NAU publications by CHER
Faculty & staff publications
NAU faculty and staff have the opportunity to publish their findings and knowledge as authors. CHER has many researchers that have been cited multiple times in major publications for their great work. The Center for Health Equity Research has accumulated all faculty publications into one, easy to navigate database.
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Teufel-Shone, Nicolette I; Chief, Carmenlita; Richards, Jennifer R; Clausen, Rebecca J; Yazzie, Alfred; Jr, Manley Begay A; Lothrop, Nathan; Yazzie, Janene; Begay, Andria B; Beamer, Paloma I; Chief, Karletta International Journal of Environmental Research and Public Health, 18 (17), pp. 9402, 2021. @article{Teufel-Shone2021, title = {Development of a Culturally Anchored Qualitative Approach to Conduct and Analyze Focus Group Narratives Collected in Diné (Navajo) Communities to Understand the Impacts of the Gold King Mine Spill of 2015}, author = {Nicolette I Teufel-Shone and Carmenlita Chief and Jennifer R Richards and Rebecca J Clausen and Alfred Yazzie and Manley A Begay Jr and Nathan Lothrop and Janene Yazzie and Andria B Begay and Paloma I Beamer and Karletta Chief}, url = { https://doi.org/10.3390/ijerph18179402}, doi = {10.3390/ijerph18179402}, year = {2021}, date = {2021-09-06}, journal = {International Journal of Environmental Research and Public Health}, volume = {18}, number = {17}, pages = {9402}, abstract = {The Gold King Mine Spill (Spill) occurred in August 2015 upstream from Silverton, Colorado and released three million gallons of contaminated water into the Animas River, a tributary to the San Juan River that flows across the Navajo Nation. Using principles of community-engaged research, the Gold King Mine Spill Diné Exposure Project co-developed a culturally anchored approach to conduct focus groups and analyze narratives collected in three Diné (Navajo) communities along the San Juan River within 9 months of the Spill. Focus group questions were designed to document the socio-cultural impacts of the Spill. This paper: (1) outlines the partnerships and approvals; (2) describes focus group design, training, data collection and analysis; and (3) reflects on the use of a culturally anchored approach in Indigenous, specifically Diné-centered research. Diné social and cultural etiquette and concepts of relationality were used to adapt standard (non-Indigenous) qualitative methods. Findings describe community perceptions of short-term impacts of the disaster, as well as past and present injustices, communication related to the Spill, and concerns of persistent threats to Diné lifeways. The culturally anchored approach was critical in fostering trust with Diné participants and aligned with the candor of the discussions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The Gold King Mine Spill (Spill) occurred in August 2015 upstream from Silverton, Colorado and released three million gallons of contaminated water into the Animas River, a tributary to the San Juan River that flows across the Navajo Nation. Using principles of community-engaged research, the Gold King Mine Spill Diné Exposure Project co-developed a culturally anchored approach to conduct focus groups and analyze narratives collected in three Diné (Navajo) communities along the San Juan River within 9 months of the Spill. Focus group questions were designed to document the socio-cultural impacts of the Spill. This paper: (1) outlines the partnerships and approvals; (2) describes focus group design, training, data collection and analysis; and (3) reflects on the use of a culturally anchored approach in Indigenous, specifically Diné-centered research. Diné social and cultural etiquette and concepts of relationality were used to adapt standard (non-Indigenous) qualitative methods. Findings describe community perceptions of short-term impacts of the disaster, as well as past and present injustices, communication related to the Spill, and concerns of persistent threats to Diné lifeways. The culturally anchored approach was critical in fostering trust with Diné participants and aligned with the candor of the discussions. |
