Journal of Health Care for the Poor and Underserved最新文献

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Designing Health Center Self-Measured Blood Pressure Program Models to Improve Hypertension Control. 设计保健中心自我测量血压计划模式,改善高血压控制。
IF 1.2 4区 医学
Alison P Smith, Ashley L Wagner, Nekeisha Harrison, Srijanani Pillai, Gary Harmon, Eduardo Sanchez
{"title":"Designing Health Center Self-Measured Blood Pressure Program Models to Improve Hypertension Control.","authors":"Alison P Smith, Ashley L Wagner, Nekeisha Harrison, Srijanani Pillai, Gary Harmon, Eduardo Sanchez","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the aim of achieving higher, equitable hypertension control rates, 350 nationwide federally qualified health centers implemented self-measured blood pressure programs (SMBP) over a three-year grant initiative. Various SMBP program designs with systematic processes, team-based care models, and culturally sensitive approaches with improved BP control are highlighted.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"158-166"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Providing the Tools to Facilitate Quality Care for Children with Sickle Cell Disease. 为镰状细胞病患儿提供优质护理工具。
IF 1.2 4区 医学
Marcy Stein Albert, Candace Alphonso, Urvi Patel, Kathrin Balaoura, Neal DeLuna, Jason Mack, Francisco Castano, Salma Muhyedeen, Bruce Bernstein, Jean-Bernard Poulard, Kenneth Rivlin
{"title":"Providing the Tools to Facilitate Quality Care for Children with Sickle Cell Disease.","authors":"Marcy Stein Albert, Candace Alphonso, Urvi Patel, Kathrin Balaoura, Neal DeLuna, Jason Mack, Francisco Castano, Salma Muhyedeen, Bruce Bernstein, Jean-Bernard Poulard, Kenneth Rivlin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Meeting best-practice guidelines can significantly enhance quality of life and longevity for those with sickle cell disease (SCD). However, many clinical settings lack the necessary resources for optimal care. We present an integrated suite of tools and collaborative actions designed to enhance SCD care.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"143-150"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing a Population-Based Social Determinants of Health Intervention: Early Lessons Learned from Collaboration between Clinical and Community Organizations. 实施基于人群的健康社会决定因素干预:从临床和社区组织合作中汲取的早期经验。
IF 1.2 4区 医学
Katherine Wu, Douglas Strane, Katherine Kellom, Stephanie Stokes, Kimberly Brunisholz, David Rubin, Heather Klusaritz, Peter F Cronholm
{"title":"Implementing a Population-Based Social Determinants of Health Intervention: Early Lessons Learned from Collaboration between Clinical and Community Organizations.","authors":"Katherine Wu, Douglas Strane, Katherine Kellom, Stephanie Stokes, Kimberly Brunisholz, David Rubin, Heather Klusaritz, Peter F Cronholm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this study was to understand the barriers and facilitators among diverse health care and community organization stakeholders implementing a populationbased social determinants of health (SDOH) intervention. The SDOH intervention included three core programs: SDOH screening, a community health worker program, and a digital referral platform. After one year of implementation, we conducted semi-structured qualitative interviews with clinical and community-based organization stakeholders about (1) the three SDOH programs, (2) organizational implementation strategies, (3) interactions with partner organizations, and (4) perceived target population needs. Findings from the first year of implementation highlighted several factors to consider when designing and implementing SDOH programming, including (1) the successful features of the three SDOH programs, (2) the local implementation strategies and challenges across organizations, (3) the impact of broader community needs and resource availability on implementation, and (4) the importance of intentionally fostering relationships and collaboration among partner organizations.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"933-950"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Motivational Network Intervention to Reduce Substance Use and Increase Supportive Connections for Emerging Adults in a Supportive Housing Program. 激励性网络干预,减少物质使用,增加支持性住房计划中新兴成人的支持性联系。
IF 1.2 4区 医学
David P Kennedy, Karen Chan Osilla, Daniela Golinelli, Joan S Tucker
{"title":"Motivational Network Intervention to Reduce Substance Use and Increase Supportive Connections for Emerging Adults in a Supportive Housing Program.","authors":"David P Kennedy, Karen Chan Osilla, Daniela Golinelli, Joan S Tucker","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>For transition-aged youth experiencing homelessness (TAYEH) moving to transitional housing, a motivational network intervention (MNI) may help modify high-risk networks, thereby reducing substance use and strengthening prosocial connections.</p><p><strong>Methods: </strong>Thirty-six TAYEH received a four-session MNI integrated into usual housing case management or usual case management. Intervention acceptability, feasibility, and motivational interviewing fidelity were evaluated.</p><p><strong>Results: </strong>Nearly all participants would recommend the MNI to others, formed goals, and believed the program improved their lives. Case managers delivered the program with fidelity. However, sample size and number of sessions delivered fell short of targets due to COVID-19 disruptions and other factors and limited our ability to examine preliminary effects on substance use and network outcomes in a fully powered trial.</p><p><strong>Conclusion: </strong>Case managers can successfully deliver the MNI, but its use may not be feasible unless adaptations are made to accommodate the instability this population faces when they enter housing.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3","pages":"852-865"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141917798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Mixed-methods Approach to Understanding Language Interpretation Services in Health Care Settings among Asian American Immigrants from Diverse Ethnic Backgrounds. 采用混合方法了解来自不同种族背景的亚裔美国移民在医疗机构中的语言翻译服务。
