Page 182 - S. Ličen, I. Karnjuš, & M. Prosen (Eds.). (2019). Women, migrations and health: Ensuring transcultural healthcare. Koper, University of Primorska Press.
P. 182
ina Ličen, Igor Karnjuš, Urška Bogataj, Doroteja Rebec, and Mirko Prosen

Table 4 Summary of the Interventions: Educational Content – Skills

Item Berlin et al. Chapman et al. Majumdar et al. McElmurry et al.

(2010) (2014) (2004) (2009)

Cultural self- Unclear Not reported Cultural Self- Not reported
assessment Awareness
Questionnaire
and the Dog-
matism Scale in-
struments

Communication, Training in- Not reported Not reported Spanish im-
collaboration cluded skills in mersion pro-
and non-verbal different com- gramme, Span-
communication munication ish language
classes, and cul-
styles and bar- tural workshops
riers to intercul-
tural communi-
cation

Deconstructing Face-to-face cul- Unclear Unclear Unclear
stereotypes tural interac-
tions with clients
from different
cultural back-
grounds, trying
to modify exist-
ing beliefs, or to
prevent the pos-
sible stereo- typ-
ing of these indi-
viduals

Patient Outcomes

– McElmurry et al. (2009). To assess the outcomes of certain patient-
directed interventions, data from patient encounter forms were anal-
ysed using frequencies, correlations, paired t tests, and logistic regres-
sion. Their analysis of the available data (for the 392 patients for whom
data were available who had two health-promoter encounters at least
30 days or more apart; range = 30 days to > 1 year) revealed that lim-
ited English-proficient Latino diabetes patients who received health-
promoter services demonstrated improvement in blood glucose con-
trol as measured by a drop in percentage of HbA1c. For these 392 pa-
tients, their mean drop in HbA1c from 9.65 to 8.61 was statistically sig-
nificant (paired t-test, t = –8.5344, p < 0.001). It follows that the health-
promoter intervention was associated with enhanced access to care,

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