Nominal Group Technique: A Process for Identifying Diabetes Self-Care Issues Among Patients and Caregivers

Miller, Doreen M.; Shewchuk, Richard M.; Elliot, Timothy R.; Richards, Scott

doi:10.1177/014572170002600211

Cited by 75 publications

(60 citation statements)

References 19 publications

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“…We used the Nominal Group Technique, a highly structured qualitative method used to generate and prioritize ideas around a research question [38][39][40] to elicit participant' s childhood adversities.…”

Section: Methodsmentioning

confidence: 99%

Adverse Childhood Experiences of Low-Income Urban Youth

Wade¹,

et al. 2014

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BACKGROUND AND OBJECTIVE: Current assessments of adverse childhood experiences (ACEs) may not adequately encompass the breadth of adversity to which low-income urban children are exposed. The purpose of this study was to identify and characterize the range of adverse childhood experiences faced by young adults who grew up in a low-income urban area. METHODS: Focus groups were conducted with young adults who grew up in low-income Philadelphia neighborhoods. Using the nominal group technique, participants generated a list of adverse childhood experiences and then identified the 5 most stressful experiences on the group list. The most stressful experiences identified by participants were grouped into a ranked list of domains and subdomains. RESULTS: Participants identified a range of experiences, grouped into 10 domains: family relationships, community stressors, personal victimization, economic hardship, peer relationships, discrimination, school, health, child welfare/juvenile justice, and media/technology. Included in these domains were many but not all of the experiences from the initial ACEs studies; parental divorce/separation and mental illness were absent. Additional experiences not included in the initial ACEs but endorsed by our participants included single-parent homes; exposure to violence, adult themes, and criminal behavior; personal victimization; bullying; economic hardship; and discrimination. CONCLUSIONS: Gathering youth perspectives on childhood adversity broadens our understanding of the experience of stress and trauma in childhood. Future work is needed to determine the significance of this broader set of adverse experiences in predisposing children to poor health outcomes as adults.

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Section: Methodsmentioning

confidence: 99%

Adverse Childhood Experiences of Low-Income Urban Youth

Wade¹,

et al. 2014

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“…[23][24] Participant demographic characteristics collected with a brief self-administered questionnaire included age, sex, education, date of arrival in the U.S. and in Baltimore, immigration status, and health insurance coverage. Co-facilitators recorded detailed notes in the language used for discussion, and participated in a facilitator debriefing at the end of each discussion.…”

Section: Methodsmentioning

confidence: 99%

Assessing Health Concerns and Barriers in a Heterogeneous Latino Community

Martínez¹,

Carter‐Pokras²

2006

hpu

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Introduction. Major health issues and barriers to health services for Latino immigrants were identified through community-based participatory research in Baltimore city. Methods. In collaboration with community partners, five focus groups were conducted among Latino adults from 10 countries and health service providers. Findings. Priorities across groups included chronic diseases, HIV/AIDS and STDs, mental health, and the need for ancillary services. Community members and providers did not always agree on what health matters were of primary concern. Participants expected to receive health information at the point of service. Barriers to receiving health services and information span linguistic, financial, logistical, legal, and cultural matters. Conclusions. This formative research illustrates the complexity and interrelatedness of health priorities and barriers created by social issues such as employment, legal status, and related stressors.Key words: Hispanic Americans, community-based participatory research, needs assessment, minority groups, health services accessibility.A n increasingly diverse and growing population, 1 Latinos present challenges in health care access and service delivery at the local level that include, but are not limited to, limited English language proficiency and lack of health insurance. 2-3Nationally, disparities in access to health care, risk factors (e.g., obesity), and morbidity (e.g., diabetes) disfavor Latinos under 65 years of age in comparison with their non-Latino White (NLW) counterparts. [4][5][6][7] Information that is relevant for addressing disparities at the local level where services are rendered is sparse. 8While Latinos appear to have lower overall mortality in adulthood than NLWs, this mortality advantage holds largely for immigrant Mexicans, Dominicans, and Central and South Americans. 9 Latinos receive lower quality of care than NLWs for half of the available quality measures and have worse access to care for about 90% of access measures. 4 In Maryland, the uninsured rate among low-income Latinos is 64%, the highest for any population subgroup.

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“…The highly structured format of an NGT session promotes even rates of participation and equally weights the input from all participants, controls the extraneous and evaluative types of discussion that frequently occurs when groups are convened, and minimizes the process loss and inefficiencies of unstructured and interactive group meetings. [13][14][15] The data generated by this process is quantitative, objective, and prioritized.…”

Section: Nominal Group Techniquementioning

confidence: 99%