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Hispanic Mobile Health

Kelvin K Pho, Rong Lu, Samantha Gates, Jennifer Cai, Donglu Xie, Yang Xie, Simon J Craddock Lee, David E Gerber
PURPOSE: Mobile devices provide individuals with rapid and frequent access to electronic patient portals. We investigated how oncology patients use this technology to review test results and communicate with providers. PATIENTS AND METHODS: We performed a retrospective study of patients enrolled in the MyChart electronic health portal associated with the Epic electronic medical record at the Harold C. Simmons Comprehensive Cancer Center from 2012 to 2017. We recorded type of portal access according to year and patient characteristics...
February 2019: JCO Clinical Cancer Informatics
Rodney P Joseph, Kathryn E Royse, Tanya J Benitez
BACKGROUND: The purpose of this systematic review was to evaluate the existing scientific literature on e- and mHealth interventions promoting physical activity (PA) among African American (AA) and Hispanic women. METHODS: Using Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines, 5 electronic databases and gray literature sources were searched in August 2017. Inclusion criteria are published in English language peer-reviewed journals between 2000 and 2017, use of an e- or mHealth delivery strategy to promote PA, primary focus on AA or Hispanic women, and reported PA outcome data...
February 19, 2019: Journal of Physical Activity & Health
Marlene Camacho Rivera, Samuel L Rice, Sehyun Oh, Manuel A Paris, Rosario Costas Muniz, Ezinne Akpara, Michael Obadina, Justen Molina, Shireene J Mcmillan, Joshua L Mendez Aracena, Jason Morency, Francesca Gany, Carol L Brown, Jason Gonsky, Joseph R Osborne
BACKGROUND: Bedford-Stuyvesant (BS) and Bushwick (BW) communities of Brooklyn, New York are the predominantly African-American and Hispanic neighborhoods within the main catchment area Memorial Sloan Kettering. Cancer is a leading cause of death, with a higher prostate (PCa) and colorectal cancer (CRC) mortality than New York City. Opportunity to design cancer interventions which leverage accessibility and acceptability of mobile health (mHealth) tools exists. METHODS: Cancer Health Impact Program (CHIP) was formed for this purpose...
February 7, 2019: Cancer Epidemiology, Biomarkers & Prevention
Akshay Sood, Xin Shore, Orrin Myers, Nour Assad, Charles Pollard, Linda S Cook
OBJECTIVE: To compare the prevalence of chronic obstructive pulmonary disease (COPD) between miners extracting coal versus other minerals. METHODS: The study population was based on New Mexico miners, mostly Hispanic and American Indian, attending a rural community-based mobile screening clinic program between 1989 and 2014. We compared self-reported symptoms, lung diseases, and spirometric patterns between 1,353 coal miners and 4,140 non-coal miners. RESULTS: Obstruction was the most common abnormal spirometric pattern among all miners (16...
January 17, 2019: Journal of Occupational and Environmental Medicine
Daisy Le, Linda Aldoory, Mary A Garza, Craig S Fryer, Robin Sawyer, Cheryl L Holt
BACKGROUND: Although Hispanic women have the highest cervical cancer incidence rate, African American women account for a disproportionate burden of cervical cancer incidence and mortality when compared with non-Hispanic white women. Given that religion occupies an essential place in African American lives, delivering health messages through a popular communication delivery channel and framing them with important spiritual themes may allow for a more accessible and culturally appropriate approach to promoting cervical cancer educational content to African American women...
March 29, 2018: JMIR Formative Research
Dawon Baik, Meghan Reading, Haomiao Jia, Lisa V Grossman, Ruth Masterson Creber
BACKGROUND: Symptoms of heart failure markedly impair a patient's health status. The aim of this study was to identify predictors of health status in a sample of racially and ethnically diverse patients with heart failure using a web-based mobile health application, mi.Symptoms. METHODS: We conducted a cross-sectional study at an urban academic medical center. Patients with heart failure self-reported symptoms using validated symptom instruments (e.g. patient-reported outcome measurement information system) by way of the mobile health application, mi...
January 25, 2019: European Journal of Cardiovascular Nursing
Christine B Williams, D Yvette LaCoursiere, Gregory A Talavera, Sheila Gahagan
Introduction Obesity rates among US Hispanic women and children are high. Childhood obesity prevention beginning prenatally is desirable, but studies show mixed results. Methods We tested a pilot intervention to promote optimal gestational and infant weight with primigravid Hispanic women at a Federally Qualified Health Center (FQHC) on the U.S.-Mexico border. The intervention included promotora-led exercise, nutrition, breastfeeding activities (n = 23), supported by text/social media messaging (text messaging prenatally, private Facebook page postnatally)...
January 2, 2019: Maternal and Child Health Journal
Hannah E Kling, Emily M D'Agostino, Ja'mese V Booth, Hersila Patel, Eric Hansen, M Sunil Mathew, Sarah E Messiah
INTRODUCTION: Many older adults are not physically active despite the well-documented health benefits of regular exercise. We examined cardiovascular, strength, and mobility outcomes among a sample of racially/ethnically diverse adults aged 55 or older participating in a community park-based physical activity program. METHODS: We assessed the following among adults aged 55 or older who attended a 1-hour park-based fitness class 2 or 3 times per week for 21 weeks: 1) 3 fitness outcomes, 2) systolic and diastolic blood pressure, 3) height and weight (to assess body mass index), and 4) pulse...
December 27, 2018: Preventing Chronic Disease
Elizabet Peraj, Maham R Subhani, Janet Jeong, Oren S Vaknin, John P Twarog
INTRODUCTION: According to the American Diabetes Association (ADA), patients with diabetes should receive annual foot exams from a HCP to identify and reduce risk factors for ulcers and other complications. Little is known regarding factors that may increase or decrease the likelihood of having an annual foot examination by a health care provider (HCP). METHODS: Cross-sectional analysis of 1830 patients age 20 years and older with a previous diagnosis of diabetes...
December 18, 2018: Primary Care Diabetes
Melissa C Kay, Jasmine Burroughs, Sandy Askew, Gary G Bennett, Sarah Armstrong, Dori M Steinberg
BACKGROUND: The prevalence of childhood obesity continues to increase, and clinic-based treatment options have failed to demonstrate effectiveness. One of the strongest predictors of child weight is parent weight. Parental treatment for weight loss may indirectly reduce obesity in the child. We have previously demonstrated the effectiveness among adults of a fully automated, evidence-based digital weight loss intervention (Track). However, it is unknown if it is feasible to deliver such a treatment directly to parents with obesity who bring their child with obesity to a weight management clinic for treatment...
December 20, 2018: Journal of Medical Internet Research
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...
January 9, 2019: 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...
November 2018: American Journal of Gastroenterology
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