Qualitative Health Research最新文献

筛选
英文 中文
Exploring "Language of Suffering": Idioms of Distress Among Eritrean Refugees Living in Israel. 探索 "苦难语言":生活在以色列的厄立特里亚难民的苦难成语。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323241309253
Maya Fennig, Myriam Denov
{"title":"Exploring \"Language of Suffering\": Idioms of Distress Among Eritrean Refugees Living in Israel.","authors":"Maya Fennig, Myriam Denov","doi":"10.1177/10497323241309253","DOIUrl":"10.1177/10497323241309253","url":null,"abstract":"<p><p>In this paper, we explore idioms of distress among Eritrean refugees currently living in Israel, a refugee population that has experienced profound forms of violence and upheaval in their country of origin, yet largely overlooked in clinical research. A significant portion of Eritrean refugees have, over the past decade, sought asylum in Israel, and Eritrean refugees make up Israel's largest refugee population. To explore their unique idioms of distress, data collection methods included 200 hours of participant observation. It also involved in-depth interviews with Eritrean refugees (<i>n</i> = 26) and key informant interviews (<i>n</i> = 9) with people of Eritrean descent, who were not only active in the Eritrean community but also engaged in service provision for community members. Findings uncovered four groups of idioms of distress for our Eritrean sample including mind-head-related idioms (<i>Bzuh mhasab</i>, <i>Ab aemroy selam ysen</i>, <i>Bzuh hasabat nab resey ymetseni</i>, <i>Hamam Resi</i>), distress-related idioms (<i>Chincket</i>, <i>Tsekti, and Tsulul</i>), trauma-related idioms (<i>Sineaemrawi Smbrat</i>), and supernatural-related idioms (<i>Buda and Tabib</i>). Our findings reveal that Eritrean refugees possess distinct idiomatic expressions rooted in broader cultural frameworks and systems of knowledge. These idioms reference a range of both pathological and non-pathological states, with meanings that may vary based on factors such as education, gender, duration of stay in the host country, and context of use. We argue that clinicians need to take the time to listen to refugees' \"language of suffering\" and its cultural and contextual complexities in order to better understand their patients' distress and provide more culturally appropriate and effective care.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"476-490"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Love and Tradition of the Grand Design: Exploring Culturally Responsive Qualitative Methods With Intergenerational and Intercultural Teams and Participants. 大设计的爱与传统:探索跨代和跨文化团队和参与者的文化响应定性方法。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323251321710
Asha S Winfield, Nabila Mushtarin, Joshua Jordan
{"title":"<i>Love and Tradition of the Grand Design:</i> Exploring Culturally Responsive Qualitative Methods With Intergenerational and Intercultural Teams and Participants.","authors":"Asha S Winfield, Nabila Mushtarin, Joshua Jordan","doi":"10.1177/10497323251321710","DOIUrl":"10.1177/10497323251321710","url":null,"abstract":"<p><p>In this reflective article, our research team discusses the lessons, tools, and experiences we gained while conducting culturally responsive qualitative research (CRQR) in the Deep US South. According to researchers, CRQR is a research methodology that includes qualitative designs and centers culture. With CRQR in mind, our team takes a look at four different research projects and a graduate class service-learning trip to explore the impacts of qualitative health research on both the participants and the researchers. Moreover, our intercultural team, which is composed of intergenerational researchers, discusses how to conduct research with participants living in the culturally rich, politically diverse, historically complex region of Gulf South. From the rural communities in North Louisiana to the capital city of Baton Rouge to Cancer Alley near our beloved New Orleans, we identified several tools and lessons we gathered at each pedagogical site. We share those lessons as storied data for other emerging researchers in the field.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"491-505"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Translation of Cultures and Texts: Envisioning a Culturally Responsive Translational Practice in Qualitative Research. 文化与文本的翻译:在质性研究中设想文化响应的翻译实践。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323251316757
Pengfei Zhao, Pei-Jung Li, Wen Qi
