黑人退伍军人与改善体重相关医疗保健的经验和建议:一项光声研究
Jessica Y Breland1, Lamont Tanksley2, Michelle A Borowitz2
1Center for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA. jessica.breland@va.gov.
Journal of general internal medicine
|March 4, 2024
概括
退伍军人健康管理局的黑人退伍军人体验了减肥差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
- 定性研究方法 定性研究方法
背景情况:
- 非西班牙裔黑人或非裔美国 (黑人) 退伍军人报名参加退伍军人卫生管理局 (VHA) 的MOVE! 与其他退伍军人相比,体重减轻的速度更高,但体重减轻的速度更低.
- 了解导致这些减肥差异的因素对于改善护理公平至关重要.
研究的目的:
- 探索黑人退伍军人关于VHA内的体重管理的经验和观点.
- 确定导致黑人退伍军人参与MOVE!运动的减肥差异的具体因素. 一个程序. 程序.
主要方法:
- 这是一项采用Photovoice方法的定性研究.
- 涉及9名自称黑人退伍军人 (两名女性,七名男性) 来自美国各地参加虚拟的Photovoice会议.
- 数据收集包括参与者生成的照片/媒体和促进讨论,随后进行快速定性分析和参与者反.
主要成果:
- 主要主题出现在"我们生活中的食物和医疗保健"",身体形象"和"医疗保健偏见和歧视".
- 食物对情感的影响以及偏见对医疗保健质量和信任的有害影响是重要的发现.
- 参与者建议文化敏感的护理,增加黑人提供者的代表性,以及个性化的体重管理计划,以减轻BMI.
结论:
- "光声"有效地确定了可行的策略,以减少健康差距.
- 医疗机构应该采用像Photovoice这样的参与方法来吸引边缘化社区并建立信任.
- 持续的领导承诺对于实施来自社区投入的解决方案至关重要.
相关概念视频
Role of Communication in the Nursing Process II: Planning and Implementation
1.8K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.8K
Assessment of Airway, Skin Color, and Use of Accessory Muscles
998
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
998
Surveys
14.8K
Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
14.8K
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Changes in Skin Color: Clinical Perspectives
2.0K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
2.0K
Stress Prevention and Stress Management Techniques VI
32
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
32


