为安全网医疗系统中的中老年拉丁裔患者制定基于职业的预防项目。
Developing Occupation-Based Preventive Programs for Late-Middle-Aged Latino Patients in Safety-Net Health Systems.
作者信息
Schepens Niemiec Stacey L, Carlson Mike, Martínez Jenny, Guzmán Laura, Mahajan Anish, Clark Florence
机构信息
Stacey L. Schepens Niemiec, PhD, OTR/L, is Research Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles;
Mike Carlson, PhD, is Research Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
出版信息
Am J Occup Ther. 2015 Nov-Dec;69(6):6906240010. doi: 10.5014/ajot.2015.015958.
Latino adults between ages 50 and 60 yr are at high risk for developing chronic conditions that can lead to early disability. We conducted a qualitative pilot study with 11 Latinos in this demographic group to develop a foundational schema for the design of health promotion programs that could be implemented by occupational therapy practitioners in primary care settings for this population. One-on-one interviews addressing routines and activities, health management, and health care utilization were conducted, audiotaped, and transcribed. Results of a content analysis of the qualitative data revealed the following six domains of most concern: Weight Management; Disease Management; Mental Health and Well-Being; Personal Finances; Family, Friends, and Community; and Stress Management. A typology of perceived health-actualizing strategies was derived for each domain. This schema can be used by occupational therapy practitioners to inform the development of health-promotion lifestyle interventions designed specifically for late-middle-aged Latinos.
年龄在50至60岁之间的拉丁裔成年人患慢性病的风险很高，这些慢性病可能导致过早残疾。我们对该年龄段的11名拉丁裔进行了一项定性试点研究，以制定一个基础框架，用于设计健康促进项目，这些项目可由初级保健机构的职业治疗师针对该人群实施。我们进行了一对一访谈，内容涉及日常活动、健康管理和医疗保健利用情况，并进行了录音和转录。定性数据的内容分析结果揭示了最受关注的以下六个领域：体重管理；疾病管理；心理健康与幸福感；个人财务；家庭、朋友和社区；以及压力管理。针对每个领域得出了一种感知健康实现策略的类型学。职业治疗师可利用这一框架为专门针对中老年拉丁裔的健康促进生活方式干预措施的制定提供参考。
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