IF 1.2 4区 医学
Paula Lozano, Zachary Veitch, MaryGrace Sharp, Alia Southworth, Fornessa T Randal, Karen E Kim
{"title":"A Mixed-methods Approach to Understanding Language Interpretation Services in Health Care Settings among Asian American Immigrants from Diverse Ethnic Backgrounds.","authors":"Paula Lozano, Zachary Veitch, MaryGrace Sharp, Alia Southworth, Fornessa T Randal, Karen E Kim","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Asian Americans (AA) face cultural and linguistic barriers to health care access, resulting in poor health outcomes. This study investigates the experiences of AAs using language interpretation services (LIS) in health care settings.</p><p><strong>Methods: </strong>Using a mixed-methods approach, we conducted a community survey (N=401) and seven focus groups between April and September 2023. We use the Andersen model to understand the experience around LIS for AAs and calculated descriptive statistics for predisposing (i.e., sociodemographic factors and attitudes toward LIS), enabling (i.e., perceived barriers), and need factors (i.e., perceived need for LIS). Focus groups were analyzed using a modified template approach to text analysis.</p><p><strong>Results: </strong>Quantitative and qualitative analyses found that although AAs recognize the benefits and need for LIS, various barriers (e.g., lack of interpreters when booking an appointment) preclude these communities from accessing these services.</p><p><strong>Conclusions: </strong>Results from this study will help inform interventions that seek to improve LIS within health care systems.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 3S","pages":"85-101"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of an Indigenous Produce Box Program: Food Access and Nutrition in an Urban American Indian/Alaska Native Community. 土著农产品盒计划评估:城市美国印第安人/阿拉斯加原住民社区的食物获取与营养。
IF 1.2 4区 医学
Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a942879
Rivka Keshen, Chantal Riggs, Nainika Vaidya, Tara L Maudrie, Moriah Johnson, Antony Stately, Faith Apencha, Anjali Mehta, Kirsten Siebach
{"title":"Evaluation of an Indigenous Produce Box Program: Food Access and Nutrition in an Urban American Indian/Alaska Native Community.","authors":"Rivka Keshen, Chantal Riggs, Nainika Vaidya, Tara L Maudrie, Moriah Johnson, Antony Stately, Faith Apencha, Anjali Mehta, Kirsten Siebach","doi":"10.1353/hpu.2024.a942879","DOIUrl":"10.1353/hpu.2024.a942879","url":null,"abstract":"<p><p>Food insecurity and access to healthy nutritious foods are ongoing issues for urban Indigenous communities across the United States. This manuscript describes a qualitative evaluation of a produce box program implemented by the Native American Community Clinic in Minneapolis and provides recommendations for sustainability of the program in the future.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4S","pages":"218-225"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Selected Resource Insecurities and Abstinence Self-Efficacy Among Urban and Rural Incarcerated Women with Opioid Use Disorder. 城市和农村患有阿片类药物使用障碍的被监禁妇女的部分资源不安全和戒断自我效能。
IF 1.2 4区 医学
Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a943978
Jaxin Annett, Megan Dickson, Martha Tillson, Carl Leukefeld, J Matthew Webster, Michele Staton
{"title":"Selected Resource Insecurities and Abstinence Self-Efficacy Among Urban and Rural Incarcerated Women with Opioid Use Disorder.","authors":"Jaxin Annett, Megan Dickson, Martha Tillson, Carl Leukefeld, J Matthew Webster, Michele Staton","doi":"10.1353/hpu.2024.a943978","DOIUrl":"10.1353/hpu.2024.a943978","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the relationship between selected resource insecurities (i.e., food, housing, and transportation) and abstinence self-efficacy among women with criminal legal system (CLS)-involvement and opioid use disorder (OUD) and examine potential moderating effects of living in a rural or urban area.</p><p><strong>Methods: </strong>Data were collected as part of the NIDA-funded Kentucky Justice Community Opioid Innovation Network (JCOIN) trial. Women (N = 900) were randomly selected from nine Kentuckyjails, screened for OUD, enrolled, and interviewed. Measures included resource insecurity and a single-item measure of abstinence self-efficacy.</p><p><strong>Findings: </strong>Results from a multivariable regression analysis examining independent correlates of abstinence self-efficacy demonstrated significant associations with food insecurity (p = .008), controlling for sociodemographic covariates. Rurality moderated the relationship between transportation and abstinence self-efficacy (p = .001).</p><p><strong>Conclusions: </strong>Resource insecurity, particularly transportation insecurity in rural areas, may reduce abstinence self-efficacy. Addressing resource disadvantages is vital to improving treatment engagement and recovery among women.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4","pages":"1068-1088"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Client Experience and Charitable Food Reach and Access at Food Pantries: A Qualitative Study. 改善客户体验以及食品储藏室的慈善食品覆盖面和获取途径:定性研究。