{"title":"Translation of Cultures and Texts: Envisioning a Culturally Responsive Translational Practice in Qualitative Research.","authors":"Pengfei Zhao, Pei-Jung Li, Wen Qi","doi":"10.1177/10497323251316757","DOIUrl":"10.1177/10497323251316757","url":null,"abstract":"<p><p>In this methodological paper, we raise the question of what a culturally responsive translational practice might look like in qualitative research. Through examining the literature on translation in culturally responsive theories and qualitative research methodology, we distinguish two approaches in addressing the issue of translation: translation as texts and translation as cultures. To enact a culturally responsive translational practice, qualitative researchers should maintain an intimately linked dual-focus in their work, attending to both the practical aspects of translation that directly lead to the production of the final translated texts, as well as translation's multi-layered cultural and political effects. This proposal is further unpacked on three levels: (1) On the level of social and cultural processes and structure, we examine the routes and gatekeepers of translation in the context of knowledge production and mobilization; (2) on the level of intersubjective relationality, we explore the significance of visibilizing translation and translators; and (3) on the level of human-text interaction, we consider how interpretive approaches, untranslatability, and styles of translation may shape researchers' translation practice. While drawing insights from culturally responsive theories, we also substantiate our argument using critical translational studies and examples from our empirical research projects. Taken together, this paper outlines some important considerations qualitative researchers should take into account as they envision a culturally responsive translational practice in qualitative research and calls for researchers to engage in this work with multilingual awareness, reflexivity, and criticality.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"448-461"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the Role of Language Choice: A Catalyst for Transforming Research Dynamics and Relationships. 探索语言选择的作用:改变研究动态和关系的催化剂。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323251315444
Pei-Jung Li, Xinqing Dorcas Miao
{"title":"Exploring the Role of Language Choice: A Catalyst for Transforming Research Dynamics and Relationships.","authors":"Pei-Jung Li, Xinqing Dorcas Miao","doi":"10.1177/10497323251315444","DOIUrl":"10.1177/10497323251315444","url":null,"abstract":"<p><p>With the increasing multicultural and multilingual populations in the United States, health providers and researchers are striving to improve the quality of cross-cultural and cross-lingual interactions and promote more equitable health services, research practices, and outcomes. However, research has raised concerns about neglecting or excluding non-English language options and their speakers, highlighting ethical and power-related issues. In this study, we interviewed 29 international students from diverse disciplines and nationalities to explore the role of language and the potential benefits of multilingualism in qualitative research. At the beginning of the interviews, we explicitly invited participants to choose their preferred language(s). At the end of the interviews, we encouraged participants to reflect on their language choices and usage. Through these reflections, we uncovered several intersecting relationships among <i>participants, researchers</i>, and <i>settings</i>: (1) At the individual level, participants described the cognitive load experienced when narrating in a non-native language, as well as the emotional nuances they felt when comparing it to using their native languages. (2) Participants tailored their narratives to the audiences/researchers, recognizing that cultural knowledge, norms, and culturally appropriate interactions are expected when using certain languages. They also considered the researchers' positions, selecting a language they believed would be most beneficial to the researchers. (3) Participants' language choices reflected their assumptions about research and their lifeworld experiences shared during the interviews. (4) By offering language choices and the option to switch languages, researchers transformed participants' presumptions about research, fostering more transcendent and mutually respectful interactions.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"462-475"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Justice in Health? Studying the Role of Legal Support in a Culturally Responsive Mental Health Service in Australia. 健康正义?研究法律支持在澳大利亚文化响应性精神卫生服务中的作用。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323251315435
Stefanie Plage, Rebecca E Olson, Nathalia Costa, Karime Mescouto, Sameera Suleman, Asma Zulfiqar, Jenny Setchell, Rita Prasad-Ildes
