Re-Visioning Immigrant Couple Therapy: Immigrant Couples in the United States and Telebehavioral Health

2021 ◽  
pp. 106648072110000
Author(s):  
Afarin Rajaei ◽  
Bahareh Sahebi
Keyword(s):  
United States ◽  
Health Care ◽  
Access To Care ◽  
Couple Therapy ◽  
The United States ◽  
Traditional Health ◽  
Telebehavioral Health ◽  
Traditional Health Care ◽  
Immigrant Couples ◽  
Improve Health

This article aimed to address the following question: In what specific ways, can couple therapists improve their work with immigrant couples via telebehavioral health (TBH)? This article offers perspectives from experience working with immigrant couples via telehealth, which include key barriers to using in-person therapy for immigrant couples, the effectiveness of TBH for immigrant couples, and consideration for couple therapists as they venture into TBH with immigrant couples. With a focus on the expansion of services, one way to improve health equity for immigrant couples and bridge the gap between the traditional health care system and couples in undeserved communities is by developing TBH systems, which may lead to increase access to care for clients as well as expand provider options and resources.

scholarly journals Hypertension Control in the United States 2009 to 2018: Factors Underlying Falling Control Rates During 2015 to 2018 Across Age- and Race-Ethnicity Groups

Hypertension ◽  
2021 ◽  
Author(s):  
Brent M. Egan ◽  
Jiexiang Li ◽  
Susan E. Sutherland ◽  
Michael K. Rakotz ◽  
Gregory D. Wozniak
Keyword(s):  
United States ◽  
Blood Pressure ◽  
Health Care ◽  
Access To Care ◽  
Odds Ratio ◽  
Treatment Effectiveness ◽  
The United States ◽  
Hypertension Control ◽  
Race Ethnicity ◽  
Hispanic White

Hypertension control (United States) increased from 1999 to 2000 to 2009 to 2010, plateaued during 2009 to 2014, then fell during 2015 to 2018. We sought explanatory factors for declining hypertension control and assessed whether specific age (18–39, 40–59, ≥60 years) or race-ethnicity groups (Non-Hispanic White, NH [B]lack, Hispanic) were disproportionately impacted. Adults with hypertension in National Health and Nutrition Examination Surveys during the plateau (2009–2014) and decline (2015–2018) in hypertension control were studied. Definitions: hypertension, blood pressure (mm Hg) ≥140 and/or ≥90 mm Hg or self-reported antihypertensive medications (Treated); Aware, ‘Yes” to, “Have you been told you have hypertension?”; Treatment effectiveness, proportion of treated adults controlled; control, blood pressure <140/<90. Comparing 2009 to 2014 to 2015 to 2018, blood pressure control fell among all adults (−7.5% absolute, P <0.001). Hypertension awareness (−3.4%, P =0.01), treatment (−4.6%, P =0.004), and treatment effectiveness (−6.0%, P <0.0001) fell, despite unchanged access to care (health care insurance, source, and visits [−0.2%, P =0.97]). Antihypertensive monotherapy rose (+4.2%, P =0.04), although treatment resistance factors increased (obesity +4.0%, P =0.02, diabetes +2.3%, P =0.02). Hypertension control fell across age (18–39 [−4.9%, P =0.30]; 40–59 [−9.9%, P =0.0003]; ≥60 years [−6.5%, P =0.005]) and race-ethnicity groups (Non-Hispanic White [−8.5%, P =0.0007]; NHB −7.4%, P =0.002]; Hispanic [−5.2%, P =0.06]). Racial/ethnic disparities in hypertension control versus Non-Hispanic White were attenuated after adjusting for modifiable factors including education, obesity and access to care; NHB (odds ratio, 0.79 unadjusted versus 0.84 adjusted); Hispanic (odds ratio 0.74 unadjusted versus 0.98 adjusted). Improving hypertension control and reducing disparities require greater and more equitable access to high quality health care and healthier lifestyles.

scholarly journals Global Lessons In Frugal Innovation To Improve Health Care Delivery In The United States

2017 ◽  
Vol 36 (11) ◽  
pp. 1912-1919 ◽  
Author(s):  
Yasser Bhatti ◽  
Andrea Taylor ◽  
Matthew Harris ◽  
Hester Wadge ◽  
Erin Escobar ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
The United States ◽  
Frugal Innovation ◽  
Improve Health Care ◽  
Improve Health Care Delivery ◽  
Improve Health

scholarly journals Nursing Leadership in a Rapidly Aging Society: Implications of “The Future of Nursing” Report in Japan

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Harue Masaki ◽  
Hiroko Nagae ◽  
Megumi Teshima ◽  
Shigeko Izumi
Keyword(s):  
United States ◽  
Health Care ◽  
The United States ◽  
Nursing Leadership ◽  
Institute Of Medicine ◽  
Improve Health Care ◽  
Aging Society ◽  
The Future ◽  
Future Of Nursing ◽  
Improve Health

The recent US Institute of Medicine (IOM) report about the future of nursing highlights the areas where nurses can serve, contribute, and move forward to improve health care in the United States. Japanese nursing scholars examined the IOM report for its implications in the Japanese context and explored the future of nursing in Japan. The purpose of this paper is to provide support for the premise that the report’s recommendations could have implications for the future of nursing outside of the United States, especially in Japan. Particular areas and activities by nurses in Japan will be presented as examples of nurses taking leadership in designing care for the rapidly aging society of Japan.

Sign in / Sign up

Export Citation Format

Share Document