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Ethnicity and immunization compliance
Title
Ethnicity and immunization compliance.
Creator
Spitznagle, Carol Lee., Florida Atlantic University, Hayes, Janice S.
Abstract/Description
This study examined the relationship between ethnicity and parents' compliance with immunizations of their children. Recent studies have shown that compliance rates for immunizations of children who were two years of age were below the standards set by the American Academy of Pediatrics due to both health system barriers and family/child barriers. A survey of pediatric patients was conducted utilizing a convenience sample of 66 parents of children between the ages of twenty and twenty-eight...
Show moreThis study examined the relationship between ethnicity and parents' compliance with immunizations of their children. Recent studies have shown that compliance rates for immunizations of children who were two years of age were below the standards set by the American Academy of Pediatrics due to both health system barriers and family/child barriers. A survey of pediatric patients was conducted utilizing a convenience sample of 66 parents of children between the ages of twenty and twenty-eight months. The subjects were interviewed to determine factors affecting immunization compliance, including cultural factors consistent with the theoretical framework of Madeline Leininger. The statistical analysis of the sample responses revealed an ethnically diverse sample of two year old hospitalized children whose immunization compliance was 53%. No statistically significant correlations (≤0.05) were noted among the socioeconomic, system barriers, or educational barriers when compared among the ethnic groups in the study, however trends were demonstrated.
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Date Issued
1999
PURL
http://purl.flvc.org/fcla/dt/15642
Subject Headings
Immunization of children, Ethnicity, Health attitudes, Patient compliance
Format
Document (PDF)
Ethnography of Adherence to Plans of Care in the HIV Positive Patient
Title
Ethnography of Adherence to Plans of Care in the HIV Positive Patient.
Creator
Saslo, Mark Christopher, Chase, Susan, Florida Atlantic University
Abstract/Description
Human Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay...
Show moreHuman Immunodeficiency Virus (HIV) results in a decline in the body's ability to fight infection as the illness progresses. Events contributing to disease progression include the emergence of viral mutations and loss of T -helper cells. This results in a decline in overall physical well-being. One explanation for this occurrence is lack of adherence with recommended treatment plans that can result in viral mutations and replication. The health care team establishes a plan to prevent or delay this decline in health. Can clinicians expect absolute commitment to plans of care without their knowing their effects on patients' life? This study was conducted to answer the research question, "What is the culture of living with HIV as it shapes adherence to plans of care for patients in south Florida?" in order to understand HIV positive patients' responses to managing complex medical regimens. In an effort to understand the life-world and experiences of patients who are HIV positive, an ethnographic study was conducted to explore how patients manage the daily demands of living with IDV. In addition, environment of care was observed to determine if it influenced adherence to medications and plans of care. Through the use of ethnography, interviews of IDV positive patients were conducted, several of whom had significant adherence issues and one person who might be considered an ideal patient. Several different settings were included in the research to determine what impact environment had on patients' adherence to medications and plans of care. Fear, trust, self-worth, literacy, financial and disease specific themes emerged and lead to the development of a model for adherence to plans of care for IDV positive patients. This model may enhance clinician/patient collaboration to achieve maximized health and delay progression of mv disease.
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Date Issued
2007
PURL
http://purl.flvc.org/fau/fd/FA00000624
Subject Headings
Patient compliance, Chronic diseases--Treatment, AIDS (Disease)--Treatment--Psychological aspects, Outcome assessment (Medical care)
Format
Document (PDF)
Cognition and adherence in older adults undergoing hemodialysis
Title
Cognition and adherence in older adults undergoing hemodialysis.
Creator
Hain, Debra J., Florida Atlantic University, Liehr, Patricia
Abstract/Description
Background. Adherence to the behavioral change component of the hemodialysis regimen is difficult for many reasons; when individuals fail to adhere, the nurses often become frustrated and individuals may be labeled nonadherent leading to inappropriate interventions. As the number of older adults starting hemodialysis increases, one contributing factor to nonadherence in this population may be cognitive impairment. Objective. The overall purpose of the study was to explore differences in...