{"title":"Justice in Health? Studying the Role of Legal Support in a Culturally Responsive Mental Health Service in Australia.","authors":"Stefanie Plage, Rebecca E Olson, Nathalia Costa, Karime Mescouto, Sameera Suleman, Asma Zulfiqar, Jenny Setchell, Rita Prasad-Ildes","doi":"10.1177/10497323251315435","DOIUrl":"10.1177/10497323251315435","url":null,"abstract":"<p><p>Health Justice Partnerships (HJPs) are collaborations across law, health, and social care seeking more equitable health outcomes. This article aims to explore an HJP embedded within a culturally responsive mental health service in Australia for people who are culturally and racially marginalized (CARM). We draw on data produced for an evaluation of this service between August and November 2022 to conduct a reflexive thematic analysis. Thinking conceptually with the social determinants of health and intersectionality operationalized as structural, political, and representational, we present findings from individual and group interviews with 16 service users and 37 service providers. First, we describe the variety of legal issues service providers and service users encounter and how they affect opportunities for good health. Second, we provide insights into how care coordination across practitioners from different sectors and professions takes place to support service users. Third, we identify service principles and values that inform practices of integrated and culturally responsive care. We tie these insights together to demonstrate how multiple social categories flow together in the experiences of people from CARM communities in Western, White normative, and/or settler colonial societies. People confront built-in legal issues, for example, related to immigration legal status, welfare, housing, employment, or family, that affect mental health. Health, legal, and social systems have the dual capacity to capture people from CARM backgrounds in relations of care as well as oppression. We offer methodological reflections on studying these dynamics through culturally responsive qualitative research and discuss implications for culturally responsive HJP practice.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"418-432"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using Structural Competency to Augment Culturally Responsive Research on Mental Health in Neoliberal Context: Ethnographic Reflections. 利用结构能力增强新自由主义背景下心理健康的文化响应研究:民族志反思。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323241311493
Neha Jain, Arpita Gupta, Deepika Sharma, Shilpi Kukreja, Kumar Ravi Priya
{"title":"Using Structural Competency to Augment Culturally Responsive Research on Mental Health in Neoliberal Context: Ethnographic Reflections.","authors":"Neha Jain, Arpita Gupta, Deepika Sharma, Shilpi Kukreja, Kumar Ravi Priya","doi":"10.1177/10497323241311493","DOIUrl":"10.1177/10497323241311493","url":null,"abstract":"<p><p>Culturally responsive methodologies (CRMs) foreground critical engagement, people's voices, and connection with cultural heritage. Similarly, structural competency (SC) advocates for structural humility and cultural safety to address the structural hierarchies and humanize interactions within health care and research settings. In the Global South countries like India, where persistent colonial legacy and neoliberal influences in the post-colonial era continue to dehumanize mental health care and disempower minoritized communities, CRMs are often overlooked. This paper argues that integrating SC could potentially augment the deconstructing and humanizing features of CRM for mental health research in developing countries. Three ethnographic reflections from research on mental health care in India are utilized to highlight (a) the influence of power discourses on the process of developing humanizing dialogic spaces, (b) the potential of research dialogue in building insights about human distress, possibilities, or paradoxes of recovery or healing, and (c) the possibility of creating a more holistic mental health care of the distressed in the neoliberal times. The paper discusses how mental health researchers' structural competencies contribute toward centering the voices (needs, aspirations, and priorities) and reaffirming the dignity of the minoritized communities by enabling documentation of (a) the challenges in developing humanizing research space amidst the dehumanizing and hierarchical care settings and (b) the narratives of distress and healing paradoxes among participants in care settings, influenced by social gender and class hierarchies, shared within these humanizing spaces.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"433-447"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Using a Decolonizing Research Method to Address Underrepresentation and Health Disparities of Filipinx/a/o Americans: The Importance of Kuwentuhan as a Research Method. 使用非殖民化研究方法解决菲律宾裔美国人代表性不足和健康差异问题:Kuwentuhan作为一种研究方法的重要性。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-04-01 Epub Date: 2025-04-02 DOI: 10.1177/10497323251323219
