NDLI: 'Al pie de la letra': crafting a report card for elderly Spanish-only-speaking patients with stroke.

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'Al pie de la letra': crafting a report card for elderly Spanish-only-speaking patients with stroke.

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'Al pie de la letra': crafting a report card for elderly Spanish-only-speaking patients with stroke.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ovbiagele, Bruce
Description	Country affiliation: United States Author Affiliation: Ovbiagele B ( Stroke Center and Department of Neurology, UCLA Medical Center, Los Angeles, CA 90095, USA. Ovibes@mednet.ucla.edu)
Abstract	BACKGROUND AND PURPOSE: Ethnic minorities are at higher stroke risk than non-Hispanic whites yet are less likely to have optimal vascular risk factor control. There is a need to develop culturally sensitive strategies for enhancing vascular risk reduction in minority patients with stroke. This study aimed to develop a postdischarge report card to boost treatment adherence among elderly Spanish-speaking patients with stroke within an urban health system. METHODS: This study included a total of 13 Spanish-only speaking participants aged > or = 60 years discharged from a local government hospital in Los Angeles within 18 months of an index ischemic stroke and 6 caregivers engaged in focus groups and interviews. Structured interviews were conducted with 11 care providers and 9 administrators at the hospital. Framework analysis examined the data and elicited themes to adapt a pre-existing patient report card tool. RESULTS: Spontaneously using the same phrase, 'Al pie de la letra,' several participants expressed a need to follow medical instructions accurately to prevent recurrent stroke and identified barriers/facilitators for doing so. They made comments about the pre-existing report card, advising several changes, including the clarification of phrases, and written instructions to explain the need for the card and how to fill it out. The providers and administrators recommended avenues for successfully using the card at the hospital. A new report card was created that incorporated all major perspectives. CONCLUSIONS: Crafting a culturally sensitive tool for promoting treatment adherence in elderly Spanish-only-speaking patients with stroke within an urban health system using a participatory methodology is feasible. The efficacy of this new report card should be tested in a randomized controlled trial.
ISSN	00392499
e-ISSN	15244628
DOI	10.1161/STROKEAHA.109.576702
Journal	Stroke
Issue Number	4
Volume Number	41
Language	English
Publisher	Lippincott Williams & Wilkins (on behalf of the American Heart Association)
Publisher Date	2010-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Communication Barriers Hispanic Americans Patient Compliance Ethnology Risk Reduction Behavior Secondary Prevention Stroke Caregivers Interviews As Topic Patient Education As Topic Randomized Controlled Trials As Topic Physiopathology Prevention & Control Questionnaires Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine Neuroscience Advanced and Specialized Nursing Neurology (clinical)

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