Lockhart, Elizabeth; Turner, DeAnne; Martinez-Tyson, Dinorah; Baldwin, Julie A; Marhefka, Stephanie L Opportunities for and Perceptions of Integrating Community Health Workers Via the Affordable Care Act: Medicaid Health Homes Journal Article Journal of Public Health Management and Practice, 27 (01), pp. 193-200, 2021. @article{Lockhart2021, title = {Opportunities for and Perceptions of Integrating Community Health Workers Via the Affordable Care Act: Medicaid Health Homes}, author = {Elizabeth Lockhart and DeAnne Turner and Dinorah Martinez-Tyson and Julie A Baldwin and Stephanie L Marhefka}, url = {https://journals.lww.com/jphmp/Fulltext/2021/03000/Opportunities_for_and_Perceptions_of_Integrating.14.aspx}, doi = {10.1097/PHH.0000000000001118}, year = {2021}, date = {2021-03-01}, journal = {Journal of Public Health Management and Practice}, volume = {27}, number = {01}, pages = {193-200}, abstract = {The Affordable Care Act created opportunities for innovative, cost-saving measures to improve health care access. Community health workers (CHWs) are frontline public health workers who have a close understanding of the communities they serve. States that expanded Medicaid coverage could also create Medicaid Health Homes (MHHs)-virtual health care networks-to coordinate care for people with chronic conditions. New York was the second state to implement MHHs and gave the option to include CHWs as part of the health care team.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The Affordable Care Act created opportunities for innovative, cost-saving measures to improve health care access. Community health workers (CHWs) are frontline public health workers who have a close understanding of the communities they serve. States that expanded Medicaid coverage could also create Medicaid Health Homes (MHHs)-virtual health care networks-to coordinate care for people with chronic conditions. New York was the second state to implement MHHs and gave the option to include CHWs as part of the health care team. |
Matin, Behzad Karami; Williamson, Heather J; Karyani, Ali Kazemi; Rezaei, Satar; Soofi, Moslem; Soltan, Shahin Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies Journal Article BMC Women's Health, 21 (44), 2021. @article{Matin2021, title = {Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies}, author = {Behzad Karami Matin and Heather J. Williamson and Ali Kazemi Karyani and Satar Rezaei and Moslem Soofi and Shahin Soltan}, url = {https://doi.org/10.1186/s12905-021-01189-5}, doi = {10.1186/s12905-021-01189-5}, year = {2021}, date = {2021-01-30}, journal = {BMC Women's Health}, volume = {21}, number = {44}, abstract = {Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally. |
Matin, Behzad Karami; Williamson, Heather J; Karyani, Ali Kazemi; Rezaei, Satar; Soofi, Moslem; Soltani, Shahin Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies Journal Article BMC Women's Health, 21 (44), 2021. @article{Matin2021b, title = {Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies}, author = {Behzad Karami Matin and Heather J. Williamson and Ali Kazemi Karyani and Satar Rezaei and Moslem Soofi and Shahin Soltani}, url = {https://doi.org/10.1186/s12905-021-01189-5}, doi = {10.1186/s12905-021-01189-5}, year = {2021}, date = {2021-01-30}, journal = {BMC Women's Health}, volume = {21}, number = {44}, abstract = {Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally. |
Salinas-Miranda, Abraham; King, Lindsey; Salihu, Hamisu; Wilson, Roneé; Collins, Susan Nash Sarah; Berry, Estrellita; Austin, Deborah; Scarborough, Kenneth; Best, Evangeline; Cox, Lillian; King, Georgette; Burpee, Conchita; Briscoe, Richard; Baldwin, Julie Protective Factors Using the Life Course Perspective in Maternal and Child Health: A Community-Based Participatory Research Approach Journal Article Engage!, 1 (3), pp. 102–113, 2020. @article{Salinas-Miranda2020, title = {Protective Factors Using the Life Course Perspective in Maternal and Child Health: A Community-Based Participatory Research Approach}, author = {Abraham Salinas-Miranda and Lindsey King and Hamisu Salihu and Roneé Wilson and Susan Nash Sarah Collins and Estrellita Berry and Deborah Austin and Kenneth Scarborough and Evangeline Best and Lillian Cox and Georgette King and Conchita Burpee and Richard Briscoe and Julie Baldwin}, url = {http://journals.iupui.edu/index.php/ENGAGE/article/view/24205}, doi = {10.1001/jamaneurol.2020.3536}, year = {2020}, date = {2020-12-18}, journal = {Engage!}, volume = {1}, number = {3}, pages = {102–113}, abstract = {The life course perspective, a valuable theoretical framework for investigating racial disparities in birth outcomes, examines the cumulative exposure of risk and protective factors throughout the life span. Although risk and protective exposures are equally vital to health, most studies have focused solely on the risk factor exposures faced by vulnerable populations. In clear contrast to the traditional public health approach which emphasizes a deficit model, strengths-based approaches can elucidate pathways on protective factors that foster resilience. Such positive perspectives represent a paradigm shift that views communities as valuable assets that have the capacity to fully engage themselves and their residents to achieve optimal health. Participatory action research methods are well-suited to apply a strengths-based approach to understand health disparities. Our study aimed to explore maternal and child health protective factors, from community residents’ perspective. We conducted 10 community-based participatory focus groups with community residents Tampa, Florida guided by the life course perspective. A total of 78 residents participated in ten focus groups. Perceived protective factors during pregnancy included self-esteem, spirituality, pregnancy support, good nutrition, prenatal care, and community resources. Protective factors for non-pregnant women were self-esteem, spirituality, social support, health literacy, community support and community resources, and societal factors. For children and adolescents, relevant protective factors were self-esteem, positive role models, nutrition and physical activity, and community support. The identified factors are community assets or strengths that mitigate or eliminate maternal and child health risks in families and communities residing in low-income neighborhoods, which must be considered in developing effective maternal and child health interventions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The life course perspective, a valuable theoretical framework for investigating racial disparities in birth outcomes, examines the cumulative exposure of risk and protective factors throughout the life span. Although risk and protective exposures are equally vital to health, most studies have focused solely on the risk factor exposures faced by vulnerable populations. In clear contrast to the traditional public health approach which emphasizes a deficit model, strengths-based approaches can elucidate pathways on protective factors that foster resilience. Such positive perspectives represent a paradigm shift that views communities as valuable assets that have the capacity to fully engage themselves and their residents to achieve optimal health. Participatory action research methods are well-suited to apply a strengths-based approach to understand health disparities. Our study aimed to explore maternal and child health protective factors, from community residents’ perspective. We conducted 10 community-based participatory focus groups with community residents Tampa, Florida guided by the life course perspective. A total of 78 residents participated in ten focus groups. Perceived protective factors during pregnancy included self-esteem, spirituality, pregnancy support, good nutrition, prenatal care, and community resources. Protective factors for non-pregnant women were self-esteem, spirituality, social support, health literacy, community support and community resources, and societal factors. For children and adolescents, relevant protective factors were self-esteem, positive role models, nutrition and physical activity, and community support. The identified factors are community assets or strengths that mitigate or eliminate maternal and child health risks in families and communities residing in low-income neighborhoods, which must be considered in developing effective maternal and child health interventions. |
Schafer, Lisa M; Hsu, Clarissa; Eaves, Emery R; Ritenbaugh, Cheryl; Turner, Judith; Cherkin, Daniel C; Sims, Colette; Sherman, Karen J BMC Complementary and Alternative Medicine, 12 (1), pp. 24, 2012. @article{Schafer2012, title = {Complementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative study}, author = {Lisa M Schafer and Clarissa Hsu and Emery R Eaves and Cheryl Ritenbaugh and Judith Turner and Daniel C Cherkin and Colette Sims and Karen J Sherman}, url = {https://www.ncbi.nlm.nih.gov/pubmed/23186539}, doi = {10.1186/1472-6882-12-234}, year = {2012}, date = {2012-11-01}, journal = {BMC Complementary and Alternative Medicine}, volume = {12}, number = {1}, pages = {24}, abstract = {BACKGROUND: Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes. METHODS: To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1. RESULTS: CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment. CONCLUSIONS: Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes. METHODS: To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1. RESULTS: CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment. CONCLUSIONS: Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers. |
2021 |