Melissa L Palma, Donna Lynne Demanarig, Kristine Cecile Alarcon, Maria Acedo Kronenburg, Meredith Anne Capuli, Jamille Nagtalon-Ramos, Melanie Sabado-Liwag, Joyce Javier
{"title":"Using a Decolonizing Research Method to Address Underrepresentation and Health Disparities of Filipinx/a/o Americans: The Importance of Kuwentuhan as a Research Method.","authors":"Melissa L Palma, Donna Lynne Demanarig, Kristine Cecile Alarcon, Maria Acedo Kronenburg, Meredith Anne Capuli, Jamille Nagtalon-Ramos, Melanie Sabado-Liwag, Joyce Javier","doi":"10.1177/10497323251323219","DOIUrl":"10.1177/10497323251323219","url":null,"abstract":"<p><p>Kuwentuhan is an indigenous Filipino oral storytelling method used to preserve history and values and demonstrates how cultural values and knowledge are passed down through generations. Kuwentuhan incorporates collaborative experiences as individuals share their personal stories and perspectives. Indigenous Filipinos use the practice of kuwentuhan to build kapwa (shared identity) and spiritual connection with each other. Kuwentuhan is used by researchers in public health to examine health behaviors and health outcomes, including social determinants of health, within the social, political, and historical context of U.S. colonialism and continued imperialism in the Philippines for those living in diaspora as a minoritized group. Kuwentuhan builds connections in Filipinx/a/o American communities through shared stories of resilience and community care. This paper describes the use of kuwentuhan for public health that involves the elements of (1) embodying kapwa, (2) collective storying and memory, (3) co-producing knowledge, and (4) generational language. The following public health case studies will demonstrate the application of well-documented kuwentuhan in public health research in Filipinx/a/o American communities.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":"35 4-5","pages":"506-521"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Assessing the Effects of Home-Based Primary Care on Alzheimer's Caregivers and Support Organizations: An Application of the Health Equity Implementation Framework. 评估以家庭为基础的初级保健对阿尔茨海默氏症护理者和支持组织的影响:健康公平实施框架的应用
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-03-29 DOI: 10.1177/10497323251316775
Rachel Zimmer, Aylin Aguilar, Kandice Reilly, Allison Chandler, Sydney-Evelyn Gibbs, Haley Park, Mia Yang
{"title":"Assessing the Effects of Home-Based Primary Care on Alzheimer's Caregivers and Support Organizations: An Application of the Health Equity Implementation Framework.","authors":"Rachel Zimmer, Aylin Aguilar, Kandice Reilly, Allison Chandler, Sydney-Evelyn Gibbs, Haley Park, Mia Yang","doi":"10.1177/10497323251316775","DOIUrl":"https://doi.org/10.1177/10497323251316775","url":null,"abstract":"<p><p>Alzheimer's disease and related dementias (ADRD) pose significant challenges for care partners and community-based organizations (CBOs) involved in providing care. Home-based medical care (HBMC) models have emerged as a potentially equitable solution to support these individuals and organizations. Utilizing the Health Equity Implementation Framework (HEIF), this study explores the barriers and facilitators experienced by care partners and CBO staff in Black and Latino communities. Data were collected through thirteen semi-structured interviews and four focus groups, with participants recruited from those providing care to patients enrolled in the AHWFB house call program in Winston-Salem, North Carolina. Interviews were conducted in English and Spanish, and thematic analysis was applied to the data to identify key themes within the HEIF domains. I-Poems were presented to participants as a member-checking technique. The study identified historical mistrust and systemic racism, economic barriers, and logistical challenges as significant impediments to healthcare access. Cultural beliefs and care partner roles were explored in the context of Black and Latino care partners and their impact on approaches to care of PLWD. The HBMC model was valued for its convenience and personalized approach, though participants identified a need for improved communication with providers and greater cultural sensitivity. Additionally, participants from focus groups and caregiver interviews provided several actionable recommendations for enhancing the healthcare experiences of those dealing with ADRD.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251316775"},"PeriodicalIF":2.6,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
How and Why Do Multimorbid Patients Decide to Follow Their Multiple Medication Prescriptions? Looking Beyond the Risk-Benefit Scale. 多重疾病患者如何以及为什么决定遵循他们的多重药物处方?超越风险-收益的尺度。
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-03-28 DOI: 10.1177/10497323241311508
Juliette Artignan, Kevin Diter, Pascal Clerc, Perrine Capmas, Nathalie Pelletier-Fleury
