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Does affiliation with a minority group affect patient activation?

Badera Naamneh-Abuelhija1, Galit Yogev-Seligmann1, Michal Kafri2

  • 1Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Mount Carmel, Haifa 3498838, Israel.

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Ethnicity is linked to patient activation (PA) in chronic conditions. Healthcare programs should tailor PA interventions to ethnic groups, considering diverse barriers.

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Area of Science:

  • Health Services Research
  • Health Disparities
  • Patient Engagement

Background:

  • Patient activation (PA) is crucial for managing chronic conditions.
  • Understanding how ethnicity influences PA is vital for equitable care.
  • Existing research on ethnicity and PA requires systematic synthesis.

Purpose of the Study:

  • To systematically review studies on the association between ethnicity and patient activation.
  • To synthesize findings on how ethnic minority groups differ in PA levels.
  • To identify implications for culturally tailored health interventions.

Main Methods:

  • Systematic review of PubMed, CINAHL, Scopus, and Google Scholar.
  • Inclusion criteria: adults (>18) with chronic conditions, PA assessment, ethnic minority reporting, and statistical analysis of PA by ethnicity.
  • Quality assessment using the NIH study quality assessment tool.

Main Results:

  • Twelve studies were included, primarily focusing on White, Black, and Hispanic participants.
  • Seven studies found a significant association between ethnicity and patient activation.
  • Five studies reported no association or inconclusive results.

Conclusions:

  • Ethnicity is associated with patient activation, but other variables also play a role.
  • Culturally sensitive approaches are needed to promote PA across diverse ethnic groups.
  • Interventions should address varying barriers to PA specific to different ethnicities.