Teufel-Shone, Nicolette I; Chief, Carmenlita; Richards, Jennifer R; Clausen, Rebecca J; Yazzie, Alfred; Jr, Manley Begay A; Lothrop, Nathan; Yazzie, Janene; Begay, Andria B; Beamer, Paloma I; Chief, Karletta International Journal of Environmental Research and Public Health, 18 (17), pp. 9402, 2021. @article{Teufel-Shone2021, title = {Development of a Culturally Anchored Qualitative Approach to Conduct and Analyze Focus Group Narratives Collected in Diné (Navajo) Communities to Understand the Impacts of the Gold King Mine Spill of 2015}, author = {Nicolette I Teufel-Shone and Carmenlita Chief and Jennifer R Richards and Rebecca J Clausen and Alfred Yazzie and Manley A Begay Jr and Nathan Lothrop and Janene Yazzie and Andria B Begay and Paloma I Beamer and Karletta Chief}, url = { https://doi.org/10.3390/ijerph18179402}, doi = {10.3390/ijerph18179402}, year = {2021}, date = {2021-09-06}, journal = {International Journal of Environmental Research and Public Health}, volume = {18}, number = {17}, pages = {9402}, abstract = {The Gold King Mine Spill (Spill) occurred in August 2015 upstream from Silverton, Colorado and released three million gallons of contaminated water into the Animas River, a tributary to the San Juan River that flows across the Navajo Nation. Using principles of community-engaged research, the Gold King Mine Spill Diné Exposure Project co-developed a culturally anchored approach to conduct focus groups and analyze narratives collected in three Diné (Navajo) communities along the San Juan River within 9 months of the Spill. Focus group questions were designed to document the socio-cultural impacts of the Spill. This paper: (1) outlines the partnerships and approvals; (2) describes focus group design, training, data collection and analysis; and (3) reflects on the use of a culturally anchored approach in Indigenous, specifically Diné-centered research. Diné social and cultural etiquette and concepts of relationality were used to adapt standard (non-Indigenous) qualitative methods. Findings describe community perceptions of short-term impacts of the disaster, as well as past and present injustices, communication related to the Spill, and concerns of persistent threats to Diné lifeways. The culturally anchored approach was critical in fostering trust with Diné participants and aligned with the candor of the discussions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The Gold King Mine Spill (Spill) occurred in August 2015 upstream from Silverton, Colorado and released three million gallons of contaminated water into the Animas River, a tributary to the San Juan River that flows across the Navajo Nation. Using principles of community-engaged research, the Gold King Mine Spill Diné Exposure Project co-developed a culturally anchored approach to conduct focus groups and analyze narratives collected in three Diné (Navajo) communities along the San Juan River within 9 months of the Spill. Focus group questions were designed to document the socio-cultural impacts of the Spill. This paper: (1) outlines the partnerships and approvals; (2) describes focus group design, training, data collection and analysis; and (3) reflects on the use of a culturally anchored approach in Indigenous, specifically Diné-centered research. Diné social and cultural etiquette and concepts of relationality were used to adapt standard (non-Indigenous) qualitative methods. Findings describe community perceptions of short-term impacts of the disaster, as well as past and present injustices, communication related to the Spill, and concerns of persistent threats to Diné lifeways. The culturally anchored approach was critical in fostering trust with Diné participants and aligned with the candor of the discussions. |
Lockhart, Elizabeth; Turner, DeAnne; Martinez-Tyson, Dinorah; Baldwin, Julie A; Marhefka, Stephanie L Opportunities for and Perceptions of Integrating Community Health Workers Via the Affordable Care Act: Medicaid Health Homes Journal Article Journal of Public Health Management and Practice, 27 (01), pp. 193-200, 2021. @article{Lockhart2021, title = {Opportunities for and Perceptions of Integrating Community Health Workers Via the Affordable Care Act: Medicaid Health Homes}, author = {Elizabeth Lockhart and DeAnne Turner and Dinorah Martinez-Tyson and Julie A Baldwin and Stephanie L Marhefka}, url = {https://journals.lww.com/jphmp/Fulltext/2021/03000/Opportunities_for_and_Perceptions_of_Integrating.14.aspx}, doi = {10.1097/PHH.0000000000001118}, year = {2021}, date = {2021-03-01}, journal = {Journal of Public Health Management and Practice}, volume = {27}, number = {01}, pages = {193-200}, abstract = {The Affordable Care Act created opportunities for innovative, cost-saving measures to improve health care access. Community health workers (CHWs) are frontline public health workers who have a close understanding of the communities they serve. States that expanded Medicaid coverage could also create Medicaid Health Homes (MHHs)-virtual health care networks-to coordinate care for people with chronic conditions. New York was the second state to implement MHHs and gave the option to include CHWs as part of the health care team.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The Affordable Care Act created opportunities for innovative, cost-saving measures to improve health care access. Community health workers (CHWs) are frontline public health workers who have a close understanding of the communities they serve. States that expanded Medicaid coverage could also create Medicaid Health Homes (MHHs)-virtual health care networks-to coordinate care for people with chronic conditions. New York was the second state to implement MHHs and gave the option to include CHWs as part of the health care team. |
