary intricacy of design, and the qualitative "black box" tradition all contribute to a dearth of methodological guidance in such studies. This article uses a funded National Institutes of Health study as an example to explain the utility of a theoretical framework in conceptualizing a study, making design decisions such as sampling and recruitment, collecting and analyzing data, and data interpretation.
Collapse
Affiliation(s)
- Bronwynne C Evans
- College of Nursing & Health Innovation, Arizona State University, 500 N. Third St., Phoenix, Arizona 85003, , ,
| | | | | |
Collapse
|
21
|
Ahrens CE, Isas L, Viveros M. Enhancing Latinas' participation in research on sexual assault: cultural considerations in the design and implementation of research in the Latino community. Violence Against Women 2011; 17:177-88. [PMID: 21307028 DOI: 10.1177/1077801210397701] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
To provide a more complete picture of the prevalence, impact, and treatment of sexual assault among Latinas, researchers must begin to develop and employ culturally competent recruitment and data-collection procedures that can facilitate participation and disclosure. In this article, we sought to synthesize recommendations from research with Latino populations, community-based and participatory action research, and research on sexual assault to provide a list of suggestions for conducting culturally competent research about sexual assault with Latino populations. Innovative examples from our own focus group study with Latinas are provided throughout.
Collapse
Affiliation(s)
- Courtney E Ahrens
- Department of Psychology, California State University at Long Beach, 1250 Bellflower Boulevard, Long Beach, CA 90840, USA.
| | | | | |
Collapse
|
22
|
Abstract
Survey data are compromised when respondents do not interpret questions in the way researchers expect. Cognitive interviews are used to detect problems respondents have in understanding survey instructions and items, and in formulating answers. This paper describes methods for conducting cognitive interviews and describes the processes and lessons learned with an illustrative case study. The case study used cognitive interviews to elicit respondents' understanding and perceptions of the format, instructions, items, and responses that make up the Diabetes Symptom Self-Care Inventory (DSSCI), a questionnaire designed to measure Mexican Americans' symptoms of type 2 diabetes and their symptom management strategies. Responses to cognitive interviews formed the basis for revisions in the format, instructions, items, and translation of the DSSCI. All those who develop and revise surveys are urged to incorporate cognitive interviews into their instrumentation methods so that they may produce more reliable and valid measurements.
Collapse
Affiliation(s)
- Alexandra A García
- School of Nursing, the University of Texas at Austin, Austin, Texas 78701, USA.
| |
Collapse
|
23
|
Evans BC, Belyea MJ, Ume E. Mexican-American Males Providing Personal Care for their Mothers. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2011; 33:234-260. [PMID: 21643486 DOI: 10.1177/0739986311398615] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We know little about Mexican-American (MA) family adaptation to critical events in the informal caregiving experience but, in these days of economic and social turmoil, sons must sometimes step up to provide personal care for their aging mothers. This article compares two empirically real cases of MA males who provided such care, in lieu of a female relative. The cases are selected from a federally-funded, descriptive, longitudinal, mixed methods study of 110 MA caregivers and their care recipients. In case-oriented research, investigators can generate propositions (connected sets of statements) that reflect their findings and conclusions, and can be tested against subsequent cases: Caregiving strain and burden in MA males may have more to do with physical and emotional costs than financial ones; MA males providing personal care for their mothers adopt a matter-of-fact approach as they act "against taboo"; and this approach is a new way to fulfill family obligations.
Collapse
Affiliation(s)
- Bronwynne C Evans
- Arizona State University College of Nursing and Health Innovation, 500 N. 3rd Street, Phoenix, Arizona 85004, Office Phone 602-496-0766, Fax 602-496-0886
| | | | | |
Collapse
|
24
|
Thomson MD, Hoffman-Goetz L. Cancer information comprehension by English-as-a-second-language immigrant women. JOURNAL OF HEALTH COMMUNICATION 2011; 16:17-33. [PMID: 21120740 DOI: 10.1080/10810730.2010.529496] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Limited acculturation and socioeconomic factors have been associated with lower participation in cancer screening. Limited comprehension of cancer prevention information may contribute to this association. The authors used a stepwise linear regression to model acculturation and socioeconomic factors as predictors of comprehension (colon cancer and general health information) and screening intention in a sample of 78 Spanish-speaking immigrant women in Canada. The authors used the McNemar test to look for changes in women's screening intention. They used the Bidimensional Acculturation Scale, a language-based scale, to assess acculturation. Among English-as-a-second-language immigrant women, acculturation, television and Internet use, age, and Spanish-language education predicted comprehension of cancer prevention information, F(3, 69) = 6.76, p < .001, R(2) = .23. These variables also predicted comprehension of general health information, via the short form of the Test of Functional Health Literacy in Adults, F(4, 68) = 12.13, p < .001, R(2) = .42; and the Rapid Estimate of Adult Literacy in Medicine, F(2, 70) = 7.54, p = .001, R(2) = .17. However, the variables did not predict screening intention. More women expressed intention to be screened after reading the cancer prevention information than expected by chance alone, p = .002. Acculturation is an important influence on the comprehension of health information by older English-as-a-second-language immigrant women. However, other culture-related factors not measured by the Bidimensional Acculturation Scale likely influence their exposure to and understanding of health and cancer prevention information.
