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Satisfaction can co-exist with hesitation: qualitative analysis of acceptability of telemedicine among multi-lingual patients in a safety-net healthcare system during the COVID-19 pandemic.
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In: BMC health services research, vol 22, iss 1 (2022)
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Barriers and Facilitators to the Implementation of a Community Doula Program for Black and Pacific Islander Pregnant People in San Francisco: Findings from a Partnered Process Evaluation.
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In: Maternal and child health journal, vol 26, iss 4 (2022)
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Facilitators and barriers of women's participation in HIV clinical research in Switzerland: A qualitative study.
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In: HIV medicine, vol. 23, no. 4, pp. 441-447 (2022)
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La saillance : origines perceptives, applications linguistiques, enjeux interdisciplinaires
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In: ISSN: 0761-2990 ; EISSN: 1957-780X ; Semen - Revue de sémio-linguistique des textes et discours ; https://hal.archives-ouvertes.fr/hal-03153505 ; Semen - Revue de sémio-linguistique des textes et discours, Presses Universitaires de l'Université de Franche Comté (Pufc), 2021, Signifiant et matière : l'iconicité et la plasticité dans le document numérique verbal et visuel, 49, pp.35-50 (2021)
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What matters when exploring fidelity when using health IT to reduce disparities?
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In: BMC medical informatics and decision making, vol 21, iss 1 (2021)
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Abstract:
BackgroundImplementation ofevidence-based interventions often involvesstrategies to engage diverse populations while also attempting to maintain external validity. When using health IT tools to deliver patient-centered health messages, systems-level requirements are often at odds with 'on-the ground' tailoring approaches for patient-centered care or ensuring equity among linguistically diverse populations.MethodsWe conducted a fidelity and acceptability-focused evaluation of the STAR MAMA Program, a 5-month bilingual (English and Spanish) intervention for reducing diabetes risk factors among 181 post-partum women with recent gestational diabetes. The study's purpose was to explore fidelity to pre-determined 'core' (e.g. systems integration) and 'modifiable' equity components (e.g. health coaching responsiveness, and variation by language) using an adapted implementation fidelity framework. Participant-level surveys, systems-level databases of message delivery, call completion, and coaching notes were included.Results96.6% of participants are Latina and 80.9% were born outside the US. Among those receiving the STAR MAMA intervention; 55 received the calls in Spanish (61%) and 35 English (39%). 90% (n = 81) completed ≥ one week. Initially, systems errors were common, and increased triggers for health coach call-backs. Although Spanish speakers had more triggers over the intervention period, the difference was not statistically significant. Of the calls triggering a health coach follow-up, attempts were made for 85.4% (n = 152) of the English call triggers and for 80.0% (n = 279) of the Spanish call triggers (NS). Of attempted calls, health coaching calls were complete for 55.6% (n = 85) of English-language call triggers and for 56.6% of Spanish-language call triggers (NS). Some differences in acceptability were noted by language, with Spanish-speakers reporting higher satisfaction with prevention content (p = < 0.01) and English-speakers reporting health coaches were less considerate of their time (p = 0.03).ConclusionsBy exploring fidelity by language-specific factors, we identified important differences in some but not all equity indicators, with early systems errors quicky remedied and high overall engagement and acceptability. Practice implications include: (1) establishing criteria for languge-equity in interventions, (2) planning for systems level errors so as to reduce their impact between language groups and over time; and (3) examining the impact of engagement with language-concordant interventions on outcomes, including acceptability. Trial Registration National Clinical Trials registration number: CT02240420 Registered September 15, 2014. ClinicalTrials.gov.
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Keyword:
Biomedical Technology; Clinical Sciences; Diabetes; Female; Gestational; Health coaching; Health equity; Health IT; Hispanic Americans; Humans; Information Systems; Language; Language-concordant care; Medical Informatics; Postpartum Period; Pregnancy; Program evaluation
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URL: https://escholarship.org/uc/item/71v4b1p4
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Childhood cognitive development in the wake of the COVID-19 pandemic, social isolation, and prenatal stress: Establishing a prenatal cohort in East Tennessee ...
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Menstruation Discrimination and the Problem of Shadow Precedents
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In: Articles by Maurer Faculty (2021)
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Adaptación transcultural y validación psicométrica preliminar del "Pregnancy and Motherhood Evaluation Questionnaire" en población española
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On the Juridical Relevance of the Phenomenological Notion of Person in Max Scheler and Edith Stein
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Sources of Information about Gestational Weight Gain, Diet, and Exercise among Brazilian Immigrant Women Living in the United States: A Cross-Sectional Study
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In: Health Studies Faculty Publications (2021)
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Prenatal ultrasound diagnosis of cleft palate without cleft lip, the new ultrasound semiology
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In: ISSN: 0197-3851 ; EISSN: 1097-0223 ; Prenatal Diagnosis ; https://hal.umontpellier.fr/hal-03592218 ; Prenatal Diagnosis, Wiley, 2020, 40 (11), pp.1447-1458. ⟨10.1002/pd.5794⟩ (2020)
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A multi-level developmental approach to exploring individual differences in Down syndrome: genes, brain, behaviour, and environment. ...
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Neutrosophic DEMATEL to Prioritize Risk Factors in Teenage Pregnancy ...
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Neutrosophic DEMATEL to Prioritize Risk Factors in Teenage Pregnancy ...
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Neutrosophic DEMATEL to Prioritize Risk Factors in Teenage Pregnancy ...
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Neutrosophic DEMATEL to Prioritize Risk Factors in Teenage Pregnancy ...
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Healthcare Providers’ Knowledge and Attitude Towards Abortions in Thailand: A Pre-Post Evaluation of Trainings on Safe Abortion
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In: International Journal of Environmental Research and Public Health ; Volume 17 ; Issue 9 (2020)
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Attitudes of Michigan Female College Students About Pharmacists Prescribing Birth Control in a Community Pharmacy
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In: Pharmacy ; Volume 8 ; Issue 2 (2020)
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The influence of DHA supplementation during pregnancy on language development across childhood: follow-up of a randomised controlled trial
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A multi-level developmental approach to exploring individual differences in Down syndrome: genes, brain, behaviour, and environment.
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