Show moreBackground. Adherence to the behavioral change component of the hemodialysis regimen is difficult for many reasons; when individuals fail to adhere, the nurses often become frustrated and individuals may be labeled nonadherent leading to inappropriate interventions. As the number of older adults starting hemodialysis increases, one contributing factor to nonadherence in this population may be cognitive impairment. Objective. The overall purpose of the study was to explore differences in global cognition, in self-report cognition, and in language ability relative to adherence in a sample of older adults undergoing hemodialysis. Methods. This pilot study examined the differences in cognition and adherence of older adults (≥60 years) undergoing out-patient hemodialysis three times a week for at least one year. Nonprobability purposive sampling was used to obtain a sample from multiple centers which offered a diverse sample of study participants (n=63). Stories of the challenges of making life style changes were audiotaped and analyzed with linguistic analysis and word count (LIWC) software and various standardized instruments that measure global cognition (3MS and MMSE), self-report cognition (KDQOL-CF) and language ability (COWA, subsets of BDAE Reading: Sentence and Paragraph and BDAE Complex Ideation) were administered during hemodialysis. Determination of adherence or nonadherence (based on literature) was completed as the last activity of data collection. Results. Statistical significance was not achieved when exploring the difference of global cognition, self-report cognition, and language ability relative to adherence (p > .05). A relationship between structural elements of big words, cognitive process and insight words used in story and measures of adherence was revealed (p < .05). Although statistical significance was not reached the descriptive data supports that a relationship between cognitive impairment and measures of adherence were present across groups. The majority (64%) of nonadherent participants had cognitive impairment; 34% of the middle group and 5% of the adherent group had cognitive impairment. Discussion. Cognitive impairment is prevalent among older adults undergoing hemodialysis, however a relationship between cognitive impairment and adherence was not revealed in this study. This may be the result of the small sample size and adherence markers that were not sensitive in this population. This preliminary work offered a descriptive foundation which generated more questions that may be answered with further research.
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Date Issued
2006
PURL
http://purl.flvc.org/fcla/dt/12211
Subject Headings
Hemodialysis--Psychological aspects, Chronic renal failure--Patients--Rehabilitation, Adjustment (Psychology), Cognition in old age, Patient compliance, Clinical health psychology
Format
Document (PDF)
big cold: Health beliefs of elderly Haitians related to influenza immunizations
Title
The big cold: Health beliefs of elderly Haitians related to influenza immunizations.
Creator
Adonis-Rizzo, Marie Tamara., Florida Atlantic University, Jett, Kathleen F.
Abstract/Description
Influenza is responsible for 20,000 deaths per year in the United States, with adults 65 and older accounting for most of these deaths. In this qualitative study, ten Haitian elders were interviewed in Creole and data were hand-written and simultaneously translated in English, to better understand their health beliefs regarding influenza immunizations. Purnell's model (1998) of Cultural Competence was utilized as organizing framework for description of the sample, analysis and discussion....
Show moreInfluenza is responsible for 20,000 deaths per year in the United States, with adults 65 and older accounting for most of these deaths. In this qualitative study, ten Haitian elders were interviewed in Creole and data were hand-written and simultaneously translated in English, to better understand their health beliefs regarding influenza immunizations. Purnell's model (1998) of Cultural Competence was utilized as organizing framework for description of the sample, analysis and discussion. Several themes emerged during thematic analysis of the participants' responses. Participants identified influenza as a "big cold" which can initially be prevented with traditional home remedies and practices as well as with prayers. Lack of knowledge of the vaccine, uncertainty of the effectiveness of the vaccine, reliance on the recommendations of their children, doctors, and as well as the researcher, and lack of access were all factors reported as affecting their acceptance of the vaccine.
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Date Issued
2004
PURL
http://purl.flvc.org/fcla/dt/13186
Subject Headings
Immunization of older people--Florida, Health promotion--United States, Transcultural medical care--United States, Health attitudes, Patient compliance, Haitian Americans--Medical care--Florida
Format
Document (PDF)