Collapse
Affiliation(s)
- M D Thomson
- Department of Health Studies and Gerontology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | | |
Collapse
|
25
|
Head BJ, Barr KL, Baker SK. Mexican American Parents’ Perceptions of Childhood Risk Factors for Type 2 Diabetes. J Sch Nurs 2010; 27:51-60. [DOI: 10.1177/1059840510392050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
A study was conducted to identify the norms, values, and perceptions of urban immigrant Mexican American (MA) parents of school children relative to physical activity, healthy eating, and child risk factors for type 2 diabetes. Investigators facilitated five focus groups in an urban elementary school setting and analyzed data using qualitative analysis techniques. Methods for participant recruitment, conduct of focus groups, and qualitative data analysis are detailed. Results of analysis are presented. The relationship between parent focus group discussion and the conceptual framework guiding the study are depicted. Implications for practice and research are discussed.
Collapse
|
26
|
Crogan NL, Evans BC. Food Expectations-Long Term Care Spanish Questionnaire. Res Gerontol Nurs 2010; 3:282-90. [DOI: 10.3928/19404921-20100330-02] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2008] [Accepted: 10/05/2009] [Indexed: 11/20/2022]
|
27
|
Lee CS, Hayes RB, McQuaid EL, Borrelli B. Predictors of retention in smoking cessation treatment among Latino smokers in the Northeast United States. HEALTH EDUCATION RESEARCH 2010; 25:687-697. [PMID: 20237106 DOI: 10.1093/her/cyq010] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
INTRODUCTION Only one previous study on minority retention in smoking cessation treatment has been conducted (Nevid JS, Javier RA, Moulton JL III. Factors predicting participant attrition in a community-based, culturally specific smoking cessation program for Hispanic smokers. Health Psychol 1996; 15: 226-29). We investigated predictors of intervention completion and assessment completion among Latino smokers (n = 131) with asthmatic children participating in a home-based asthma education study that included smoking cessation counseling. METHODS We examined a variety of pretreatment demographic and psychosocial predictors of intervention completion (completing all three home visits versus <3), assessment completion (attendance/not) and total study participation (completing all six contacts versus <6). RESULTS Lower levels of depressed mood (OR = 0.912, 95% CI: 0.857-0.971, P < 0.01) and fewer 'pros' of smoking (OR = 0.882, 95% CI: 0.809-0.961, P < 0.01) predicted intervention completion. Predictors of assessment completion included having more friends who smoke (OR = 2.09, 95% CI: 1.23-3.56, P < 0.01), fewer pros of smoking (OR = 0.87, 95% CI: 0.81-0.95, P < 0.01) and a strong belief that quitting smoking would benefit the child's asthma (OR = 1.69, 95% CI: 1.04-2.74, P < 0.05). Unemployed participants were more likely to complete all six study contacts than those who were working (OR = 0.37, 95% CI: 0.14-0.99, P < 0.05). DISCUSSION Findings suggest the need to tailor retention strategies during active treatment and follow-up assessments to target those who at risk of dropping out.
Collapse
Affiliation(s)
- Christina S Lee
- Center for Alcohol.ddiction Studies, Brown Medical School, 121 South Main Street, Providence, RI 02912, USA.
| | | | | | | |
Collapse
|
28
|
Addressing cultural heterogeneity among Hispanic subgroups by using Campinha-Bacote's model of cultural competency. Holist Nurs Pract 2009; 23:3-12; quiz 13-4. [PMID: 19104269 DOI: 10.1097/01.hnp.0000343203.26216.c9] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Campinha-Bacote's model "The Process of Cultural Competence in Delivery of Health Care Services" is used to describe Hispanic cultural heterogeneity and to guide nurses in providing culturally competent and sensitive holistic care to individuals from different Hispanic subgroups. But for nurses to do so, healthcare organizations also must make the appropriate resources and structural supports available to them.
Collapse
|