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Dissertation
Preventive Care Program on Asian Americans in a Senior Care Center
Doctor of Nursing Practice (D.N.P.), Drexel University
2016
DOI:
https://doi.org/10.17918/etd-6969
Abstract
Background: Preventive care practices among Asian Americans continue to be low despite the fact that most insurance companies including Medicare and Medicaid cover the cost for these services. Current evidence suggests that community-based interventions are effective in improving the uptake of clinical preventive services. The role of senior care centers in improving preventive care practices among older adults needs to be explored. Purpose: This doctoral project sought to improve compliance on current preventive care practices among older Chinese and Korean Americans through health education, overcoming barriers and use of nurse navigators in a local senior care center. Methods: A cluster randomized controlled trial was utilized to recruit volunteer participants in a local senior care center. Seniors were able to participate if they are either Chinese or Korean and do not have a history of dementia. Subjects assigned to the intervention group (n = 31) received a private, individualized 20-minute screening and education session. Those assigned to the control (n = 30) were educated and screened as a group via a 20-minute session. After completion of preventive screening and education, participants were scheduled for a follow up appointment with their PCP for the recommended disease screening and immunizations. Results: The program identified several barriers in completing shingles and tetanus booster immunizations. Aside from a culturally tailored, language concordant navigator program, an immunization clinic was held to augment the barriers. The program improved the tetanus and shingles completion rates. Among those who has not had shingles vaccine, group education provided the most impact in completion of the recommended vaccine (p=0.00). There was no statistical difference between group and individualized education among the participants who has not had the tetanus booster vaccine (p=0.09). Conclusion: Compliance of preventive screening practices can be improved by utilizing nurse navigators and culturally tailored program that are specifically designed to overcome personal and system barriers.
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Details
- Title
- Preventive Care Program on Asian Americans in a Senior Care Center
- Creators
- Ma. Kristina Martinez - DU
- Contributors
- Patti Rager Zuzelo (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6969; 991014632837504721