Implications for GP endorsement of a diabetes app with patients from culturally diverse backgrounds: a qualitative study

2020 ◽  
Vol 26 (1) ◽  
pp. 52
Author(s):  
Julie Ayre ◽  
Carissa Bonner ◽  
Sian Bramwell ◽  
Sharon McClelland ◽  
Rajini Jayaballa ◽  
...  
Keyword(s):  
Health Literacy ◽  
Culturally Diverse ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Self Management ◽  
Participation Rates ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Language And Culture ◽  
Diverse Backgrounds

Although many diabetes self-management apps exist, these are not tailored for people from culturally and linguistically diverse (CALD) backgrounds. This study aimed to explore GP perceptions of how diabetes app features could help GPs better support their patients from CALD backgrounds. Twenty-five semi-structured interviews with GPs in Western Sydney explored attitudes towards a proposed app’s suitability for CALD patients. Interviews were audio-recorded, transcribed and coded using Framework Analysis. Theme 1 explored the implications of perceptions that patients’ health literacy is dependent on the language used. Theme 2 explored the influence of messaging from sources that share the patient’s language and culture (including misinformation from community sources). Theme 3 described the suitability of the app platform for CALD patients, and its potential challenges in this group. GPs perceived that a diabetes app could be useful for providing support to patients from CALD backgrounds. Findings suggest app features should be optimised to address existing challenges that GPs face and carefully consider strategies for recruiting CALD patients. It is important that GPs feel comfortable promoting an app to their CALD patients to help increase participation rates by people in the CALD community.

scholarly journals Self-management: its place in the management of chronic illnesses

2003 ◽  
Vol 26 (2) ◽  
pp. 34 ◽  
Author(s):  
Christine Walker ◽  
Hal Swerissen ◽  
John Belfrage
Keyword(s):  
Health System ◽  
Research Design ◽  
Linguistically Diverse ◽  
Chronic Illnesses ◽  
Culturally And Linguistically Diverse ◽  
Self Management ◽  
Medication Usage ◽  
Lengths Of Stay ◽  
Diverse Backgrounds

Self-management programs are now regarded as important facets in the overall care of people with chronic illnesses.They are seen as producing long-lasting benefits both to participants and to the health system in terms of reducedhospitalisations and reduced lengths of stay, as well as decreasing medication usage. In this article we examine whatconstitutes self-management and the evidence supporting the views that the benefits are unequivocal. We argue thatgreater attention to research design is required before the benefits can be assessed. We also argue that greater attentionmust be paid to access issues for people from culturally and linguistically diverse backgrounds (CALD) and lower socioeconomicstatus.

Sport Provision for Women of Minority Cultures in Australia: Whose Responsibility?

1997 ◽  
Vol 6 (2) ◽  
pp. 254-264 ◽  
Author(s):  
Kristine Toohey ◽  
Tracy Taylor
Keyword(s):  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Participation Rates ◽  
Research Project ◽  
Diverse Backgrounds ◽  
Minority Cultures ◽  
Women's Culture

This paper is a summary of a research project to investigate the relationships between women from culturally and linguistically diverse backgrounds and sport. A conflict between sport providers’ perceptions of the needs of women from culturally and linguistically diverse backgrounds and the views of the women themselves was found. Providers generally perceived the problem of low participation in sport as relating to the women’s culture (a cultural deficit explanation); whereas, the women interviewed mainly associated their low participation rates with non-inclusionary practices engaged in by providers.

‘Are we on the same wavelength?’ International nurses and the process of confronting and adjusting to clinical communication in Australia

2017 ◽  
Vol 13 (3) ◽  
pp. 263-274 ◽  
Author(s):  
Tonia Crawford ◽  
Peter Roger ◽  
Sally Candlin
Keyword(s):  
Communication Skills ◽  
Thematic Analysis ◽  
Care Setting ◽  
Linguistically Diverse ◽  
The Other ◽  
Culturally And Linguistically Diverse ◽  
Central Theme ◽  
Structured Interviews ◽  
Clinical Communication ◽  
Professional Experiences

Effective communication skills are important in the health care setting in order to develop rapport and trust with patients, provide reassurance, assess patients effectively and provide education in a way that patients easily understand (Candlin and Candlin, 2003). However with many nurses from culturally and linguistically diverse (CALD) backgrounds being recruited to fill the workforce shortfall in Australia, communication across cultures with the potential for miscommunication and ensuing risks to patient safety has gained increasing focus in recent years (Shakya and Horsefall, 2000; Chiang and Crickmore, 2009). This paper reports on the first phase of a study that examines intercultural nurse patient communication from the perspective of four Registered Nurses from CALD backgrounds working in Australia. Five interrelating themes that were derived from thematic analysis of semi-structured interviews are discussed. The central theme of ‘adjustment’ was identified as fundamental to the experiences of the RNs and this theme interrelated with each of the other themes that emerged: professional experiences with communication, ways of showing respect, displaying empathy, and vulnerability.

Gender Differences and Their Influences on T2DM Self-Management Among Spanish-Speaking Latinx Immigrants

2021 ◽  
pp. 154041532110117
Author(s):  
Cheryl A. Smith-Miller ◽  
Diane C. Berry ◽  
Cass T. Miller
Keyword(s):  
Gender Differences ◽  
Health Literacy ◽  
English Language ◽  
Educational Achievement ◽  
Self Management ◽  
Structured Interviews ◽  
Health Promoting Behaviors ◽  
History Of ◽  
Health Promoting ◽  
Excessive Alcohol

Introduction: Evidence suggests that gender may influence many aspects of type 2 diabetes (T2DM) self-management (SM) and we posit that limited English language–proficient Latinx immigrants face additional challenges. Methods: Instruments and semi-structured interviews were used to examine gender differences on health literacy, diabetes knowledge, health-promoting behaviors, diabetes, eating and exercise self-efficacy (SE), and T2DM SM practices among a cohort of limited English language–proficient Latinx immigrants. Statistical and qualitative analysis procedures were performed comparing males and females. Results: Thirty persons participated. Males tended to be older, have higher educational achievement, and more financial security than females. Physiologic measures tended worse among female participants. Health literacy and exercise SE scores were similar, but females scored lower on Eating and Diabetes SE. Forty-seven percent ( n= 9) of the women reported a history of gestational diabetes mellitus and a majority of men ( n = 7) cited difficulty with excessive alcohol. Consumption: Males appeared to receive more SM support compared to females. Females more frequently noted how family obligations and a lack of support impeded their SM. Work environments negatively influenced SM practices. Conclusion: Men and women have unique SM challenges and as such require individualized strategies and support to improve T2DM management.

Challenges in Service Provision to Children and Families from Linguistically Diverse Backgrounds

2021 ◽  
Vol 42 (05) ◽  
pp. 395-418
Author(s):  
Keisey Fumero ◽  
Michelle Torres-Chavarro ◽  
Carla Wood
Keyword(s):  
Service Provision ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Diverse Populations ◽  
Children And Families ◽  
Cultural Impact ◽  
Speech Language Pathologists ◽  
Diverse Backgrounds ◽  
Common Practices

AbstractThe purpose of this study was to examine and describe experiences and perceptions of speech-language pathologists (SLPs) serving children and families from culturally and linguistically diverse populations. Twenty SLPs were interviewed using an online audio platform regarding common practices, resources and supports, challenges, and communication. Participants' responses to the semi-structured questions were transcribed and analyzed to identify themes in experiences. Results suggested six overall themes including: considerations for assessment; cultural impact; linguistic access and barriers; professional preparedness; impact of COVID-19; and helpful tips and resources. The discussion includes recommendations and resources to address obstacles.

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