Literacy- Compensatory Strategies and Resources of Older Latinos with Diabetes
患有糖尿病的老年拉丁美洲人的识字-补偿策略和资源
基本信息
- 批准号:7849974
- 负责人:
- 金额:$ 12.52万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2009
- 资助国家:美国
- 起止时间:2009-06-01 至 2011-05-31
- 项目状态:已结题
- 来源:
- 关键词:AdultAffectCharacteristicsChronic DiseaseClinicalComplementComplexDevelopmentDiabetes MellitusDisease OutcomeEducational process of instructingElderlyFamilyFriendsHealthHealthcareHealthcare SystemsHospitalsImmigrantInterventionInterviewLatin AmericaLatinoLearningLinguisticsLinkMinorityNamesNon-Insulin-Dependent Diabetes MellitusOutcomeParticipantPatientsPerformancePharmaceutical PreparationsPhaseProviderReadingRecruitment ActivityResearchResearch PersonnelResourcesRoleSelf CareSelf ManagementSocial supportSubgroupSurveysSystemTestingUnited StatesUnited States Dept. of Health and Human ServicesUse EffectivenessWorkbasediabetes controldisorder controlexperiencehealth disparityhealth literacyilliterateimprovedinnovationinsightliteracyliteratepatient orientedpublic health relevanceracial and ethnicsafety netskillstherapy development
项目摘要
DESCRIPTION (provided by applicant): We propose an innovative project that will identify and examine the compensatory strategies and resources used by low literate and low health-literate Latino diabetes patients when faced with literacy-demanding healthcare-related tasks. By comparing strategies and resources of patients who, despite their limited literacy, have good diabetes control, to those who have poor control, we seek to identify and distinguish between effective and ineffective strategies. Moreover, we will explore how the strategies used, and the effectiveness of these strategies, are influenced by personal and healthcare resources. We will limit our study to older Latino patients who have type 2 diabetes because there is tremendous opportunity to improve the health of older Latinos with low literacy and diabetes. Our experienced interdisciplinary team will perform in-depth interviews with 120 older limited English proficient Spanish-speakers with diabetes, 60 of whom are illiterate and 60 of whom have some, but limited, health literacy skills ("low literate"). We will recruit all participants from an urban safety-net hospital. This study will be the critical initial exploratory phase needed to concentrate intervention-development efforts on approaches that complement, augment, or utilize successful strategies. Our research team will use this project's findings to (a) develop a larger survey to quantitatively assess for personal and health care characteristics that may influence the use and effectiveness of strategies and resources; and, (b) develop and empirically test patient-centered interventions to reduce health disparities for older illiterate and low-literate Spanish-speaking patients with diabetes and other comparable chronic illnesses. PUBLIC HEALTH RELEVANCE: The proposed project will provide insight into literacy-compensatory strategies and resources used by Latino diabetes patients with low literacy and low health literacy. This insight will guide researchers in developing powerful patient-centered interventions that have a high potential for decreasing literacy-associated disparities in diabetes outcomes among Latinos.
描述(由申请人提供):我们提出了一个创新项目,该项目将确定和检查文化程度低和健康素养低的拉丁裔糖尿病患者在面临文化要求较高的医疗保健相关任务时所使用的补偿策略和资源。通过比较尽管识字率有限但糖尿病控制良好的患者与控制不佳的患者的策略和资源,我们试图识别和区分有效和无效的策略。此外,我们将探讨个人和医疗保健资源如何影响所使用的策略以及这些策略的有效性。我们将把我们的研究限制在患有 2 型糖尿病的老年拉丁裔患者身上,因为有巨大的机会来改善识字率低且患有糖尿病的老年拉丁裔患者的健康。我们经验丰富的跨学科团队将深入访谈 120 名英语水平有限、西班牙语为母语的患有糖尿病的老年人,其中 60 名是文盲,其中 60 名拥有一些但有限的健康素养技能(“低文化水平”)。我们将从城市安全网医院招募所有参与者。这项研究将是关键的初始探索阶段,将干预开发工作集中在补充、增强或利用成功策略的方法上。我们的研究团队将利用该项目的研究结果 (a) 开展一项更大规模的调查,以定量评估可能影响策略和资源的使用和有效性的个人和医疗保健特征; (b) 制定并凭经验测试以患者为中心的干预措施,以减少患有糖尿病和其他类似慢性疾病的老年文盲和文化程度低的西班牙语患者的健康差异。公共卫生相关性:拟议项目将深入了解识字率和健康素养较低的拉丁裔糖尿病患者使用的识字补偿策略和资源。这一见解将指导研究人员制定强有力的以患者为中心的干预措施,这些干预措施很有可能减少拉丁裔之间与识字率相关的糖尿病结果差异。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Health literacy screening of geriatric monolingual Spanish-speaking patients using single-item literacy screening questions and education.
使用单项识字筛查问题和教育对老年单语西班牙语患者进行健康素养筛查。
- DOI:
- 发表时间:2012-09-01
- 期刊:
- 影响因子:1.3
- 作者:Cordasco, Kristina M;Homeier, Diana C;Franco, Idalid;Wang, Pin;Sarkisian, Catherine A
- 通讯作者:Sarkisian, Catherine A
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Kristina Marie Cordasco其他文献
Kristina Marie Cordasco的其他文献
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