Stacey L. Schepens Niemiec, Mike Carlson, Jenny Martínez, Laura Guzmán, Anish Mahajan, Florence Clark; Developing Occupation-Based Preventive Programs for Late-Middle-Aged Latino Patients in Safety-Net Health Systems. Am J Occup Ther 2015;69(6):6906240010. https://doi.org/10.5014/ajot.2015.015958
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© 2021 American Occupational Therapy Association
Latino adults between ages 50 and 60 yr are at high risk for developing chronic conditions that can lead to early disability. We conducted a qualitative pilot study with 11 Latinos in this demographic group to develop a foundational schema for the design of health promotion programs that could be implemented by occupational therapy practitioners in primary care settings for this population. One-on-one interviews addressing routines and activities, health management, and health care utilization were conducted, audiotaped, and transcribed. Results of a content analysis of the qualitative data revealed the following six domains of most concern: Weight Management; Disease Management; Mental Health and Well-Being; Personal Finances; Family, Friends, and Community; and Stress Management. A typology of perceived health-actualizing strategies was derived for each domain. This schema can be used by occupational therapy practitioners to inform the development of health-promotion lifestyle interventions designed specifically for late-middle-aged Latinos.
A data-based schema has been generated that can be used by occupational therapy practitioners as a foundation for designing patient-centered OTHP interventions.
The subjectively valued domains and strategies we extracted can be readily expanded into learning modules by searching the literature for evidence-based best practices and incorporating them into session protocols as needed.
The detailed description of self-identified health concerns of the late-middle-aged Latino population presented can enrich the understanding of all occupational therapy practitioners working with this demographic.
The findings demonstrate the need for sophisticated clinical judgment in assessing the complexity of issues that affect the health of this population.
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