Matin, Behzad Karami; Williamson, Heather J; Karyani, Ali Kazemi; Rezaei, Satar; Soofi, Moslem; Soltan, Shahin Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies Journal Article BMC Women's Health, 21 (44), 2021. @article{Matin2021, title = {Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies}, author = {Behzad Karami Matin and Heather J. Williamson and Ali Kazemi Karyani and Satar Rezaei and Moslem Soofi and Shahin Soltan}, url = {https://doi.org/10.1186/s12905-021-01189-5}, doi = {10.1186/s12905-021-01189-5}, year = {2021}, date = {2021-01-30}, journal = {BMC Women's Health}, volume = {21}, number = {44}, abstract = {Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally. |
Matin, Behzad Karami; Williamson, Heather J; Karyani, Ali Kazemi; Rezaei, Satar; Soofi, Moslem; Soltani, Shahin Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies Journal Article BMC Women's Health, 21 (44), 2021. @article{Matin2021b, title = {Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies}, author = {Behzad Karami Matin and Heather J. Williamson and Ali Kazemi Karyani and Satar Rezaei and Moslem Soofi and Shahin Soltani}, url = {https://doi.org/10.1186/s12905-021-01189-5}, doi = {10.1186/s12905-021-01189-5}, year = {2021}, date = {2021-01-30}, journal = {BMC Women's Health}, volume = {21}, number = {44}, abstract = {Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Studies show that different socio-economic and structural factors can limit access to healthcare for women with disabilities. The aim of the current study was to review barriers in access to healthcare services for women with disabilities (WWD) internationally. |
2020 |
Salinas-Miranda, Abraham; King, Lindsey; Salihu, Hamisu; Wilson, Roneé; Collins, Susan Nash Sarah; Berry, Estrellita; Austin, Deborah; Scarborough, Kenneth; Best, Evangeline; Cox, Lillian; King, Georgette; Burpee, Conchita; Briscoe, Richard; Baldwin, Julie Protective Factors Using the Life Course Perspective in Maternal and Child Health: A Community-Based Participatory Research Approach Journal Article Engage!, 1 (3), pp. 102–113, 2020. @article{Salinas-Miranda2020, title = {Protective Factors Using the Life Course Perspective in Maternal and Child Health: A Community-Based Participatory Research Approach}, author = {Abraham Salinas-Miranda and Lindsey King and Hamisu Salihu and Roneé Wilson and Susan Nash Sarah Collins and Estrellita Berry and Deborah Austin and Kenneth Scarborough and Evangeline Best and Lillian Cox and Georgette King and Conchita Burpee and Richard Briscoe and Julie Baldwin}, url = {http://journals.iupui.edu/index.php/ENGAGE/article/view/24205}, doi = {10.1001/jamaneurol.2020.3536}, year = {2020}, date = {2020-12-18}, journal = {Engage!}, volume = {1}, number = {3}, pages = {102–113}, abstract = {The life course perspective, a valuable theoretical framework for investigating racial disparities in birth outcomes, examines the cumulative exposure of risk and protective factors throughout the life span. Although risk and protective exposures are equally vital to health, most studies have focused solely on the risk factor exposures faced by vulnerable populations. In clear contrast to the traditional public health approach which emphasizes a deficit model, strengths-based approaches can elucidate pathways on protective factors that foster resilience. Such positive perspectives represent a paradigm shift that views communities as valuable assets that have the capacity to fully engage themselves and their residents to achieve optimal health. Participatory action research methods are well-suited to apply a strengths-based approach to understand health disparities. Our study aimed to explore maternal and child health protective factors, from community residents’ perspective. We conducted 10 community-based participatory focus groups with community residents Tampa, Florida guided by the life course perspective. A total of 78 residents participated in ten focus groups. Perceived protective factors during pregnancy included self-esteem, spirituality, pregnancy support, good nutrition, prenatal care, and community resources. Protective factors for non-pregnant women were self-esteem, spirituality, social support, health literacy, community support and community resources, and societal factors. For children and adolescents, relevant protective factors were self-esteem, positive role models, nutrition and physical activity, and community support. The identified factors are community assets or strengths that mitigate or eliminate maternal and child health risks in families and communities residing in low-income neighborhoods, which