Promotora assisted depression and self-care management among predominantly Latinos with concurrent chronic illness: Safety net care system clinical trial results

Ell, Kathleen; Aranda, María P.; Wu, Shinyi; Oh, Hyunsung; Lee, Pey Jiuan; Guterman, Jeffrey J.

doi:10.1016/j.cct.2017.07.001

Cited by 18 publications

(78 citation statements)

References 28 publications

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“…The present study assessed to what extent access to health care was improved or undermined if the parameters of known barriers to care (e.g., health insurance coverage) were changed by an external event, primarily government policy. Our study supports previous findings that policies and programs (e.g., patient navigators, community health workers) that help Latino patients overcome linguistic and cultural barriers to health care will greatly improve Latinos' access to care (Ell et al, 2017;O'Brien, Squires, Bixby, & Larson, 2009) and help to alleviate population-level disparities in access to care between Latinos and non-Latino Whites. We encourage more ABM based studies in social work to assess whether policy changes could trigger enhanced access to care and quality of care among vulnerable racial/ethnic groups and immigrants.…”

Section: Resultssupporting

confidence: 90%

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Trinh

Vang

et al. 2020

Journal of the Society for Social Work and Research

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Disparities in access to primary health care have led to health disadvantages among Latinos and other non-White racial groups. To better identify and understand which policies are most likely to improve health care for Latinos, we examined differences in access to primary care between Latinos with proficient English language skills and Latinos with limited English proficiency (LEP) and estimated the extent of access to primary care providers (PCPs) among Latinos in the U.S. Method: We used agent-based modeling techniques to estimate the effects of English proficiency, insurance coverage, Latinos with LEP seeking care from English-speaking PCPs, distance to PCP, PCP availability, and Spanish-speaking PCP availability on access to primary care. We used NetLogo 6.0 to simulate a community of 10,000 Latinos seeking care for a 6-month period, running 5 controlled experiments to determine if population-level outcomes varied by scenario. Results: Models suggested that Latinos with LEP would likely delay care less often if policies were implemented to expand health insurance coverage, address linguistic barriers and promote an inclusive health care climate for patients with LEP, reduce mobility barriers, increase the number of PCPs, and train more Spanish-speaking PCPs. Conclusions: Findings support results from prior studies suggesting that policies and programs that help Latino patients overcome linguistic and cultural barriers to health care will improve Latinos' access to care.

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Section: Resultssupporting

confidence: 90%

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Trinh

Vang

et al. 2020

Journal of the Society for Social Work and Research

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“…Behavioral coaching, referred to as assisting participants with developing and sustaining a behavioral change, was most frequently used in cognitive behavioral therapy programs (Buhrman et al, 2015; Freedland et al, 2015; Newby et al, 2017; van Bastelaar et al, 2011). In contrast, mental health counseling, which refers to interventionists or support personnel providing emotional support and direction to the participants, was most commonly reported in studies that identified a mental illness as one of the MCCs (Coventry et al, 2015; Dunbar et al, 2015; Ell et al, 2017). Self-monitoring included instruction to participants to track/log information such as dietary habits, blood glucose levels, symptoms, and sleeping habits (Druss et al, 2010; Goldberg et al, 2013; McCusker et al, 2012, 2016; Redeker et al, 2015; Zachariades, 2013).…”

Section: Resultsmentioning

confidence: 99%

“…Depression was also measured using a variety of instruments including the MADRS, PHQ-9, and SCL-20. Of the 16 studies measuring depression as the primary outcome concept of interest, only 4 resulted in nonstatistically significant outcomes (Damush et al, 2016; Eakin et al, 2007; Ell et al, 2017; McCusker et al, 2016).…”

Section: Resultsmentioning

confidence: 99%

Intervention Components Targeting Self-Management in Individuals with Multiple Chronic Conditions: An Integrative Review

et al. 2020

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Multiple chronic conditions (MCC) are becoming increasingly common and self-management (SM) interventions to address MCC are emerging. Prior reviews have broadly examined SM interventions in MCC; however, interventional components were not thoroughly described. Components of SM interventions that have been delivered to individuals with MCC were identified. A review of CINAHL, Cochrane, PubMed, PsycINFO, Scopus, and Embase was completed. This search yielded 13,994 potential studies; 31 studies among those 13,994 studies met inclusion for analysis. The literature is multidisciplinary and describes a wide variety of interventional strategies implementing various combinations of components. A descriptive analysis of the studies’ components, application of the components, delivery methods, and primary outcomes demonstrated clear variations between programs. The most common components noted in the 31 studies were education, action planning/goal setting, self-monitoring, and social/peer support. The variation in SM programs limits conclusive evidence for which components are recommended to improve self-management in individuals with MCC.

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“…My personal hope became that a cancer diagnosis was then not the first encounter for a low-income family with a health care team. While ACA has now been in place for a decade, we still see that the intersection of race and ethnicity with income status requires focused attention to eliminate disparities [24]. Some would argue that the economic implications of cancer may well trump all other concerns [25].…”

Section: Resultsmentioning

confidence: 99%

Reflections: a Daughter’s Experience of Parental Cancer and the Beginnings of Un Abrazo Para La Familia™

Marshall

2020

J Canc Educ

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The author describes her impetus and journey in developing Un Abrazo Para La Familia™ [Embracing the Family] (Abrazo), 3 hours of cancer information presented in an educational and modular format and designed for low-income informal caregivers who are co-survivors of cancer. A rehabilitation-informed preventive intervention, Abrazo reflects the importance of family, culture, and socioeconomic background in its approach.

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Promotora assisted depression and self-care management among predominantly Latinos with concurrent chronic illness: Safety net care system clinical trial results

Cited by 18 publications

References 28 publications

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Addressing Barriers to Primary Care Access for Latinos in the U.S.: An Agent-Based Model

Intervention Components Targeting Self-Management in Individuals with Multiple Chronic Conditions: An Integrative Review

Reflections: a Daughter’s Experience of Parental Cancer and the Beginnings of Un Abrazo Para La Familia™

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