Bilingual Perspectives of Functional Dyspepsia Management in People From Underserved Areas.

IF 3 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Clinical and Translational Gastroenterology Pub Date : 2025-01-13 DOI:10.14309/ctg.0000000000000817

Christopher Vélez, Isabelle Garcia-Fischer, Mary Paz, Alisa Regassa, Ingrid Guerrero-López, April Mendez, Hannah Konkel, Nir Bar, Esteban A Barreto, Joseph Betancourt, Helen Burton-Murray, Kyle Staller, Braden Kuo

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引用次数: 0

Abstract

Introduction: Disorders of gut-brain interaction, such as functional dyspepsia (FD), are prevalent and challenging conditions. In other gastrointestinal (GI) disorders, individuals from underserved areas (UAs) have difficulty accessing care. Little is known about UA FD patient perspectives of their care, especially in those with limited English proficiency. We aimed to characterize patients' experiences with FD management with the goal of informing future studies targeting disorders of gut-brain interaction management in potentially vulnerable communities residing in UAs.

Methods: Participants meeting FD criteria were identified in 2 community health centers affiliated with a large academic medical center in the Northeastern United States. Semistructured interviews were conducted in English and Spanish. Transcripts were reviewed by a bilingual panel of investigators using the constant comparative method of iterative data acquisition. Psychosocial stressors and GI symptom severity were assessed.

Results: A total of 26 participants were interviewed (12 English-speaking and 14 Spanish-speaking). Broadly, GI symptoms were mild and there was mild-to-moderate psychological distress present. Adverse social determinants of health were highly prevalent. Despite mild symptom severity on objective scales, FD severely affected quality of life and interfered with physical, psychological, and social well-being, including avoidance of certain foods and professional/social situations. Study participants (particularly those with limited English proficiency status) reported difficulty in receiving care. Thematic saturation was achieved.

Discussion: Even when symptoms were mild, interviewees from UAs reported significant FD-related impairment, along with psychological distress. Education interventions targeting FD-related care in UAs should be designed to improve shared decision making in FD, sensitive to the burden of social determinants of health.

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欠发达地区功能性消化不良管理的双语视角。

导言：功能性消化不良（FD）等肠道-大脑相互作用障碍（DGBIs）是一种普遍存在且具有挑战性的疾病。在其他胃肠道（GI）疾病中，来自服务不足地区（UA）的患者很难获得医疗服务。人们对未得到充分服务地区的 FD 患者，尤其是英语水平有限（LEP）的患者对其护理的看法知之甚少。我们的目的是了解患者在消化道疾病管理方面的经验，以便为今后针对居住在服务不足地区的潜在弱势群体的 DGBI 管理研究提供信息：我们在美国东北部一家大型学术医疗中心下属的两个社区医疗中心确定了符合 FD 标准的参与者。用英语和西班牙语进行了半结构化访谈。由双语调查人员组成的小组采用迭代数据采集的恒定比较法对记录誊本进行审查。对心理社会压力因素和消化道症状严重程度进行了评估：共有 26 位参与者接受了访谈（12 位讲英语，14 位讲西班牙语）。总体而言，胃肠道症状较轻，存在轻度至中度心理压力。不利于健康的社会决定因素非常普遍。尽管客观量表上的症状严重程度较轻，但消化道疾病严重影响了生活质量，干扰了身体、心理和社交健康，包括避免进食某些食物和职业/社交场合。研究对象（尤其是那些有轻度语言障碍的人）报告说，他们在接受护理方面遇到了困难。研究达到了主题饱和：即使症状轻微，受访者也报告了与口腔干燥症相关的严重损伤以及心理困扰。应针对未到医院就诊者中与口腔干燥症相关的护理设计教育干预措施，以改善口腔干燥症的共同决策，并对健康的社会决定因素所造成的负担保持敏感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Translational Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

7.00

自引率

0.00%

发文量

114

审稿时长

16 weeks

期刊介绍： Clinical and Translational Gastroenterology (CTG), published on behalf of the American College of Gastroenterology (ACG), is a peer-reviewed open access online journal dedicated to innovative clinical work in the field of gastroenterology and hepatology. CTG hopes to fulfill an unmet need for clinicians and scientists by welcoming novel cohort studies, early-phase clinical trials, qualitative and quantitative epidemiologic research, hypothesis-generating research, studies of novel mechanisms and methodologies including public health interventions, and integration of approaches across organs and disciplines. CTG also welcomes hypothesis-generating small studies, methods papers, and translational research with clear applications to human physiology or disease. Colon and small bowel Endoscopy and novel diagnostics Esophagus Functional GI disorders Immunology of the GI tract Microbiology of the GI tract Inflammatory bowel disease Pancreas and biliary tract Liver Pathology Pediatrics Preventative medicine Nutrition/obesity Stomach.