IF 1.2 4区 医学
Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01 DOI: 10.1353/hpu.2024.a942874
Jenny Jia, Colleen Anderson, Emily Romero, Namratha R Kandula, Caitlin E Caspi, Rinad S Beidas, Matthew J O'Brien
{"title":"Improving Client Experience and Charitable Food Reach and Access at Food Pantries: A Qualitative Study.","authors":"Jenny Jia, Colleen Anderson, Emily Romero, Namratha R Kandula, Caitlin E Caspi, Rinad S Beidas, Matthew J O'Brien","doi":"10.1353/hpu.2024.a942874","DOIUrl":"10.1353/hpu.2024.a942874","url":null,"abstract":"<p><p>Food pantries are promising community partners in health promotion. This study explored client perspectives in food pantries to inform new approaches to improve client experience, reach, and access. We interviewed 52 adult clients who visited participating food pantries two or more times over 12 months in Cook County, Illinois in English, Spanish, or Cantonese. We analyzed transcripts using the Health Equity Implementation Framework. Participants were 69% female, 48% Black, 29% Asian, and 15% Hispanic/Latino. Participants identified availability of healthy and high-quality foods, client choice models, client-personnel interactions, multilingual services, and wait times as influential to pantry reach and access. Participants felt that client feedback opportunities and client-led community outreach could successfully engage community members who avoided food pantries due to stigma. Creating opportunities for client-centered feedback may improve client experience, reach, and access of food pantries, reduce stigma, and optimize a novel setting for community-based health promotion in diverse populations.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 4S","pages":"147-165"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Latinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization. 拉丁裔青少年的心理健康需求以及与服务利用相关的社会经济因素。
IF 1.2 4区 医学
Natalia Giraldo-Santiago, Arlene Bjugstad, Jodi Berger Cardoso, Tzuan A Chen, Kalina Brabeck, Ruth M López
{"title":"Latinx Youth's Mental Health Needs and Socioeconomic Factors Associated with Service Utilization.","authors":"Natalia Giraldo-Santiago, Arlene Bjugstad, Jodi Berger Cardoso, Tzuan A Chen, Kalina Brabeck, Ruth M López","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined mental health needs and risk factors associated with service use among Latinx high school students in two cities in the United States. We explored how socioeconomic characteristics, school location, youth and parental nativity, and self-perceived clinical needs were associated with the odds of youths seeing a mental health provider. Data were collected from 306 Latinx youths during the 2018-19 school year. Most youths (78%) self-reported symptoms of anxiety, trauma, or depression above the clinical range. None of these clinical needs predicted service utilization. Youth experiencing less economic hardship and having a mother from South America were almost five times more likely to use services than their counterparts. Similarly, males and older respondents were more likely to be underserved than females and younger respondents. Implications to ensure equitable access to services among older, low-income Latinx youth, particularly those from Central America, the Caribbean, and Mexico, are discussed.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"341-358"},"PeriodicalIF":1.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Patients Want in a Transgender Center: Building a Patient-Centered Program. 患者对变性中心的需求:建立以患者为中心的计划。
IF 1.4 4区 医学
Helene F Hedian, Paula M Neira, Devin Coon, Joshua Schwarz, Joseph Cofrancesco, Brandyn D Lau
{"title":"What Patients Want in a Transgender Center: Building a Patient-Centered Program.","authors":"Helene F Hedian, Paula M Neira, Devin Coon, Joshua Schwarz, Joseph Cofrancesco, Brandyn D Lau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gender affirmation is standard medical care, and community input is an essential component of patient-centered care. This study shares how our organization assessed patients' perceptions of health care organizations that provide gender-affirming care. Building on qualitative interview data, we distributed an online survey via a lesbian-gaybisexual-transgender-queer research firm. The survey was completed by 314 transgender individuals residing in 37 U.S. states and territories. Most respondents (69%) reported negative experiences seeking health care. Patients would travel long distances for competent providers and were more willing to seek care from an institution actively working to change a formerly negative reputation. Patients described high-quality organizations as prioritizing staff training (95.5%), having inclusive policies (93.3%), and hiring expert staff (86.0%). Programs should ensure cultural competency training for all staff. They should recruit and retain providers skilled in transgender medicine, especially trans-identified providers. Patient experience and reputation in the community influence where patients seek care.</p>","PeriodicalId":48101,"journal":{"name":"Journal of Health Care for the Poor and Underserved","volume":"35 1","pages":"225-245"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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