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Date Created: 01/04/15
Chapter 6 1 9 Identify the purpose for planning models Assist with understanding the causes of behaviors predicting behaviors amp evaluating programs Models are a starting place on which to build Describe the Health Belief Model and PRECEDE PROCEED Models with their constructs and how they can be utilized when working with diverse populations PRECEDE predisposing factors PROCEED implementation process evaluation impact evaluation outcome evaluation Identify methods for delivering health information with important considerations when working with diverse populations Delivering culturally sensitive communications Successful delivery modalities promotores fotonovelas targeted messages in media Identify what health communication strives to do Raise awareness of health risks and provide solutions Provide positive motivation amp skills Helps individuals find sources of care and support Increase demand for health services while decreasing demand for inappropriate services Help people make complex health related choices Influence public agenda promoting positive change Improves delivery of services Identify and define the attributes of health communication Table 62 p 157 Accuracy valid availability accessible balance consistency cultural competence evidence based reach reliability Two issues to consider with printed material Literacy level and language Identify two ways to check literacy level as discussed in class Be able to identify a readability level when given a printed document Fry Readability Graph Fesch Kincaid Grade Level Identify the steps for program evaluation Engage stakeholders Describe program Focus the evaluation design Gather credible evidence Justify conclusions Ensure us and share the lessons learned Identify the difference between traditional and multicultural evaluation Table 63 Chapter 13 1 Identify the six focus areas in which racial and ethnic minorities experience serious disparities according to The US Department of Health and Human Services HHS Infant mortality Cancer screening and management Cardiovascular disease Diabetes HIV infection and AIDS Immunizations 2 Identify 5 strategies with examples on how to reduce or eliminate health disparities textbook Research improving environments of people affected by health disparities increasing access to health care improving quality of care policy changes and laws 3 Identify 5 practices that a culturally competent organization strives to do according to the National CASA Association Values diversity Conducts cultural sef assessments Is conscious of and manages dynamics of difference Institutionalizes cultural knowledge Adapts services to fit the cultural diversity of the community served Terminology Be able to define andor use within a given scenario Cultural blindness some cultural awareness developed but not a primary factor Cultural competence set of congruent behaviors attitudes structures and policies that come together to work effectively in intercultural situations Cultural proficiency designimplementation of evaluation methods fundamentally honoraccount for diverse cultural factors Cultural sensitivity cultural considerations begin to be incorporated into evaluation models Digital divide inequality regarding access to electronic information sources Fotonovela comic book ike to portray information Health disparity differences in the incidence prevalence mortality amp burden of cancer and related adverse health conditions that exist among specific population groups in the US Promotores community members whose standing makes them effective promoters of positive health practices Telemedicine incentives and competitive salaries to providers who work with low income Asian American Diabetes More research and access to care Word of mouth pamphlets advertising Health belief model H HIVAIDS Social online group counseling Expanded Testing Initiative Enhance Comprehension HIV Preventative Programming Health belief model Veterans mental disorders Increasing quality and access VA office of patient center for care Homeless veterans rehabilitation program Amish immunizations Increasing access to care Going to health care provider Cultural Group History Health amp Illness Beliefs Behavioral Risk Factors Common Health Problems Hispanic amp Latin American 1848 existence in US Fastest growing Every 1 in 4 in year 2050 Mexicans66 will be Hispanic Cali New Mexico Arizona Nevada Texas High discrimination US born Mexicans more likely to finish high school Family orientated Spirits and God Holt amp cold remedies herbal medicines Balance between good amp evil Illness caused by bad spirits Very hygienic Humoral pathology Alcoholism and obesity High drug rates HIV amp diabetes Increased mortality Males high alcohol consumption Low poverty Diet High rate of obesity 23 males 38 females High alcohol consumption American Indian amp Alaska Native Descended from 1st humans to migrate to N America Viewed as a problem by Europeans Removal Act 1834 pushed westward 1924 granted US citizenship Health process of staying strong mentally physically amp emotionally Illness caused by spirit qualities and personal responsibility Plants herbs shaman spiritual healing healing ceremonies sweat lodges holitstic approaches stones talking circles Seatbelt nonuse tobacco amp alcohol use heart disease malignant neoplasms suicide obesity unhealthy diets high mental illnesses Stomach amp liver cancer diabetes infant mortality obesity due to diet higher HIVAIDS rates African American Slavery 1500s 15 17 1st African Americans brought to colonies 16 million migrated during 16 century Civil War 18611865 Civil Rights Era Separate health into natural and unnatural Prayers voodoo herbal spiritual healing Mistrust with common health system Accept larger body sizes obesity high fat diets high rates of hypertension Smoking drinking cancer diabetes HIV AIDS STDs Homicide 1524 yrs old related to alcohol Heart disease females Cancer Males Heart disease is leading cause of death Asian American amp Pacific Islander Overpopulation war plantations Hawaii 1959 became a state Chinese largest group Traditional beliefs Balance in body Holistic healing Avoid doctors language deportation Lack of exercise High risks of cancer heart disease stroke obesity diabetes HIVAIDS Smoking N Koreans Alcohol Iapanese Silent heart attacks COPD hepatitis B Lactose intolerant Diabetes obesity cardiovascular disease cancer Cultural Group History Health amp Illness Beliefs Behavioral Risk Factors Common Health problems Non ethnic group Nonspecific High mental disorder drug Alcoholism drug use LGBT Stone wall riots 1969 Avoid health care due to fear of use suicide rates 1973 homosexuality discrimination insurance denials Lesbians don39t get papsmeres mental disorder because they think they aren39t 2009 outlied in states sexually activeincrease DOMA prevents civil rights cervical cancer for LGBT group Veterans Don39t ask don39t tell Taught to be tough fight through Lack of insurance PTSD hearing issues White males highest group pain don39t baby it Foreign diseases traumatic brain injuries Non ethnic 23 are homeless depression amputations increase use of drugs alcohol systemic sepsis tobacco Amish 18th century Sin is the root of all illness Drug and alcohol use Cardiovascular disease Simple living 70 of Amish live in Indiana Pennsylvania Ohio God is in all things Lack of trust with doctors Don39t see physicians Don39t believe in immunizations Rumspringa High carb high fat
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