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Grossman BR, Martínez Pérez AM, McNamara E, Politano P, Meza Jimenez R, Acharya K. Access to assistive technology (AT) information in Spanish on state and territory program websites: United States, 2018. Disabil Health J 2020; 13:100918. [PMID: 32317242 DOI: 10.1016/j.dhjo.2020.100918] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Revised: 11/17/2019] [Accepted: 11/23/2019] [Indexed: 10/24/2022]
Abstract
BACKGROUND Compared to non-Hispanic white individuals, assistive technology (AT) utilization is lower among Hispanic individuals.1-7 In the US, Spanish is the 2nd most frequently spoken language. Greater than one-fifth of Spanish-speaking households are limited English proficiencty (LEP) households (i.e., all individuals over age 14 in the household speak English less than "very well").8 Availability of AT materials in Spanish is one factor influencing knowledge about and utilization of AT among Spanish-speakers. OBJECTIVE To examine the availability of Spanish-language AT information on state AT program websites and to assess the relationship between availability and state demographic and linguistic characteristics. METHODS In 2018, we evaluated 56 state and territory AT program websites for the availability of AT information in Spanish. We calculated 4 measures (US Hispanic population in the state/territory; Hispanic individuals as a proportion of state population; overall Spanish-speaking households, and Spanish-speaking, limited English proficient households) from the 2016 American Community Survey and created ranked lists for each measure. Point biserial (rpb) correlations were calculated to test associations between each measure and availability of AT information in Spanish on each program's website. RESULTS Sixteen program websites (15 states, 1 territory) provided access to Spanish-language AT information. None of the 4 measures were strongly associated with this outcome (rpb ranged from 0.30 to 0.42). For any of the 4 measures, no more than half of states in the top 10 ranks offered online access to AT information in Spanish. CONCLUSIONS Improving the online availability of AT information in Spanish is necessary to increase equity in AT utilization among Spanish-speaking people with disabilities.
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Affiliation(s)
- Brian R Grossman
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA; Illinois Leadership Education in Neurodevelopmental and related Disabilities, Chicago, IL, USA.
| | - Angélica M Martínez Pérez
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA; Illinois Leadership Education in Neurodevelopmental and related Disabilities, Chicago, IL, USA; Assistive Technology Unit, University of Illinois at Chicago, Chicago, IL, USA
| | - Ellyn McNamara
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA; Illinois Leadership Education in Neurodevelopmental and related Disabilities, Chicago, IL, USA; Assistive Technology Unit, University of Illinois at Chicago, Chicago, IL, USA
| | - Patricia Politano
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA; Illinois Leadership Education in Neurodevelopmental and related Disabilities, Chicago, IL, USA; Assistive Technology Unit, University of Illinois at Chicago, Chicago, IL, USA
| | - Regina Meza Jimenez
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA; Illinois Leadership Education in Neurodevelopmental and related Disabilities, Chicago, IL, USA
| | - Kruti Acharya
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA; Illinois Leadership Education in Neurodevelopmental and related Disabilities, Chicago, IL, USA
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Grossman BR. Disability and corporeal (im)mobility: how interstate variation in Medicaid impacts the cross-state plans and pursuits of personal care attendant service users. Disabil Rehabil 2018; 41:3079-3089. [DOI: 10.1080/09638288.2018.1483436] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Affiliation(s)
- Brian R. Grossman
- Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL, USA
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Abstract
Research on geographic mobility in the US has neglected disabled people, missing their experiences of abridged citizenship as their desires to move across states are frustrated by social policy barriers. To illustrate how meso- and macro-level factors impact individual lives, I review three publicly-reported stories of Medicaid home and community-based services (HCBS) users. To advance research in this area, I analyzed these three stories and developed an original conceptual model, Moves in Context. The model attends to the individual cross-state move trajectories of disabled people, and HCBS users, in particular. Moves in Context focuses on the individual journey (i.e., impetus, ability, and success of move; and the influence of the move story) in relation to both social position/personal resources and social structure/ideology. Through the model, I introduce and explain intrastate confinement, a term to describe the geographic immobility resulting from policy variations across states. I conclude with a discussion of the broader implications of both the Moves in Context model and intrastate confinement for further research on disabled people and interrogating other social problems.
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Abstract
This article provides empirical evidence that Medicaid home and community-based services (HCBS) users with physical disabilities both express desire for, and engage in steps to, move across states, driven primarily by opportunity. These opportunities include employment, schooling, and proximity to social support. Grounded theory techniques were used to explore transcripts from interviews with 18 HCBS users with physical disabilities. Findings are presented as a series of trajectories that connect opportunity with plans for, or action taken to engage in, cross-state moves. The move stories offered by participants illustrate that for Medicaid HCBS users with physical disabilities, opportunity may be dreamed, missed, delayed, or pursued. Stories depicting each of these four opportunity arcs are provided. The article concludes with a discussion of the importance of recognizing the agency of Medicaid HCBS users as they wish to pursue opportunities across states, as well as the structural barriers presented by interstate variation and intrastate confinement. Suggestions are offered to advance research, policy, and practice to honor the dignity and self-determination of Medicaid HCBS users with physical disabilities as they consider opportunities across states.
