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Hispanic Mobile Health

Richard E Kennedy, Marzouq Almutairi, Courtney P Williams, Patricia Sawyer, Richard M Allman, Cynthia J Brown
BACKGROUND/OBJECTIVES: The University of Alabama at Birmingham (UAB) Life-Space Assessment (LSA) is a widely used measure of community mobility. To assist clinicians and researchers with assessing the significance of changes in scores, we determined the minimal important change associated with a change in health status. SETTING: Homes of community-dwelling older adults. PARTICIPANTS: A total of 419 African American and non-Hispanic white adults 75 years and older participating in the UAB Study of Aging II, a longitudinal epidemiological study across the state of Alabama...
December 7, 2018: Journal of the American Geriatrics Society
Addie Middleton, Brian Downer, Allen Haas, Sara Knox, Kenneth J Ottenbacher
BACKGROUND: Beginning in 2019, home health agencies' rates of potentially preventable hospital readmissions over the 30 days following discharge will be publicly reported. OBJECTIVES: Our primary objective was to determine the association between patients' functional status at discharge from home health care and 30-day potentially preventable readmissions. A secondary objective was to identify the most common conditions resulting in potentially preventable readmissions...
December 10, 2018: Medical Care
Bo Xie, Jane Dimmitt Champion, Jung Kwak, Kenneth R Fleischmann
BACKGROUND: Mobile health (mHealth) technology holds promise for promoting health education and reducing health disparities and inequalities in underserved populations. However, little research has been done to develop mHealth interventions for family caregivers of people with dementia, particularly those in rural Hispanic communities, who often serve as surrogate decision makers for their relatives with dementia. OBJECTIVE: As part of a larger project to develop and test a novel, affordable, and easy-to-use mHealth intervention to deliver individually tailored materials in rural Hispanic communities, in this pilot study, we aimed to examine (1) characteristics of people with dementia and their family caregivers in rural Hispanic communities, (2) caregivers' preferences for types and amounts of health information and participation in surrogate decision making, and (3) caregivers' mobile device usage and their desire for receiving information via mobile devices...
December 10, 2018: Journal of Medical Internet Research
Francisco Iacobelli, Rachel F Adler, Diana Buitrago, Joanna Buscemi, Marya E Corden, Alejandra Perez-Tamayo, Frank J Penedo, Melinda Rodriguez, Betina R Yanez
Latina breast cancer patients in the USA report significantly worse cancer-related symptom burden and health-related quality of life than non-Hispanic whites. However, health literacy (e.g. knowledge about cancer, coping skills and communication) has been found to improve quality of life. In this paper, we present a case study of the methodology used to design Mi Guía (My Guide), a mobile application that aims to improve symptom burden and health-related quality of life among Hispanic women who have completed active treatment for breast cancer by increasing their health literacy...
2018: Design for health
Kelly R Ylitalo, Christina During, Katherine Thomas, Kelly Ezell, Patrick Lillard, Joel Scott
OBJECTIVE: Mobile farmers markets may improve local food environments by increasing access to healthy food, yet research is limited. The purpose of this study was to describe customer characteristics and barriers to healthy eating among customers at a mobile farmers market called the Veggie Van. DESIGN: In 2016, a customer intercept design was used to survey English-speaking Veggie Van customers (n = 192; 70.5% survey response rate) aged ≥18 years on sociodemographic and health characteristics, normal daily consumption of fruit and vegetables (F/V) using the Health Information National Trends Survey screener, food acquisition and purchasing habits, and potential barriers to healthy eating...
November 27, 2018: Appetite
Shervin Assari
Background. The Minorities' Diminished Return theory suggests that education attainment and other socioeconomic resources have smaller effects on the health and well-being of African Americans and other racial and ethnic minorities compared to Whites. Racial and ethnic differences in the processes involved with educational upward mobility may contribute to the diminished returns of education attainment for African Americans compared to Whites. Aim: This study compared African Americans and non-Hispanic Whites for the effect of parental education attainment on educational upward mobility and explored gender differences in these effects...
November 21, 2018: Behavioral Sciences
Uchechi A Mitchell, Perla G Chebli, Laurie Ruggiero, Naoko Muramatsu
Background and Objectives: Technology can enhance the health and quality of life of diverse populations and may play an important role in reducing health disparities. Although a "digital divide" between the young and the old has been noted, it is unclear whether the use of technology for managing health differs by race/ethnicity among older adults. This study uses nationally representative data from community-dwelling older Americans to characterize racial/ethnic differences in health-related technology use...
