Those initiated by physicians were generally brief in duration and focused on training physicians in cultural tools or language acquisition. A monograph on effective services for minority children who are severely emotionally disturbed. Expanding access to cancer screening and clinical follow-up among the medically underserved. Trend toward improvement was found in asthma-related knowledge, self-efficacy, self-regulation adherence to pharmacotherapy, decreased frequency of symptoms, and increased prescription of controller medications by physicians. Similarities and differences across cultures:

A novel approach to nursing leadership in community health. Two found improvements in asthma self-management Bonner et al. Intervention incorporated peer educators, dietitians, nurses, and CHWs to educate patients on diabetes management; education program was performed via 52 one-hour-long sessions in Spanish and incorporating Mexican culture-specific messages. The rest of the studies measured health behavior. Medical Care Research and Review. Instead of debating the merit of a generic versus culturally leveraged intervention, the most important question may be what combination of interventions and ways of integrating culture into generic quality improvement are most likely to improve quality of care and outcomes.

Teachers & Staff

Equally important, early community involvement ensures more than superficial support from the community. Other guidance responsibilities included: The interventions clustered into three broad categories: Societal norms affect the model on multiple levels, because they can affect access to health care, create negative stereotypes that can discourage health-seeking behavior, or result in differential care within a health care organization.

Study Quality Articles included in the final analysis were reviewed for quality using multiple criteria, because of the difficulty in comparing and contrasting heterogeneous study approaches. Interventions to reduce racial and ethnic disparities in health care. Those initiated by physicians were generally brief in duration and focused on training physicians in cultural tools or language acquisition.

After training, the lay educators worked with the target communities to improve screening by increasing awareness and understanding of cancer screening. Physician-focused disparity education has often emphasized cultural competence training and demonstrated modest improvements in knowledge and attitudes Beach et al.


Students receive enrichment designed to support the Renaissance program, science, mathematics, integrated language arts, character education, Olweus Bully Prevention Program and test prep skills. Achieving cultural appropriateness in health promotion programs: Health Care Financing Review. Journal of Pediatric Health Care. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions.

Our Guidance department worked successfully with administration to implement whole school programs that created a climate of caring, respect and value within our school community. Lay health workers hold a key. For example, a health care organization that does not have the ability to identify and track its patients with diabetes would need to develop that capability first before embarking on a culturally tailored nurse case management system.

Resources & Information

Our guidance department continued to implement a whole school initiative to address anti-bullying entitled the Olweus Bully Program. HuangMarshall H. Through this program, the government has provided funding to offer training to help physicians, PAs and other clinicians adapt.

Physical-activity training for weight-loss in Latinas—A controlled trial. These community members were enlisted to share culturally specific information on health care practices such as breast and cervical cancer screening.

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ncks Encouraging Vietnamese-American women to obtain Pap tests through lay health worker outreach and media education. We also engaged in activities that promoted awareness and empowered students to make healthy life choices. African American improved maternal documentation of infant immunizations, more developmentally appropriate parenting expectations, and higher month infant mental development scores; for Latinas, improved maternal daily living skills and play materials.

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Health care interventions focused on the roles of nurses, counselors, and community health workers to deliver culturally tailored health information.


On the other hand, as frontline health professionals, nurses may be particularly sympathetic to the need to modify the existing health care delivery system or may recognize opportunities to link institutionally based care delivery with community-based organizations.

Second, multidisciplinary interventions incorporating doctors, nurses, and community health workers should be encouraged. Statistically significant difference in progression in stages of contemplations between patients and controls; accesd significant difference in actual rate of smoking cessation. MACRA is the mechanism that will gradually shift how we think about caring for our patients by offering reimbursement rewards or reductions based on where you are on the spectrum of change.

Oman, Pamela / Welcome

Effect of a media-led education campaign on breast and cervical cancer screening among Vietnamese-American women. Statistically significant improvement in mammography and breast cancer screening—related activities and knowledge in intervention group compared with controls but not more improvement than those who had no intervention at all.

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Culturally congruent health workers and information. In addition, we had access to the Atomic Learning website which provided a large online library of short easy to understand tutorials for using technology. Discussion We have synthesized the literature that describes and evaluates interventions that use cultural leverage to narrow disparities in health care. nmcs

The most important distinction among studies was that 6 of 38 studies were entirely descriptive and did not report on processes of care or health outcomes Brant, Fallsdown, and Iverson ; Doswell et al. Open in himework separate window.