Mexican American elders' use of home care services

Crist, Janice D.; Kim, Suk‐Sun; Pasvogel, Alice; Velázquez, José H.

doi:10.1016/j.apnr.2007.03.002

Cited by 17 publications

(18 citation statements)

References 25 publications

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“…Previous studies have highlighted the challenges of recruiting caregivers into research (Buss et al, 2008;Dilworth-Anderson & Williams, 2004;Gallagher-Thompson et al, 2003). We expected our study to be no different because Latino caregivers tend to use formal services less than other caregiver populations or have less awareness of available services (Crist, Kim, Pasvogel, & Velázquez, 2009;Mausbach et al, 2004), and caregivers in general may not readily identify themselves in this role (American Association of Retired Persons, 2001;O'Connor, 2007). We further expected our inclusion of Spanish-speaking immigrants in the research to further compound our recruitment challenges.…”

Section: Design and Methodsmentioning

confidence: 79%

Recruitment Strategies and Costs Associated With Community-Based Research in a Mexican-Origin Population

Mendez-Luck¹,

Trejo²,

Miranda³

et al. 2011

The Gerontologist

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S94Purpose: We describe the recruitment strategies and personnel and materials costs associated with two community-based research studies in a Mexicanorigin population. We also highlight the role that academic-community partnerships played in the outreach and recruitment process for our studies. We reviewed study documents using case study methodology to categorize recruitment methods, examine community partnerships, and calculate study costs. Results: We employed several recruitment methods to identify and solicit 154 female caregivers for participation in qualitative interviews and quantitative surveys. Recruitment approaches included using flyers and word of mouth, attending health fairs, and partnering with nonprofit communitybased organizations (CBOs) to sponsor targeted recruitment events. Face-to-face contact with community residents and partnerships with CBOs were most effective in enrolling caregivers into the studies. Almost 70% of participants attended a recruitment event sponsored or supported by CBOs. The least effective recruitment strategy was the use of flyers, which resulted in only 7 completed interviews or questionnaires. Time and costs related to carrying out the research varied by study, where personal interviews cost more on a per-participant basis ($1,081) than the questionnaires ($298). However, almost the same amount of time was spent in the community for both studies. Implications: Partnerships with CBOs were critical for reaching the target enrollment for our studies. The relationship between the University of California-Los Angeles (UCLA) Resource Center for Minority Aging Research/Center for Health Improvement for Minority Elderly and the Department of Aging provided the infrastructure for maintaining connections with academic-community partnerships. Nevertheless, building partnerships required time, effort, and resources for both researchers and local organizations.

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Section: Design and Methodsmentioning

confidence: 79%

Recruitment Strategies and Costs Associated With Community-Based Research in a Mexican-Origin Population

Mendez-Luck¹,

Trejo²,

Miranda³

et al. 2011

The Gerontologist

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“…This behavior is what the ENCASA telenovela was designed to do. The intervention was conceptualized and developed with community-based participatory research principles (Crist, Parsons, Warner Robbins, Mullins, & Espinosa, 2009). Members of the ENCASA Community Advisory Council, who have collaborated with the authors for over a decade in this program of research, helped design and create the intervention and control telenovelas and the structure of the guided dialogues.…”

Section: Methodsmentioning

confidence: 99%

The Impact of a Telenovela Intervention on Use of Home Health Care Services and Mexican American Older Adult and Caregiver Outcomes

Crist¹,

Pasvogel²,

Hepworth³

et al. 2015

Research in Gerontological Nursing

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A two-group randomized controlled trial tested a telenovela intervention (a culturally congruent videotaped dramatization with guided dialogue) to increase Mexican American elders’ and family caregivers’ awareness of and confidence in home health care services (HHCS), thereby increasing use of HHCS and improving elders’ and caregivers’ outcomes. Both groups had significant increases in awareness of and confidence in HHCS. The intervention group used HHCS more than the control group (91.1% versus 71.2% of total visits authorized) although this was not a statistically significant difference (p=.18). Use of HHCS was associated with increased elders’ and caregivers’ mutuality (the quality of the elder-caregiver relationship), and decreased caregiving burden and caregiver depression. The predictive role and measurement of awareness and ways to improve the intervention are discussed. Findings are especially important with today’s focus on transitional care to keep elders at home and prevent unnecessary readmissions.

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“…Thus, older Mexican American caregivers may be especially vulnerable to the effects of caregiving because they perform their tasks in the face of socioeconomic, structural, and linguistic barriers (Crist 2002; Crist et al 2009a; Herrera et al 2008; Mendez-Luck et al 2009). The process of acculturation, or adjusting to life in the US, would be expected to mitigate the effects of caregiving because caregivers are likely more capable of overcoming linguistic and socioeconomic barriers.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial and Cognitive Health Differences by Caregiver Status Among Older Mexican Americans

Herrera

Mendez-Luck

Crist

et al. 2012

Community Ment Health J

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This study identifies the risk and protective factors associated with informal caregiving by older (≥70 years) Mexican Americans and profiles caregiving arrangements. Overall, a greater number of informal caregivers (n = 92) were married and female. They also had higher physical functioning and better cognition than non-caregivers (n = 1,888) but fewer visited a physician regularly. Informal caregivers also showed an increased risk of depressive symptoms. A third of caregivers spent more than 20 h/day caregiving and the majority (84%) of care recipients were family members. In order to support the efforts of this disproportionately burdened caregiver group, increased social support and healthcare services are needed.

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Mexican American elders' use of home care services

Cited by 17 publications

References 25 publications

Recruitment Strategies and Costs Associated With Community-Based Research in a Mexican-Origin Population

Recruitment Strategies and Costs Associated With Community-Based Research in a Mexican-Origin Population

The Impact of a Telenovela Intervention on Use of Home Health Care Services and Mexican American Older Adult and Caregiver Outcomes

Psychosocial and Cognitive Health Differences by Caregiver Status Among Older Mexican Americans

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