Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results.
Hispanic/Latino Perspectives on Hearing Loss and Hearing Healthcare: Focus Group Results.
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西班牙裔/拉丁裔对听力损失和听力保健的看法：焦点小组结果。
DOI：
10.1097/aud.0000000000001268
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Sanchez,VictoriaA
中科院分区：
文献类型：
--
作者：
Arnold,MichelleL;AriannaReyes,Cruz;Lugo-Reyes,Natalia;Sanchez,VictoriaA
目的：通过评估听力保健（HHC）知识、态度和行为，更好地了解西班牙裔/拉丁裔成年人的听力健康学习需求，以制定文化和语言上适当的自我管理计划。通过与目标受众成员的一系列焦点小组，本研究探讨了听力损失和干预措施，文化促进者和HHC利用的障碍，以及听力健康教育和信息传递的偏好。意见也收到了病人的教育材料，旨在提高自我效能管理听力损失在日常lives.Design：这项工作是指导一个实用的框架，文化能力的干预措施，以解决差异，在健康和医疗保健，集中在结构，临床和组织的障碍，照顾。一个混合的个人主义社会心理学和社会建构主义的方法被用来建立纲领性的理论与主要的研究目标。焦点小组的目标是从参与者中产生个人意见和集体经验的组合，并事先计划使用内容分析/扎根理论方法分析数据。目的抽样被用来选择31名西班牙语的参与者，被确定为西班牙裔/拉丁裔，听力正常或自我报告听力困难。使用Microsoft Teams进行了13个焦点小组，每个小组都录制了音频和视频，以便稍后进行离线转录，翻译和分析。一个不断比较的方法是用来系统地组织焦点小组数据到一个结构化的格式进行解释。成绩单独立编码由两名调查员，和新兴的主题，并从编码data.Results的解释：主要和次要的主题与文化主管干预措施的框架，包括那些与社会文化障碍护理。结构性障碍，包括不一致的获得优质护理，缺乏文化和语言上适当的病人教育材料，预约等待时间和摄入过程，以及转诊到专科护理，是参与者最常遇到的。最常提到的临床障碍是缺乏文化和语言一致的医疗保健提供者，以及在医疗保健访问期间缺乏语言访问。其他主要主题包括听力损失的生活经验，家庭和家庭主义，听力相关的患者教育需求和preferences.Conclusions：焦点小组的结果被整合到西班牙语听力损失自我管理计划，目前正在评估的随机对照试验。发现的主题提供了关于听力损失和HHC的知识，态度和信念的见解，包括听力相关的学习需求，在这个样本中的西班牙裔/拉丁美洲成年人。
Objectives:To better understand the hearing health learning needs of Hispanic/Latino adults by assessing hearing healthcare (HHC) knowledge, attitudes, and behaviors to inform the development of a culturally and linguistically appropriate self-management program. Through a series of focus groups with members of the target audience, this study explored knowledge about hearing loss and interventions, cultural facilitators and barriers to HHC utilization, and preferences for hearing health education and information delivery. Opinions were also received on patient education materials designed to increase self-efficacy for managing hearing loss in daily life.Design:This work was guided by a practical framework of culturally competent interventions for addressing disparities in health and healthcare, centered on structural, clinical, and organizational barriers to care. A hybrid individualistic social psychology and social constructionist approach was used to build programmatic theory related to the primary research objective. Focus group goals were to generate a combination of personal opinions and collective experiences from participants with an a priori plan to analyze data using combined content analysis/grounded theory methods. Purposive sampling was used to select 31 participants who were Spanish-speaking, identified as Hispanic/Latino, and who had normal hearing or self-reported hearing difficulties. Thirteen focus groups were conducted using Microsoft Teams, and each group was audio and video recorded for later off-line transcription, translation, and analysis. A constant comparison approach was used to systematically organize focus group data into a structured format for interpretation. Transcripts were coded independently by two investigators, and emergent themes were derived and interpreted from the coded data.Results:Major and minor themes tied to the framework for culturally competent interventions included those related to sociocultural barriers to care. Structural barriers, including inconsistent access to quality care, lack of culturally and linguistically appropriate patient education materials, appointment wait times and intake processes, and referrals to specialty care, were most frequently experienced by participants. Clinical barriers most frequently cited were a lack of culturally and linguistically congruent healthcare providers and lack of language access during healthcare visits. Other major themes included hearing loss lived experiences, family and familism, and hearing-related patient education needs and preferences.Conclusions:Focus group results were integrated into a Spanish-language hearing loss self-management program that is currently being evaluated in a randomized controlled trial. The themes uncovered provided insight regarding the knowledge, attitudes, and beliefs about hearing loss and HHC, including hearing-related learning needs, of Hispanic/Latino adults in this sample.
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DOI：
10.1016/0162-3109(83)90007-3
发表时间：
1983-01-01
期刊：
IMMUNOPHARMACOLOGY
影响因子：
--
作者：
CLARK, DA;SWEENEY, G;GAULDIE, J
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DOI：
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发表时间：
1984
期刊：
The Journal of pharmacology and experimental therapeutics
影响因子：
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作者：
Holsapple,MP;McNerney,PJ;Barnes,DW;WhiteJr,KL
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WhiteJr,KL
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DOI：
--
发表时间：
1975
期刊：
影响因子：
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作者：
A. Poland;E. Glover
通讯作者：
E. Glover