{"title":"Superwoman Schema, Stigma, Spirituality, and Culturally Sensitive Providers: Factors Influencing African American Women's Use of Mental Health Services.","authors":"Cheryl Woods-Giscombe, Millicent Nicolle Robinson, Dana Carthon, Stephanie Devane-Johnson, Giselle Corbie-Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Many African American women are heavily burdened by unmet mental health needs yet underuse mental health services. The superwoman schema (SWS) conceptual framework provides a new culturally sensitive framework to enhance researchers', providers', and educators' understanding of the barriers to mental health service use among this group. The \"superwoman\" role involves perceived obligations to (1) project strength, (2) suppress emotions, (3) resist feelings of vulnerability and dependence, (4) succeed despite limited resources, and (5) prioritize caregiving over self-care. In this study, the SWS framework guided a secondary qualitative analysis of data from eight focus groups comprised of 48 African American women from the southeastern United States and a broad range of age and educational backgrounds. Results suggest that the major components of SWS, as well as perceived stigma, religious and spiritual concerns, and the desire for culturally sensitive providers influenced participants' perceptions and use of mental healthcare. Understanding how SWS operates in African American women may (1) enable researchers to better understand and develop interventions to mitigate disparities in mental health service use; (2) help healthcare professionals to engage and treat this population more effectively; and (3) equip health professions educators to improve the cultural sensitivity of the next generation of providers.</p>","PeriodicalId":73614,"journal":{"name":"Journal of best practices in health professions diversity : research, education and policy","volume":"9 1","pages":"1124-1144"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7544187/pdf/nihms-1625714.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38477698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Educational Interventions for Culturally Competent Healthcare: Developing a Protocol to Conduct a Systematic Review of the Rationale, Content, Teaching Methods, and Measures of Effectiveness.","authors":"Margarita Echeverri, Aleda M H Chen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Educational programs in cultural competence have become an important strategy to prepare healthcare providers to better address the needs of an increasingly diverse society and to decrease health disparities. However, a literature review found little information on best practices in teaching cultural competence.</p><p><strong>Objective: </strong>To create a protocol for conducting an effectiveness review of the literature to evaluate best practices in teaching methods, assessment, and interventions in cultural competence for health-related professions.</p><p><strong>Methods: </strong>The protocol followed guidelines from the BEME (Best Evidence Medical Education) collaborative. Inclusion criteria, preliminary terms, and databases for searching were established. A modified version of the 6 QUESTS and the Kirkpatrick model were chosen to appraise and synthesize the information from studies included in the review. Finally, recommendations and the final report follow the adapted PRISMA (preferred reporting items for systematic reviews and meta-analyses) checklist.</p><p><strong>Conclusions: </strong>Policymakers, researchers, and teachers can use the evidence from a comprehensive systematic review to revise or develop educational interventions, assessment methods, and accreditation requirements for academic programs.</p>","PeriodicalId":73614,"journal":{"name":"Journal of best practices in health professions diversity : research, education and policy","volume":"9 1","pages":"1160-1177"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8294596/pdf/nihms-1625713.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39211167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TanYa M Gwathmey, E Ann Tallant, Allyn C Howlett, Debra I Diz
{"title":"Programs to Recruit and Retain a More Diverse Workforce in Biomedical Sciences Research.","authors":"TanYa M Gwathmey, E Ann Tallant, Allyn C Howlett, Debra I Diz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To improve overall healthcare and to reduce health disparities, efforts must focus on increasing the diversity of personnel trained in the biomedical sciences. Here, we describe the development, implementation, and relative outcomes of three pipeline training programs in biomedical sciences research designed to increase workforce diversity institutionally, regionally, and nationally. We report on their effectiveness in improving the recruitment and retention of underrepresented minorities with the long-term goal of remedying health inequities and disparities.</p>","PeriodicalId":73614,"journal":{"name":"Journal of best practices in health professions diversity : research, education and policy","volume":"9 1","pages":"1188-1194"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575820/pdf/nihms836880.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35371266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yolanda M Hyde, Barbara Germino, Merle Mishel, Richard L Street, Lenora Campbell, Dale Brashers, Thomas P Mccoy
