scholarly journals Medical mistrust and patient satisfaction with mammography: the mediating effects of perceived self-efficacy among navigated African American women

2014 ◽  
Vol 18 (6) ◽  
pp. 2941-2950 ◽  
Author(s):  
Yamile Molina ◽  
Sage Kim ◽  
Nerida Berrios ◽  
Elizabeth A. Calhoun
Keyword(s):  
African American ◽  
Patient Satisfaction ◽  
African American Women ◽  
Self Efficacy ◽  
Medical Mistrust ◽  
Mediating Effects ◽  
American Women

A Pilot Study of a Culturally Grounded Breastfeeding Intervention for Pregnant, Low-Income African American Women

2018 ◽  
Vol 34 (3) ◽  
pp. 478-484
Author(s):  
Rebecca Reno
Keyword(s):  
African American ◽  
Pilot Study ◽  
African American Women ◽  
Health Equity ◽  
Low Income ◽  
Self Efficacy ◽  
Short Form ◽  
Assessment Process ◽  
American Women ◽  
Significant Difference

Background: Increasing breastfeeding rates among low-income African American women may work toward the achievement of health equity. The dynamic breastfeeding assessment process (D-BAP) is a community-grounded, equity-focused intervention designed to increase prenatal breastfeeding self-efficacy. Research aim: The aims of the pilot study were (a) to determine the effect of the D-BAP on breastfeeding self-efficacy among pregnant, low-income African American women, (b) to examine the findings among women with no previous breastfeeding experience, and (c) to compare the findings between women with prior breastfeeding experience and those without it. Methods: A pre/post, paired-samples design was utilized. Convenience sampling was used to recruit pregnant, low-income African American women ( N = 25). Participants completed the Breastfeeding Self-Efficacy Scale–Short Form prior to and following the D-BAP. Results: The Wilcoxon signed rank test indicated that participation in the D-BAP had a statistically significant influence on breastfeeding self-efficacy ( z = −2.01, p = .04). Among a subsample of participants with no previous breastfeeding experience ( n = 12), completion of the D-BAP resulted in a statistically significant increase in breastfeeding self-efficacy ( z = −2.36, p = .02). There was no statistically significant difference between those with prior breastfeeding experience and those without it. Conclusion: Breastfeeding among low-income African American women is a health equity issue for which culturally responsive, effective breastfeeding interventions are needed. This research demonstrates an association between completion of the D-BAP and an increase in prenatal breastfeeding self-efficacy.

Diabetes Self-Management Education and Self-Efficacy Among African American Women Living With Type 2 Diabetes in Rural Primary Care

2017 ◽  
Vol 10 (1) ◽  
pp. 11-16
Author(s):  
Cynthia Harrington ◽  
Heather D. Carter-Templeton ◽  
Susan J. Appel
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
African American Women ◽  
Health Care Providers ◽  
Self Efficacy ◽  
Self Management ◽  
Health Clinic ◽  
Care Providers ◽  
American Women

African American women suffer the highest prevalence of type 2 diabetes (T2D). Self-efficacy is important for optimal diabetes self-management (DSM). Purpose: To evaluate DSM by comparing pre- and postintervention responses to a diabetes self-efficacy scale. Design: Descriptive pilot study. Sample: Participants for this study were N = 15 African American women aged 25–65 years (M = 47.4 years) and recruited from a rural health clinic in the Southeastern United States, who received a 4-hr DSM class. Method: Data were collected using the Stanford Self-Efficacy for Diabetes (SED). Results: The increase in the pre- and posttest SED scores were statistically significant, (p < .001). Implications for Nursing: Health care providers should tailor a diabetes education program for these individuals living with T2D. Through a collaborative patient–provider relationship to care, individuals may ultimately experience increased self-efficacy leading to improved DSM.

The Relationship Between Achievement of Walking Goals and Exercise Self-Efficacy in Postmenopausal African American Women

2008 ◽  
Vol 24 (4) ◽  
pp. 305-314 ◽  
Author(s):  
Bernadette R. Williams ◽  
Janet R. Bezner ◽  
Steven B. Chesbro ◽  
Ronnie Leavitt
Keyword(s):  
African American ◽  
African American Women ◽  
Self Efficacy ◽  
American Women ◽  
The Relationship

Mediating Effects of Existential and Religious Well-Being Among Abused, Suicidal African American Women

2015 ◽  
Vol 31 (3) ◽  
pp. 315-323 ◽  
Author(s):  
Nicole L. Fischer ◽  
Dorian A. Lamis ◽  
Marissa N. Petersen-Coleman ◽  
Carla S. Moore ◽  
Huaiyu Zhang ◽  
...  
Keyword(s):  
African American ◽  
African American Women ◽  
Well Being ◽  
Mediating Effects ◽  
American Women

Factors Distinguishing Positive Deviance Among Low-Income African American Women: A Qualitative Study on Infant Feeding

2016 ◽  
Vol 33 (2) ◽  
pp. 368-378 ◽  
Author(s):  
Cecilia E. Barbosa ◽  
Saba W. Masho ◽  
Kellie E. Carlyle ◽  
Maghboeba Mosavel
Keyword(s):  
African American ◽  
African American Women ◽  
Infant Feeding ◽  
Low Income ◽  
Self Efficacy ◽  
Formula Feeding ◽  
Short Term ◽  
American Women ◽  
Breastfeeding Intention ◽  
Breastfeeding In Public

Background: Positive deviant individuals practice beneficial behaviors in spite of having qualities characterizing them as high risk for unhealthy behaviors. Objective: This study aimed to identify and understand factors distinguishing low-income African American women who breastfeed the longest (positive deviants) from those who breastfeed for a shorter duration or do not breastfeed. Methods: Seven mini-focus groups on infant-feeding attitudes and experiences were conducted with 25 low-income African American women, grouped by infant-feeding practice. Positive deviants, who had breastfed for 4 months or more, were compared with formula-feeding participants who had only formula fed their babies and short-term breastfeeding participants who had breastfed for 3 months or less. Results: Positive deviant women had more schooling, higher income, breastfeeding intention, positive breastfeeding and unfavorable formula-feeding attitudes, higher self-efficacy, positive hospital and Special Supplemental Nutrition Program for Women, Infants, and Children experiences, more exclusive breastfeeding, and greater comfort breastfeeding in public. Short-term breastfeeding women varied in breastfeeding intention and self-efficacy, seemed to receive insufficient professional breastfeeding support, and supplemented breastfeeding with formula. Some showed ambivalence, concern with unhealthy behaviors, and discomfort with breastfeeding in public. Formula-feeding women intended to formula feed, feared breastfeeding, thought their behaviors were incompatible with breastfeeding, were comfortable with and found formula convenient, and received strong support to formula feed. Conclusion: Tapping into the strengths of positive deviants; tailoring interventions to levels of general and breastfeeding self-efficacy; increasing social, institutional, and community supports; and removing inappropriate formula promotion may offer promising strategies to increase breastfeeding among low-income African American women.

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