Reaching the Latino Population: a Brief Conceptual Discussion on the Use of Telehealth to Address Healthcare Disparities for the Large and Growing Population

Martinez, Michelle Janania; Perle, Jonathan G.

doi:10.1007/s41347-019-00088-9

Cited by 15 publications

(11 citation statements)

References 53 publications

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“…churches, grocery stores, barber shops), bilingual mediums, and non-electronic mediums such as newspapers could increase awareness and knowledge of telemedicine. 33 Establishment of regulatory bodies or federal policies to enhance patient privacy in virtual mediums, particularly for consumer-facing apps and devices, is important to increase trust among populations that have historically mistrusted the healthcare system. 34 Beyond establishing patient acceptance of telehealth, efforts should be made to increase device access among socioeconomically disadvantaged populations.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic and Demographic Disparities in the Use of Telemedicine for Ophthalmic Care during the COVID-19 Pandemic

2022

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Discussionmentioning

confidence: 99%

Socioeconomic and Demographic Disparities in the Use of Telemedicine for Ophthalmic Care during the COVID-19 Pandemic

2022

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“…Expanding access to telehealth has been recommended as a key strategy for reducing racial disparities in diabetes outcomes [ 10 ]. Telehealth can be used for improving education, prompting medication adherence, monitoring of vitals, and the application of direct treatments [ 11 ]. Yet, patients from racial and ethnic minority groups face barriers in accessing telehealth [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Telehealth Interventions to Improve Diabetes Management Among Black and Hispanic Patients: a Systematic Review and Meta-Analysis

Anderson

O’Connell

Thomas

et al. 2022

J. Racial and Ethnic Health Disparities

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Background Previous systematic reviews have found that telehealth is an effective strategy for implementing interventions to improve glycemic control and other clinical outcomes for diabetes patients. However, these reviews have not meaningfully focused on Black and Hispanic patients—partly because of the lack of adequate representation of people from racial and ethnic minority groups in clinical trials. It is unclear whether telehealth interventions are effective at improving glycemic control among Black and Hispanic patients given the disproportionate number of barriers they face accessing health care. Objectives A systematic review and meta-analysis of randomized control trials that used telehealth interventions for improving glycemic control among Black and Hispanic diabetes patients. Methods We reviewed PubMed, Embase, Web of Science, CINAHL, PsycINFO, and clinicalTrials.gov from inception to March 2021. We used a narrative summary approach to describe key study characteristics and graded the quality of studies using two reviewers. The pooled net change in HbA1c values was estimated across studies using a random-effects model. Results We identified 10 studies that met our inclusion and exclusion criteria. Nine studies were included in the meta-analysis. Only one study was rated as having low bias. Telehealth interventions were primarily delivered by telephone calls, text messages, web-based portals, and virtual visits. Most interventions involved delivering diabetes self-management education. Telehealth intervention pooled across studies with a mix of Black and Hispanic participants (> 50% sample) was associated with a − 0.465 ([CI: − 0.648 to − 0.282], p = 0.000) reduction in HbA1c. Conclusions Our findings suggest telehealth interventions are effective at improving glycemic control among Black and Hispanic diabetes patients. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-021-01174-6.

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“…Researchers delineate that speci c barriers to accessing mental health care among subgroups of Latina women include low mental health literacy, lack of transportation, or lack of childcare (9)(10)(11). To an extent, these and other barriers may be mitigated by the use and availability of mental health services using telehealth (9,(12)(13)(14). A study examining the feasibility of telepsychiatry for low-income Latinx patients found signi cantly higher visit satisfaction with telepsychiatry than for those receiving traditional face-to-face treatment (13).…”

Section: Introductionmentioning

confidence: 99%

“…Telehealth care delivery may be an accessible option for Latinx women, as this group has high utilization of the internet when compared to other racial-ethnic groups (15). Furthermore, telehealth may be a more accessible and affordable option to care when compared to in-person o ce visits (8,14). The switch to video conferencing systems during the COVID-19 pandemic has increased utilization and may have shifted perceptions about technology among certain communities (15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Latina Mothers Recommendations on a Mindfulness-Based Cognitive Behavioral Therapy Group Intervention for Perinatal Depression

Merced

Parameswaran

Dearden

et al. 2021

Preprint

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Background: Perinatal depression affects 5-15% of childbearing women. However, literature suggest that Latina women are twice as likely to experience symptoms of depression during pregnancy. Group telehealth-based interventions are a promising approach to increasing access and reducing barriers to mental health services. However, little is known about the experience that childbearing Latinas have with navigating this approach. This paper aimed to explore Latina mothers’ perspectives and recommendations in using a telehealth modality to deliver a mindfulness-based cognitive behavioral therapy (MBCBT) group intervention.Methods: Fourteen pregnant or postpartum women participated in focus groups and individual interviews. Interview topics included perinatal depression, knowledge and content of interventions, and the feasibility and acceptability of the telehealth approach. Data were recorded, transcribed, and analyzed using a grounded theory approach.Results: Three broad themes emerged; (1) accessibility to telehealth, (2) relational connection through technology, and (3) and technological issues affecting access (i.e., level of familiarity with portal, video quality, etc.). Enhancers promoting participation in the telehealth intervention included reduced scheduling concerns and no need for childcare. Barriers included mistrust of providers’ engagement, concerns about privacy, and potential for lack of relational connection through technology. Conclusion: Specific recommendations were provided to increase participation and effectiveness of telehealth groups among Latinas. Recommendations included conducting an initial assessment of women’s familiarity with and access to technology, having a tech-trained individual available to troubleshoot, as well as provider’s intentionality in conveying active listening and relational empathy (i.e., using eye contact during telehealth intervention, avoid limited distractions).Trial Registration: NCT03932760

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Reaching the Latino Population: a Brief Conceptual Discussion on the Use of Telehealth to Address Healthcare Disparities for the Large and Growing Population

Cited by 15 publications

References 53 publications

Socioeconomic and Demographic Disparities in the Use of Telemedicine for Ophthalmic Care during the COVID-19 Pandemic

Socioeconomic and Demographic Disparities in the Use of Telemedicine for Ophthalmic Care during the COVID-19 Pandemic

Telehealth Interventions to Improve Diabetes Management Among Black and Hispanic Patients: a Systematic Review and Meta-Analysis

Latina Mothers Recommendations on a Mindfulness-Based Cognitive Behavioral Therapy Group Intervention for Perinatal Depression

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