must be considered in developing effective maternal and child health interventions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The life course perspective, a valuable theoretical framework for investigating racial disparities in birth outcomes, examines the cumulative exposure of risk and protective factors throughout the life span. Although risk and protective exposures are equally vital to health, most studies have focused solely on the risk factor exposures faced by vulnerable populations. In clear contrast to the traditional public health approach which emphasizes a deficit model, strengths-based approaches can elucidate pathways on protective factors that foster resilience. Such positive perspectives represent a paradigm shift that views communities as valuable assets that have the capacity to fully engage themselves and their residents to achieve optimal health. Participatory action research methods are well-suited to apply a strengths-based approach to understand health disparities. Our study aimed to explore maternal and child health protective factors, from community residents’ perspective. We conducted 10 community-based participatory focus groups with community residents Tampa, Florida guided by the life course perspective. A total of 78 residents participated in ten focus groups. Perceived protective factors during pregnancy included self-esteem, spirituality, pregnancy support, good nutrition, prenatal care, and community resources. Protective factors for non-pregnant women were self-esteem, spirituality, social support, health literacy, community support and community resources, and societal factors. For children and adolescents, relevant protective factors were self-esteem, positive role models, nutrition and physical activity, and community support. The identified factors are community assets or strengths that mitigate or eliminate maternal and child health risks in families and communities residing in low-income neighborhoods, which must be considered in developing effective maternal and child health interventions. |
2012 |
Schafer, Lisa M; Hsu, Clarissa; Eaves, Emery R; Ritenbaugh, Cheryl; Turner, Judith; Cherkin, Daniel C; Sims, Colette; Sherman, Karen J BMC Complementary and Alternative Medicine, 12 (1), pp. 24, 2012. @article{Schafer2012, title = {Complementary and alternative medicine (CAM) providers' views of chronic low back pain patients' expectations of CAM therapies: a qualitative study}, author = {Lisa M Schafer and Clarissa Hsu and Emery R Eaves and Cheryl Ritenbaugh and Judith Turner and Daniel C Cherkin and Colette Sims and Karen J Sherman}, url = {https://www.ncbi.nlm.nih.gov/pubmed/23186539}, doi = {10.1186/1472-6882-12-234}, year = {2012}, date = {2012-11-01}, journal = {BMC Complementary and Alternative Medicine}, volume = {12}, number = {1}, pages = {24}, abstract = {BACKGROUND: Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes. METHODS: To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1. RESULTS: CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment. CONCLUSIONS: Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Some researchers think that patients with higher expectations for CAM therapies experience better outcomes and that enthusiastic providers can enhance treatment outcomes. This is in contrast to evidence suggesting conventional medical providers often reorient patient expectations to better match what providers believe to be realistic. However, there is a paucity of research on CAM providers' views of their patients' expectations regarding CAM therapy and the role of these expectations in patient outcomes. METHODS: To better understand how CAM providers view and respond to their patients' expectations of a particular therapy, we conducted 32 semi-structured, qualitative interviews with acupuncturists, chiropractors, massage therapists and yoga instructors identified through convenience sampling. Interviews were recorded, transcribed and analyzed thematically using Atlas ti version 6.1. RESULTS: CAM providers reported that they attempt to ensure that their patients' expectations are realistic. Providers indicated they manage their patients' expectations in a number of domains- roles and responsibilities of providers and patients, treatment outcomes, timeframe for improvement, and treatment experience. Providers reported that patients' expectations change over time and that they need to continually manage these expectations to enhance patient engagement and satisfaction with treatment. CONCLUSIONS: Providers of four types of CAM therapies viewed patients' expectations as an important component of their experiences with CAM therapy and indicated that they try to align patient expectations with reality. These findings suggest that CAM providers are similar in this respect to conventional medical providers. |