{"title":"How and Why Do Multimorbid Patients Decide to Follow Their Multiple Medication Prescriptions? Looking Beyond the Risk-Benefit Scale.","authors":"Juliette Artignan, Kevin Diter, Pascal Clerc, Perrine Capmas, Nathalie Pelletier-Fleury","doi":"10.1177/10497323241311508","DOIUrl":"https://doi.org/10.1177/10497323241311508","url":null,"abstract":"<p><p>Current public health guidelines emphasize the necessity to optimize medication prescriptions for multimorbid patients with multiple medications to ensure patient adherence while minimizing harm and waste. Nevertheless, there is limited understanding of how these patients choose to follow their medication regimen. This study aimed to describe the variations in the way patients account for their adherence (and non-adherence) to multiple medications and to draw links between these variations and patients' socioeconomic status. Twenty semi-structured interviews were conducted with patients aged 47-82 years with cardiovascular disease and multiple medically treated chronic conditions. They were transcribed and analyzed using reflexive thematic analysis. We first describe shared concerns about multiple medication taking and situations of medical uncertainty which arose when patients encounter conflicting medical instructions. We then highlight two overarching approaches through which patients conceptualized following their medical prescriptions. Some patients predominantly deferred the choice of medication to their physicians, while others steered the decision-making process and closely monitored what they were prescribed. These styles reflected different ways of engaging with doctors, dealing with side effects, and evaluating prescriptions and were linked to patients' socioeconomic status. We discuss our results by borrowing from Hirschman's theory of voice, exit, and loyalty. Findings argue in favor of better coordinated care to reduce prescription ambiguities and highlight the importance of patients with multimorbidity being given sufficient time and space to voice their concerns.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323241311508"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Navigating the Digital Divide: Utilization of Patient Portals Among Older Adults During the COVID-19 Pandemic in the United States. 导航数字鸿沟:在美国COVID-19大流行期间老年人对患者门户网站的利用
IF 2.6 2区 医学
Qualitative Health Research Pub Date : 2025-03-28 DOI: 10.1177/10497323251316194
Chung Hyeon Jeong, BoRin Kim, Maria Bessette
{"title":"Navigating the Digital Divide: Utilization of Patient Portals Among Older Adults During the COVID-19 Pandemic in the United States.","authors":"Chung Hyeon Jeong, BoRin Kim, Maria Bessette","doi":"10.1177/10497323251316194","DOIUrl":"https://doi.org/10.1177/10497323251316194","url":null,"abstract":"<p><p>The COVID-19 pandemic has accelerated the adoption of patient portals, which enhance patient-provider communication, streamline medical records management, and provide tailored educational materials. However, older patients face challenges in adopting these technologies, potentially exacerbating health and healthcare disparities. Guided by the Senior Technology Acceptance and Adoption Model (STAM), this study explores older adults' experiences with patient portals during the pandemic to gain an in-depth understanding of the factors influencing their adoption. We conducted semi-structured virtual interviews in 2021 with 31 older adults aged 60 or older with healthcare needs. The interviews were thematically coded and analyzed using the constant comparative method in grounded theory. The three phases of technology acceptance in STAM-objectification, incorporation, and conversion-served as sensitizing concepts in our analysis. The findings showed that some older patients felt compelled to use patient portals during the pandemic, bypassing the objectification phase, which is crucial for building an intention to use new technology. Older patients who lack a strong intention to use patient portals tended to report challenges in the incorporation phase, focusing more on the difficulties rather than the usefulness. These themes highlight obstacles to the adoption of patient portals during the conversion phase. Various suggestions for patient portal training and educational programs tailored to the needs of older adults were proposed to facilitate their adoption of patient portals. The study suggests areas for improvement to increase patient portal adoption among older patients, offering valuable insights for healthcare providers and policymakers to enhance equitable access to digital healthcare services.</p>","PeriodicalId":48437,"journal":{"name":"Qualitative Health Research","volume":" ","pages":"10497323251316194"},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信