Mexican-American acculturation, counselor ethnicity and cultural sensitivity, and perceived counselor competence.

1992 ◽  
Vol 39 (4) ◽  
pp. 515-520 ◽  
Author(s):  
Donald R. Atkinson ◽  
Antonio Casas ◽  
José Abreu
1994 ◽  
Vol 20 (3) ◽  
pp. 221-227 ◽  
Author(s):  
Terri Schwab ◽  
Julie Meyer ◽  
Rosa Merrell

Adherence to the treatment regimen for patients with diabetes is of major concern to healthcare practitioners, particularly when dealing with the high-risk, low-income, Mexican-American population. Assessing the attitudes and beliefs of this group is vital for planning effective and realistic intervention strategies. Therefore, we designed a culturally sensitive instrument to measure health beliefs and attitudes of low-income Mexican Americans with diabetes. The Health Belief Model (HBM) was used as a basis for this study because it is well accepted as a predictor of health-related behaviors. However, we found that the HBM was not an effective tool for assessing the health beliefs or attitudes of this patient population even after rigorous efforts to operationalize the HBM and after conducting extensive statistical analyses. Only two of the five subscales of the traditional HBM, barriers and benefits, were reliable. Scales to measure acculturation and fatalism were added to increase the cultural sensitivity of the tool. These added components were found to be an important variable in interpreting the results for low-income Mexican-American patients.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S597-S597
Author(s):  
Kimberly D Shea ◽  
Kimberly D Shea

Abstract In 10 years, the United States will experience a “dependency” ratio of one working age adult (20-64 years old) to one non-working person (> 65 or 85 years old will comprise 19 million of the non-working people (US Census Bureau, 2008). Busy working adults will have to be vigilant to determine when to make life-changing decisions about health and safety issues for people that depend on them. Older adults have gradual and cumulative physical and/or psychological aging changes or can experience significant events. Knowing when to make a life-changing decision, such as when to intervene with independent living due to safety risks, is difficult even when situations have constant vigilance. Eventually, older adults experience a seemingly abrupt, sudden and absolute point where a life changing decision must be made. This is the Tipping Point. Health data, derived from unobtrusive wearable sensors, are algorithmically synthesized to provide critical information on impending concerns via an electronic portal will help the busy working adult to predict and prevent the Tipping Point. This application of precision health care results in targeted and personalized education thus avoiding a potentially catastrophic Tipping Point. This symposium provides insight into five aspects of the Tipping Point: 1) significance of identification, 2) theoretical foundation for environmental and cultural sensitivity, 3) feasibility outcomes from a Mexican American population, 4) methodology for synthesizing quantitative metrics from multivariate streams of data, 5) creation of a culturally sensitive electronic portal to display predictive information and education about consequences


Author(s):  
Catherine J. Crowley ◽  
Kristin Guest ◽  
Kenay Sudler

What does it mean to have true cultural competence as an speech-language pathologist (SLP)? In some areas of practice it may be enough to develop a perspective that values the expectations and identity of our clients and see them as partners in the therapeutic process. But when clinicians are asked to distinguish a language difference from a language disorder, cultural sensitivity is not enough. Rather, in these cases, cultural competence requires knowledge and skills in gathering data about a student's cultural and linguistic background and analyzing the student's language samples from that perspective. This article describes one American Speech-Language-Hearing Association (ASHA)-accredited graduate program in speech-language pathology and its approach to putting students on the path to becoming culturally competent SLPs, including challenges faced along the way. At Teachers College, Columbia University (TC) the program infuses knowledge of bilingualism and multiculturalism throughout the curriculum and offers bilingual students the opportunity to receive New York State certification as bilingual clinicians. Graduate students must demonstrate a deep understanding of the grammar of Standard American English and other varieties of English particularly those spoken in and around New York City. Two recent graduates of this graduate program contribute their perspectives on continuing to develop cultural competence while working with diverse students in New York City public schools.


Addiction ◽  
1997 ◽  
Vol 92 (12) ◽  
pp. 1705-1716 ◽  
Author(s):  
Sandra K. Burge ◽  
Nancy Amodei ◽  
Bernice Elkin ◽  
Selina Catala ◽  
Sylvia Rodriguez Andrew ◽  
...  

1996 ◽  
Vol 41 (1) ◽  
pp. 40-41
Author(s):  
Howard R. Hall

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