Acceptability of a Virtual Patient Educator for Hispanic Women

Wells, Kristen J.; Vázquez-Otero, Coralia; Bredice, Marissa; Meade, Cathy D.; Chaet, Alexis; Rivera, María I.; Arroyo, Gloria; Proctor, Sara K.; Barnes, Laura E.

doi:10.1891/1540-4153.13.4.179

Cited by 11 publications

(9 citation statements)

References 15 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, mobile phone penetration among farmworkers has been found to be comparable to the general Latino population [120]. Furthermore, in cases where there is a lack of technology access, there are examples in the literature where technology was incorporated at the community level [28]. To avoid widening intragroup health disparities, future research should ensure that the needs of these subpopulations are met.…”

Section: Discussionmentioning

confidence: 99%

“…A growing body of research has explored the feasibility, acceptability, and efficacy of these tools in promoting health [15,22-26]. While challenges remain in the standardized evaluation and cost-benefit analysis of consumer health IT [27,28], initial studies have shown potential for these engagement-oriented tools to positively impact health outcomes, quality of life, hospital readmission rates, and mortality [29-34]. …”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Spanish-Language Consumer Health Information Technology Interventions: A Systematic Review

Chaet¹,

Morshedi²,

Wells³

et al. 2016

J Med Internet Res

View full text Add to dashboard Cite

BackgroundAs consumer health information technology (IT) becomes more thoroughly integrated into patient care, it is critical that these tools are appropriate for the diverse patient populations whom they are intended to serve. Cultural differences associated with ethnicity are one aspect of diversity that may play a role in user-technology interactions.ObjectiveOur aim was to evaluate the current scope of consumer health IT interventions targeted to the US Spanish-speaking Latino population and to characterize these interventions in terms of technological attributes, health domains, cultural tailoring, and evaluation metrics.MethodsA narrative synthesis was conducted of existing Spanish-language consumer health IT interventions indexed within health and computer science databases. Database searches were limited to English-language articles published between January 1990 and September 2015. Studies were included if they detailed an assessment of a patient-centered electronic technology intervention targeting health within the US Spanish-speaking Latino population. Included studies were required to have a majority Latino population sample. The following were extracted from articles: first author’s last name, publication year, population characteristics, journal domain, health domain, technology platform and functionality, available languages of intervention, US region, cultural tailoring, intervention delivery location, study design, and evaluation metrics.ResultsWe included 42 studies in the review. Most of the studies were published between 2009 and 2015 and had a majority percentage of female study participants. The mean age of participants ranged from 15 to 68. Interventions most commonly focused on urban population centers and within the western region of the United States. Of articles specifying a technology domain, computer was found to be most common; however, a fairly even distribution across all technologies was noted. Cancer, diabetes, and child, infant, or maternal health were the most common health domains targeted by consumer health IT interventions. More than half of the interventions were culturally tailored. The most frequently used evaluation metric was behavior/attitude change, followed by usability and knowledge retention.ConclusionsThis study characterizes the existing body of research exploring consumer health IT interventions for the US Spanish-speaking Latino population. In doing so, it reveals three primary needs within the field. First, while the increase in studies targeting the Latino population in the last decade is a promising advancement, future research is needed that focuses on Latino subpopulations previously overlooked. Second, preliminary steps have been taken to culturally tailor consumer health IT interventions for the US Spanish-speaking Latino population; however, focus must expand beyond intervention content. Finally, the field should work to promote long-term evaluation of technology efficacy, moving beyond intermediary measures toward measures of health outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Spanish-Language Consumer Health Information Technology Interventions: A Systematic Review

Chaet¹,

Morshedi²,

Wells³

et al. 2016

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…For those whose primary language is not English, accessing information or using these technologies can be a very difficult and complex task (Wells, Vazquez-Otero, Bredice, Meade, & Chaet, 2015). Concerns with limited knowledge regarding use of computers and similar technologies, as well as level of education and use of technology, may affect the utilization of internet programs among Hispanic women (Wells et al, 2015). Among Hispanics who have not completed high school, internet use is estimated to be at 31% (Fox & Livingston, 2007).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Technology Use and Technology Preferences for HIV Prevention Among Hispanic Women

Villegas

Cianelli

Tantillo

et al. 2018

Hisp Health Care Int

View full text Add to dashboard Cite

Introduction: HIV transmission presents an ongoing risk to Hispanic women, and prevention efforts remain a priority. The use of technology to prevent HIV transmission among Hispanic women and those of lower socioeconomic status underscore the need for effective implementation of technology. The purpose of this study is to describe technology preferences and predictors of the use of the internet for HIV prevention among low-income Hispanic women. Method: A secondary analysis was conducted using baseline data from an intervention to prevent HIV among 320 Hispanic women. The parent study was SEPA, Salud (health), Educación (education), Promoción (promotion), y [and] Autocuidado (self-care). Results: Most participants reported using personal technology, such as smartphones (90.6%), the internet (78.1%), and personal email (67.5%), every day. Most (71.3%) participants were open to learning about HIV education via the internet. In the logistic regression analysis, education and time since the last visit to the health care provider were significant predictors of the use of the internet to learn about HIV prevention, after controlling for age, living with the partner, and years living in the United States. Conclusion: Hispanic women demonstrated high levels of comfort with different forms of technology. These results indicated the potential to expand future HIV intervention efforts by implementing electronic dissemination of bilingual and culturally appropriate information for Hispanic women of diverse ages.

show abstract

“…Before design and development, an initial feasibility study was conducted in order to assess the previous exposure of our female Hispanic farmworkers to computers and technology and the preliminary acceptability of a virtual agent application among this population [25]. Contradictory to our expectations that female Hispanic farmworkers have limited access to computers, after interviewing 26 Hispanic women who received health care at CMMS, 61.5% of them reported to have used a computer before.…”

Section: Initial Feasibility Studymentioning

confidence: 99%

Design of a Culturally-Informed Virtual Human for Educating Hispanic Women about Cervical Cancer

Mendu

Boukhechba

Gordon

et al. 2018

Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare

Self Cite

View full text Add to dashboard Cite

Significant health disparities exist between Hispanics and the general US population, complicated in part by communication, literacy, and linguistic factors. There are few available Spanish-language interactive, technology-driven health education programs that engage patients who have a range of health literacy levels. We describe the development of an interactive virtual patient educator for educating and counseling Hispanic women about cervical cancer and human papillomavirus. Specifically, we describe the iterative design methodology and rationale, usability evaluation, and pilot testing of the system with Hispanic women in a rural community in Florida. The pilot study findings provide preliminary evidence of the feasibility of the proposed patient education approach. The proposed application and the lessons learned will prove beneficial for future work targeted towards different cultural populations.

show abstract

Acceptability of a Virtual Patient Educator for Hispanic Women

Cited by 11 publications

References 15 publications

Spanish-Language Consumer Health Information Technology Interventions: A Systematic Review

Spanish-Language Consumer Health Information Technology Interventions: A Systematic Review

Assessment of Technology Use and Technology Preferences for HIV Prevention Among Hispanic Women

Design of a Culturally-Informed Virtual Human for Educating Hispanic Women about Cervical Cancer

Contact Info

Product

Resources

About