The CAB members represent a diverse group of individuals. Most live in the county that they represent XX. A XX are self –report as female with the remainder self-reporting as male. A plurality of the members is from minority and under-resourced communities XX, with more minorities serving on the CRAB. The membership also has leaders from faith-based communities, LGBTQI, and patient advocates.
The CABs were successful in increasing bidirectional dialogues with researchers and community members. The CERAB assisted with securing national and state funding for projects related to uterine fibroids, vaccine preventable disease, Alzheimer’s disease, and other health-related conditions. The CRAB helped to increase the inclusion of diverse minorities
…show more content…
Table 2 provides details on the topics covered during the CAB meetings. Over of third of the projects reviewed during the CAB meetings related to study implementation. The topics covered were the inclusion of minorities into biomedical research, consenting, data management and analysis. Research study design for future studies involved research teams sharing ideas about future research topics and even receiving specific aims for grants. Discussions centered on funding mechanisms and application process like the National Institutes of Health and Patient Centered Outcomes Research Institutes. Mayo Clinic administrative and community group consultations occurred over the course of a number of meetings. This involved gaining insight on changes to research processes and members giving input on the local county health needs assessment requirements under the Affordable Care Act. Mayo Clinic staff provided training to the CAB members over the course of several meetings. The educational approach used blended learning with didactic and discussions around topics relating to biomedical research. Clinical and translational science faculty-led the educational sessions with additional sessions from the educational arm of the IRB and biomedical …show more content…
A plurality of projects presented the CABs related to the overall community and recruitment based on geographic location not just race, ethnicity or gender. Another focus of the projects related to directly to the CAB members perceptions of the growing health concerns and scientific educational needs of members. These topics also related to the appropriate methods and process for dissemination of findings back to the general public and patient communities. Minority and immigrant health, participation, and engagement in research was another area of focus for the CABs in both locations. A growing area of interest in the research arena is the involvement of patients and caregivers in research. A growing number of projects related directly to PCORI centered research study design and recruitment. In each of these examples, the CAB agreed to serve as the community advisory board for the studies presented and asked for the presenters to return for updates.
Insert Table 3
DISCUSSION/CONCLUSION
The CAB model accomplished the goals of increasing bi-directional dialogues, diversity, and inclusion in health-related research. Work is underway to explore ways to increase engagement of CAB members in time-limited mentoring roles for researchers to connect with communities
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
In the article “Culturally Targeted Educational Intervention to Increase Colorectal Health Awareness Among African Americans”, written by Phyllis Morgan, PhD, Joshua Fogel, PhD, Indira Tyler, MS, RN, and John Jones, MD, in 2009, CRC is evaluated in the African American community. The four, working with the Department of Nursing at Fayetteville State University in North Carolina, started a research project entitled “The Fayetteville Area Inter-Faith Commitment to Colorectal Health Awareness and Cancer Reduction in African Americans”, abbreviated “The F.A.I.T.H. Project”. The project’s intent was to increase CRC knowledge and increase CRC screening among African Americans. The doctors participating handed out educational programs to churches and community-based organizations. The study split up 539 African American men and women, all 50 years or older, into an intervention group and a control group. The intervention group received the 90 minute educational programs while the control group did not. To evaluate the effectiveness of the handouts, pre-test and post-test questionnaires were handed out to both groups. The study...
The main idea behind this discussion board is to plan care for patient with diverse background different from mine, describe components of conducting a comprehensive cultural assessment on Latino Americans, reflection of my own culture and how it impacts my attitude toward providing culturally diverse care, and creating of two nursing diagnosis that reflect cultural
The United States’ population is currently rising exponentially and with growth comes demographic shifts. Some of the demographics shifts include the population growth of Hispanics, increase in senior citizens especially minority elderly, increase in number of residents who do not speak English, increase in foreign-born residents, population trends of people from different sexual orientation, and trends of people with disabilities (Perez & Luquis, 2009). As a public health practitioner, the only way to effectively eliminate health disparities among Americans, one must explore and embrace the demographic shifts of the United States population because differences exist among ethnic groups (Perez, 2009). We must be cognizant of the adverse health conditions for each population and the types of socioeconomic factors that affect them. Culture helps shape an individual’s health related beliefs, values, and behaviors. It is more than ethnicity and race; culture involves economic, political, religious, psychological, and biological aspects (Kleinman & Benson, 2006). All of these conditions take on an emotional tone and moral meaning for participants (Kleinman & Benson, 2006). As a health professional, it is one’s duty to have adequate knowledge and awareness of various cultures to effectively promote health behavior change. Cultural and linguistic competencies through cultural humility are two important aspects of working in the field of public health. Cultural competency is having a sense of understanding and respect for different cultural groups, while linguistic competency is the complete awareness of the language barriers that impact the health of individuals. These concepts are used to then work effectively work with various pop...
"Eliminating Racial and Ethnic Disparities in Health." Public Health Reports. July/August 1998: 372 EBSCOhost. Available <http://www.epnet.com/ehost/login.html>. (11 February 1999)
Health, U.S. Department of Health and Human Services Office of Minority. "U.S. Census Bureau Report." 2007. OMH - Office of Minority Health. 3 December 2011 .
Spector, R. E. (2009). Health and illness in the American Indian and Alaska native population. Cultural Diversity in Health and Illness (7th ed.). (pp. 204-228). Upper Saddle River, NJ: Prentice Hall.
The office of minority health. (2013). U.S. department of health & human service. Retrieved from http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=11
The National Healthcare Quality and Disparities Report (NHQDR) (2012) identified three key themes. The themes are health care quality and access are suboptimal, especially for minority and low income groups; overall quality is improving, access is getting worse and disparities are not changing; and urgent attention is warranted to ensure continued improvements in: quality diabetic care, maternal and child health, adverse events, disparities in cancer care and quality care among the states in the south.
According to the federal Agency for Healthcare Research and Quality, they have assessed the nation’s health system annually since 2003, reported that, in 2015 the health care delivery system has made progress to achieve the three aims of better care, smarter spending, and healthier people (City of White Plains Health Equity Report, 2017). However, they continue to promote health equality and reach the goal of New York State being the healthiest. But most importantly aiming to reduce or eliminate racial, ethnic, and socioeconomic health
West, S. L., & O'Neal, K. K. (2004). Project D.A.R.E. outcome effectiveness revisited. American Journal of Public Health. doi:10.2105/AJPH.94.6.1027
I agree PARiHS and the RE-AIM fits perfectly for your problem statement. I currently work at a research facility and would like pursue clinical research as career. Thus, I understand the importance of research in any situation or problem. Research implementation is a crucial element in your problem statement. Finding the applicable research/ clinical evidence such as vitamin D’s impact on reducing uterine fibroid in female patients, and then implementing this to a specific population, African American women, is the ideal method.
In an environment that deals with a vast amount of the diverse population, culture is very important. In fact, many healthcare organizations benefit immensely from the impact of culture in a diverse setting. One benefit of this setting is that culture provides guidelines for employees, patients, doctors, visitors, and others that utilize these facilities. Healthcare organizations set the foundation of their companies using cultural beliefs, values, and a code of conduct to create a diverse and accepting workplace.
Colbert, B., Ankney, J., Wilson, J., & Havrilla, J. (2012). An integrated approach to health sciences . (2nd ed., p. 353). Cifton Park, NY: Delmar Cengage Learning.
In summary, this independent project has just begun my study of Medical Anthropology and has established a solid background to further my progress toward reaching one of my professional goals: to be a collaborative healthcare provider. This goal will be further developed as I begin the nursing program at St. Olaf's College next fall.