November 17, 2018: Gerontologist
Swati Lederer, Laurie Ruggiero, Nicole M Sisen, Nancy Lepain, Kate Grubbs O'Connor, Yamin Wang, Jinsong Chen, James P Lash, Michael J Fischer
BACKGROUND: Early detection and treatment of chronic kidney disease (CKD) and its risk factors improves outcomes; however, many high-risk individuals lack access to healthcare. The National Kidney Foundation of Illinois (NKFI) developed the KidneyMobile (KM) to conduct community-based screenings, provide disease education, and facilitate follow-up appointments for diabetes, hypertension, and CKD. METHODS: Cross-sectional design. Adults > = 18 years of age participated in NKFI KM screenings across Illinois between 2005 and 2011...
October 25, 2018: BMC Nephrology
Henrie M Treadwell, Marguerite Ro, LaTonya Sallad, Erica McCray, Cheryl Franklin
Health disparities that focus on gender and on the ancillary dependent variables of race and ethnicity reflect continually early illness, compromised quality of life, and often premature and preventable deaths. The inability of the nation to eliminate disparities also track along race and gender in communities where a limited number of health-care providers and policymakers identify as being from these traditionally underserved and marginalized population groups. Epidemiologists and other researchers and analysts have traditionally failed to integrate the social determinants of health and other variables known to support upward mobility in their predictive analyses of health status...
October 20, 2018: American Journal of Men's Health
Christopher V Almario, Megana L Ballal, William D Chey, Carl Nordstrom, Dinesh Khanna, Brennan M R Spiegel
OBJECTIVES: Digestive diseases account for >100 million ambulatory care visits annually in the U.S. Yet, comparatively less is known about the true burden of gastrointestinal (GI) symptoms in the general U.S. POPULATION: The aim of this study was to use data from the "National GI Survey"-a population-based audit of GI symptoms in >71,000 participants-to determine the prevalence and predictors of GI symptoms in community-dwelling Americans. METHODS: We conducted the National GI Survey using a mobile app called MyGiHealth, which employs a computer algorithm that systematically collects participants' GI symptoms...
October 15, 2018: American Journal of Gastroenterology
John S Luque, Brian H Bossak, Caroline B Davila, Jose Antonio Tovar-Aguilar
Heat-related illness (HRI) among migrant and seasonal farmworkers is an occupational risk addressed through varying mitigation strategies by individual workers and supervisors. The purpose of this pilot study was to describe farmworkers' experience with HRI prevention strategies and assess HRI information seeking preferences, especially the feasibility of using mobile phone apps to access this information. Five focus groups were administered to Hispanic farmworkers in South Carolina. Questions included the following topics: health information seeking preferences; farmworkers' perceptions of occupational risks; coping strategies; past experiences with HRIs; water, rest, and shade practices; access to health care; and any employer-provided training received...
October 15, 2018: Journal of Agromedicine
Melinda S Bender, Bruce A Cooper, Elena Flowers, Raymond Ma, Shoshana Arai
Introduction: Filipino Americans are at higher risk for obesity and related Type 2 diabetes (T2D) compared to other Asian subgroups and non-Hispanic whites. Yet, there are limited research studies to reduce health disparities and improve health outcomes for Filipinos. Weight loss lifestyle intervention trials such as the Diabetes Prevention Program (DPP) can reduce obesity and T2D risks through physical activity and healthy eating. Methods: Thus, we conducted a pilot Fit&Trim (DPP-based) intervention study - a randomized controlled trial 3-month intervention augmented with mobile technology + 3-month maintenance follow-up with a waitlist control...
December 2018: Contemporary Clinical Trials Communications
Melinda S Bender, Bruce A Cooper, Linda G Park, Sara Padash, Shoshana Arai
BACKGROUND: Filipino Americans have a high prevalence of obesity, type 2 diabetes (T2D), and cardiovascular disease compared with other Asian American subgroups and non-Hispanic whites. Mobile health (mHealth) weight loss interventions can reduce chronic disease risks, but these are untested in Filipino Americans with T2D. OBJECTIVE: The objective of this study was to assess feasibility and potential efficacy of a pilot, randomized controlled trial (RCT) of a culturally adapted mHealth weight loss lifestyle intervention (Pilipino Americans Go4Health [PilAm Go4Health]) for overweight Filipino Americans with T2D...