{"title":"Healthcare Provider Communication Patterns during Consultations about Treating Localized Prostate Cancer.","authors":"Yolanda M Hyde, Barbara Germino, Merle Mishel, Richard L Street, Lenora Campbell, Dale Brashers, Thomas P Mccoy","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Disparities in mortality in prostate cancer may reflect differences in healthcare providers' communication.</p><p><strong>Objective: </strong>This study examined physicians' communication with African American and Caucasian men when making decisions about treatment for localized prostate cancer to determine whether information-giving and partnership-building behaviors varied by the age, education level, and race of the patient.</p><p><strong>Methods: </strong>The study was a secondary analysis of data from a larger study examining decisionmaking among men with prostate cancer. Verbatim transcripts of physician communication with 13 African American and 32 Caucasian patients were coded using a well-established scheme.</p><p><strong>Results: </strong>Physicians tended to use information-giving and partnership-building behaviors more often with patients who were Caucasian, but this practice was tempered by the patient's age or education level.</p><p><strong>Conclusion: </strong>Information-giving and partnership-building behaviors should be studied relative to patient outcomes, such as treatment adherence and satisfaction. Communication is a two-way interaction, and patients' perceptions should be included in future studies.</p><p><strong>Practice implications: </strong>Biases, assumptions, and differential behavior toward patients who are older, minorities, or less educated must be addressed during all healthcare providers' socialization and education. All will benefit from their education in communication and partnership-building with patients.</p>","PeriodicalId":73614,"journal":{"name":"Journal of best practices in health professions diversity : research, education and policy","volume":"6 1","pages":"876-890"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8547618/pdf/nihms-1625822.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39567060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephen Aragon, Sabrina S Vereen, Deborah E Slazyk, Tyrel J Hooker, Laura J McGuinn, Sabina B Gesell
{"title":"Patient-Centeredness: A Best Practice for HBCU Health Professional Education Programs.","authors":"Stephen Aragon, Sabrina S Vereen, Deborah E Slazyk, Tyrel J Hooker, Laura J McGuinn, Sabina B Gesell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the influence of physicians' and nurses' patient-centeredness on the satisfaction of African American female Medicaid patients. A multigroup structural equation modeling design was used to test the hypothesized model and its stability across national random test (Nt=98) and cross-validation (Ncv=296) samples. The model fit well. Physician and nurse patient-centeredness significantly and consistently influenced patient satisfaction, explaining 73% of its variance. One standardized deviation increase in physician patient-centeredness increased patient satisfaction, likelihood to recommend, and ratings of care by .698, .665, and .644 deviations. The corresponding effects for nursing were .643, .613, and .594. These effects were consistent across national random samples. The study offers an evidenced-based model that sheds light on provider patient-centered-ness' influence on African American female Medicaid patient satisfaction.</p>","PeriodicalId":73614,"journal":{"name":"Journal of best practices in health professions diversity : research, education and policy","volume":"5 1","pages":"725-738"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5777498/pdf/nihms933518.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35764637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recent Perceptions of Health Service Providers Among African American Men: Framing the Future Debate.","authors":"Danelle Stevens-Watkins, Howard Lloyd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article reviews the literature on African American men's perceptions of health service providers and their possible association with health disparities and decreased likelihood that these patients will seek outpatient and preventative health care. The literature suggests that barriers to receiving health care service include not feeling respected or heard by providers. A brief discussion of the dangers of a color-blind approach, findings from implicit association studies on race, and negative media portrayals are offered as possible explanations. Specific questions provide a starting point to increase the self-awareness of health service providers. The importance of patient-centered communication is discussed, and conclusions offered, emphasizing the need for more racial/ethnic minority researchers, educators, and health care providers.</p>","PeriodicalId":73614,"journal":{"name":"Journal of best practices in health professions diversity : research, education and policy","volume":"3 1","pages":"59-69"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4829358/pdf/nihms-670388.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34406780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}