Addressing Health Disparities Through Patient Education: The Development of Culturally-Tailored Health Education Materials at Puentes de Salud

Harvey, Isobel; O’Brien, Matthew J.

doi:10.1080/07370016.2011.614827

Cited by 10 publications

(8 citation statements)

References 17 publications

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“…Clinicians often address multiple health behaviors simultaneously and supplement office visits with additional health education through written materials, such as patient information sheets or brochures [1, 2]. Although these sheets are considered standard of care, the content and readability may not necessarily benefit patients with cultural or economic differences or lower literacy [3].…”

Section: Introductionmentioning

confidence: 99%

Engaging women with an embodied conversational agent to deliver mindfulness and lifestyle recommendations: A feasibility randomized control trial

Gardiner

McCue

Negash

et al. 2017

Patient Education and Counseling

120

128

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Objective This randomized controlled trial evaluates the feasibility of using an Embodied Conversational Agent (ECA) to teach lifestyle modifications to urban women. Methods Women were randomized to either 1) an ECA (content included: mindfulness, stress management, physical activity, and healthy eating) or 2) patient education sheets mirroring same content plus a meditation CD/MP3 once a day for one month. General outcome measures included: number of stress management techniques used, physical activity levels, and eating patterns. Results Sixty-one women ages 18 to 50 were enrolled. On average, 51% identified as white, 26% as black, 23% as other races; and 20% as Hispanic. The major stress management techniques reported at baseline were: exercise (69%), listening to music (70%), and social support (66%). After one month, women randomized to the ECA significantly decreased alcohol consumption to reduce stress (p = 0.03) and increased daily fruit consumption by an average of 2 servings compared to the control (p = 0.04). Conclusion It is feasible to use an ECA to promote health behaviors on stress management and healthy eating among diverse urban women. Practice implications Compared to patient information sheets, ECAs provide promise as a way to teach healthy lifestyle behaviors to diverse urban women.

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Section: Introductionmentioning

confidence: 99%

Engaging women with an embodied conversational agent to deliver mindfulness and lifestyle recommendations: A feasibility randomized control trial

Gardiner

McCue

Negash

et al. 2017

Patient Education and Counseling

120

128

View full text Add to dashboard Cite

show abstract

“…Harvey and O’Brien (2011) have suggested that Hispanics desire more options for health education than are currently available to them. This suggestion is consistent with our study’s findings.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research indicates that many Hispanics prefer to receive health-related information through sources of media, such as the Internet, radio, television, and newspaper/magazines (De Jesus, 2013; Livingston et al, 2008; Pena-Purcell, 2008). Health education designed for Spanish speakers is often delivered using low-cost passive methods, such as videos or written materials, or it is provided in person by a physician, nurse, patient navigator, or other health care worker (Harvey & O’Brien, 2011; Livingston et al, 2008). Videos and written materials typically require few resources to deliver, whereas delivery of health education by a health care worker can be time consuming (Aronson, Plass, & Bania, 2012; Kools, Ruiter, van de Wiel, & Kok, 2007; Livingston et al, 2008; Powell, Edelson, O'Leary, Christianson, & Henrich, 2011).…”

mentioning

confidence: 99%

Acceptability of a Virtual Patient Educator for Hispanic Women

Wells

Vázquez-Otero²,

Bredice³

et al. 2015

Hisp Hlth Care Int

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There are few Spanish language interactive, technology-driven health education programs. Objectives of this feasibility study were to: 1) learn more about computer and technology usage among Hispanic women living in a rural community; and 2) evaluate acceptability of the concept of using an embodied conversational agent (ECA) computer application among this population. A survey about computer usage history and interest in computers was administered to a convenience sample of 26 women. A sample video prototype of a hospital discharge ECA was administered followed by questions to gauge opinion about the ECA. Data indicate women exhibited both a high level of computer experience and enthusiasm for the ECA. Feedback from community is essential to ensure equity in state of the art dissemination of health information. Hay algunos programas interactivos en español que usan la tecnología para educar sobre la salud. Los objetivos de este estudio fueron: 1) aprender más sobre el uso de computadoras y tecnología entre mujeres Hispanas que viven en comunidades rurales y 2) evaluar la aceptabilidad del concepto de usar un programa de computadora utilizando un agente de conversación encarnado (ECA) en esta población. Se administro una encuesta sobre el historial de uso y del interés de aprender sobre computadoras fue a 26 mujeres por muestreo de conveniencia. Un ejemplo del prototipo ECA en forma de video de un alta hospitalaria fue administrado y fue seguido por preguntas sobre la opinión que tenían del ECA. Los datos indican que las mujeres mostraron un alto nivel de experiencia con las computadoras y un alto nivel de entusiasmo sobre el ECA. La retroalimentación de la comunidad es esencial para asegurar equidad en la diseminación de información sobre la salud con tecnología de punta.

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“…Readability levels are based on the average sentence length and the percentage of multisyllabic words in phrases. We incorporated the use of pictures and culturally relevant graphics into the teaching materials for this low‐literacy Kaqchikel population to facilitate comprehension (Coronado et al., ; Garcia, Chismark, Mosby, & Day, ; Harvey & O'Brien, ; Heinrich, ). A PowerPoint presentation was created for each topic area with a focus on maintaining the reading level at approximately fourth to fifth grade level or lower when possible.…”

Section: Research Questionmentioning

confidence: 99%

Implementation of a Training Program for Low‐Literacy Promotoras in Oral Rehydration Therapy

Amerson

Hall-Clifford

Thompson

et al. 2014

Public Health Nursing

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Objective The purpose of this study was to ascertain the effectiveness of a culturally appropriate promotora training program related to oral rehydration therapy and diarrheal management. Factors that influenced the development, implementation, and evaluation of the program provided to low-literacy women in Guatemala are explored. Design and Sample Promotora training was conducted with 15 Mayan women from a rural community in the highlands of Guatemala. Women were selected by leaders of the community to participate in the program. Measures Quantitative data were collected and analyzed to determine descriptive statistics and reliability coefficients for the pretests and posttests. A non-parametric Wilcoxon test for paired-samples was conducted. The qualitative data from the program evaluations were analyzed for themes. Results Mean scores increased from 41.73 (sd = 9.65) to 70.33 (sd = 21.29) on the pretest and posttest. The Cronbach’s alpha was 0.54 on the pretest with 0.65 on the posttest. The Wilcoxon test demonstrated a significant difference between the pretest and posttest scores (Z = 3.040, p < .05). Conclusions Extremely low literacy levels played a major role in the ability of the women to successfully complete the requirements of the training program. The curriculum demonstrated effectiveness, but will benefit from replication with a larger sample.

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Addressing Health Disparities Through Patient Education: The Development of Culturally-Tailored Health Education Materials at Puentes de Salud

Cited by 10 publications

References 17 publications

Engaging women with an embodied conversational agent to deliver mindfulness and lifestyle recommendations: A feasibility randomized control trial

Engaging women with an embodied conversational agent to deliver mindfulness and lifestyle recommendations: A feasibility randomized control trial

Acceptability of a Virtual Patient Educator for Hispanic Women

Implementation of a Training Program for Low‐Literacy Promotoras in Oral Rehydration Therapy

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