December 12, 2017: JMIR diabetes
Shervin Assari
Background. Socioeconomic status (SES) has smaller protective effects on the health of African Americans, and the differential association between social mobility and stress may explain the diminished returns of SES for African Americans. Aim. This study tested the race/ethnic differences in the association between upward and downward social mobility and stress in a nationally representative sample of African American and White American adults. Methods. This study included 3570 African Americans and 891 non-Hispanic White Americans from the National Survey of American Life (NSAL), 2003...
September 20, 2018: Behavioral Sciences
Laura Corlin, Shannon Ball, Mark Woodin, Allison P Patton, Kevin Lane, John L Durant, Doug Brugge
Emerging evidence suggests long-term exposure to ultrafine particulate matter (UFP, aerodynamic diameter < 0.1 µm) is associated with adverse cardiovascular outcomes. We investigated whether annual average UFP exposure was associated with measured systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), and hypertension prevalence among 409 adults participating in the cross-sectional Community Assessment of Freeway Exposure and Health (CAFEH) study. We used measurements of particle number concentration (PNC, a proxy for UFP) obtained from mobile monitoring campaigns in three near-highway and three urban background areas in and near Boston, Massachusetts to develop PNC regression models (20-m spatial and hourly temporal resolution)...
September 18, 2018: International Journal of Environmental Research and Public Health
Nita Vangeepuram, Victoria Mayer, Kezhen Fei, Emily Hanlen-Rosado, Cesar Andrade, Shari Wright, Carol Horowitz
Background: Individuals from low-income and racial/ethnic minority backgrounds have traditionally had less access to mobile health (mHealth) technologies, but there is evidence that this gap has been rapidly narrowing. Given the increase in access to mobile technologies recently seen in vulnerable populations, mHealth has been championed as a strategy for improving population health and reducing health disparities. However, members of low-income and racial/ethnic minority populations have had a limited role in the development and implementation of mHealth interventions designed to impact them...
2018: MHealth
Lesli Biediger Friedman, Monica Silva, Kenneth Smith
Objective In this study, we sought to determine technology acceptance of a mobile application (app) to facilitate healthy behaviors as perceived by English- and Spanish-speaking participants of the Supplemental Nutrition Program for Women, Infants, and Children (WIC). Methods Our sample was 48 mothers (78% Hispanic-American) at WIC clinics in south-central Texas. Through 6 focus groups, we explored user intention of a wireframe app prototype. Discussion probes were based on the construct of behavioral intention...
November 1, 2018: American Journal of Health Behavior
Kim M Gans, Patricia Markham Risica, Akilah Dulin Keita, Laura Dionne, Jennifer Mello, Kristen Cooksey Stowers, George Papandonatos, Shannon Whittaker, Gemma Gorham
BACKGROUND: Fruit and vegetable (F&V) intake can reduce risks for chronic disease, but is much lower than recommended amounts in most Western populations, especially for those with low income levels. Rigorous research is needed on practical, cost-effective interventions that address environmental as well as personal determinants of F&V intake. This paper presents the results of a cluster randomized controlled trial evaluating the efficacy of 'Live Well, Viva Bien' (LWVB), a multicomponent intervention that included discount, mobile fresh F&V markets in conjunction with nutrition education...
August 20, 2018: International Journal of Behavioral Nutrition and Physical Activity
Abhishek Pratap, Brenna N Renn, Joshua Volponi, Sean D Mooney, Adam Gazzaley, Patricia A Arean, Joaquin A Anguera
BACKGROUND: Most people with mental health disorders fail to receive timely access to adequate care. US Hispanic/Latino individuals are particularly underrepresented in mental health care and are historically a very difficult population to recruit into clinical trials; however, they have increasing access to mobile technology, with over 75% owning a smartphone. This technology has the potential to overcome known barriers to accessing and utilizing traditional assessment and treatment approaches...
August 9, 2018: Journal of Medical Internet Research
Emily L Mueller, Anneli R Cochrane, William E Bennett, Aaron E Carroll
BACKGROUND: The use of mobile health (mHealth) has grown exponentially, even by caregivers of vulnerable populations. The study objective was to understand mobile technology usage, barriers, and desires by caregivers of children with cancer. PROCEDURE: Paper surveys were mailed to caregivers of children diagnosed with cancer at Riley Hospital for Children between June 2015 and June 2017. The survey contained 13 questions, both fixed and open-ended, and was sent in both English and Spanish up to three times...
July 17, 2018: Pediatric Blood & Cancer
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