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Abstract
Senior wellness fairs (SWFs) offer a unique opportunity for community health promotion and interprofessional education (IPE). The authors describe and evaluate the impact of a 3-year, university-community SWF collaboration on interprofessional competencies among students across multiple professional programs. Participation in the SWF enhanced student knowledge and skills in providing health promotion information to older adults in an interprofessional, collaborative setting as indicated by mean scores on the Perceived Learning Outcomes Survey, an instrument developed for this project. Open-ended data highlighted aspects of the SWF that students found most useful (interaction with seniors, community resources, interprofessional learning, and self-awareness) and most challenging (communication barriers, limited opportunity for interaction, and physical environment). Pre- and posttest scores on the Multidisciplinary SWF Practice Learning Quiz, another instrument developed for this project, illustrated improvement in student understanding of other professions and the importance of interprofessional cooperation to promote and maintain healthy aging. Implications and suggestions for structuring learning opportunities that combine community health promotion practice and interprofessional learning are discussed.
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Affiliation(s)
- Sadhna Diwan
- a Center for Healthy Aging in Multicultural Populations , School of Social Work, San Jose State University , San Jose , California , USA
| | - Megan Perdue
- b San Leandro Medical Center , Kaiser Foundation Hospitals , Fremont , California , USA
| | - Sang E Lee
- c School of Social Work , San Jose State University , San Jose , California , USA
| | - Brian R Grossman
- d Department of Disability and Human Development , University of Illinois at Chicago , Chicago , Illinois , USA
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Brown MT, Grossman BR. Same-sex sexual relationships in the national social life, health and aging project: making a case for data collection. J Gerontol Soc Work 2014; 57:108-129. [PMID: 24329542 DOI: 10.1080/01634372.2013.865695] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2013] [Accepted: 11/11/2013] [Indexed: 06/03/2023]
Abstract
This study describes the previously unexplored subsample of respondents who reported at least 1 same-sex sexual relationship (SSSR) in the National Social Life, Health, and Aging Project (NSHAP). The NSHAP collected data from 3,005 adults (aged 57-85). Approximately 4% (n = 102) of respondents reported at least one SSSR. These sexual minority elders were younger, more educated, were more likely to be working, had fewer social supports, and better physical health. Results may indicate crisis competence in sexual minority elders. Collecting sexual orientation and gender identity data in larger, US-based probability samples would inform the development of appropriate community-based services and supports.
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Affiliation(s)
- Maria T Brown
- a Aging Studies Institute, Syracuse University , Syracuse , New York , USA
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Cartier M, Grossman BR. “Oh My God, I'm Home”: The Socioreligious Significance of Gay Older Women's Experiences of Women's Bars Before Stonewall. Journal of Religion, Spirituality & Aging 2013. [DOI: 10.1080/15528030.2012.739991] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Estes CL, Lohrer SP, Goldberg S, Grossman BR, Nelson M, Koren MJ, Hollister B. Factors Associated With Perceived Effectiveness of Local Long-Term Care Ombudsman Programs in New York and California. J Aging Health 2010; 22:772-803. [DOI: 10.1177/0898264310366737] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives: Long-term care (LTC) ombudsmen advocate for the health, safety, welfare, and rights of residents in LTC facilities. This article examines factors associated with self-rated effectiveness of local LTC Ombudsman Programs (LTCOPs) in California and New York across the five statutorily mandated activities under the Older Americans Act: complaint investigation, resident/family education, community education, monitoring laws, and policy advocacy. Method: Data were collected from telephone interviews with coordinators of local LTCOPs in California and New York and from the National Ombudsman Reporting System. Analyses examined factors associated with effectiveness: program size, resource adequacy, organizational autonomy, interorganizational relationships, and program outputs. Results: Resource and autonomy measures are significantly associated with different effectiveness measures in each state. Staff full-time equivalencies and coordinator hours per week in New York and the quality of training in California are significantly associated with effectiveness in most mandated activities. Discussion: Findings highlight variability within and between the local LTCOPs in California and New York.
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Mullan JT, Grossman BR, Hernandez M, Wong A, Eversley R, Harrington C. Focus Group Study of Ethnically Diverse Low-Income Users of Paid Personal Assistance Services. Home Health Care Serv Q 2009; 28:24-44. [DOI: 10.1080/01621420802701034] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Abstract
This study examined the experiences of individuals who use paid personal assistance services (PAS). Structured interview data were collected from a convenience sample of 24 working-age individuals from diverse backgrounds recruited from Centers for Independent Living in nine states. Respondents described their general satisfaction with current paid PAS, but many reported previous experiences with poor care related to the low wages, lack of training of PAS providers, and an inadequate supply of providers. Respondents reported many unmet needs because of a shortage of hours provided by state programs and the lack of help with daily living activities, transportation, childcare, and social activities. The respondents strongly preferred consumer-directed care.
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Affiliation(s)
- Brian R Grossman
- Department of Social and Behavioral Sciences, University of California, San Francisco, CA 94118, USA.
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Grossman BR, Goodhart FW. Assessing student staff motivation and satisfaction to strengthen health education services. J Am Coll Health 2002; 51:38-41. [PMID: 12222846 DOI: 10.1080/07448480209596327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
A student staff inquiry project in the department of health education at a large state university assessed the motivation and satisfaction of student staff and peer educators. The students who managed this Student Inquiry Project created the interview tool, collected and analyzed the data for themes, and developed follow-up recommendations. Through this student-driven qualitative process, several themes emerged, including the need for more department visibility, student opportunities, student identity, skill building, and appreciation. The department is using the recommendations to strengthen student connection, satisfaction, and training.
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