Mixed-Methods Study of Disability Self-Management in Mexican Americans With Osteoarthritis.
| Autor: | Harrison TC, Blozis SA, Taylor J, Mukherjee N, Ortega LC, Blanco N, Garcia AA, Brown SA |
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| Jazyk: | angličtina |
| Zdroj: | Nursing research [Nurs Res] 2024 May-Jun 01; Vol. 73 (3), pp. 203-215. Date of Electronic Publication: 2024 Feb 08. |
| DOI: | 10.1097/NNR.0000000000000721 |
| Abstrakt: | Background: Health disparities in osteoarthritis (OA) outcomes exist both in the occurrence and treatment of functional limitation and disability for Mexican Americans. Although the effect of self-management of chronic illness is well established, studies demonstrate little attention to self-management of function or disability, despite the strong potential effect on both and, consequently, on patients' lives. Objective: The purpose of this study pilot was to develop and test key variable relationships for a measure of disability self-management among Mexican Americans. Methods: In this sequential, two-phased, mixed-methods, biobehavioral pilot study of Mexican American women and men with OA, a culturally tailored measure of disability self-management was created, and initial relationships among key variables were explored. Results: First, a qualitative study of 19 adults of Mexican American descent born in Texas (United States) or Mexico was conducted. The Mexican American Disability Self-Management Scale was created using a descriptive content analysis of interview data. The scale was tested and refined, resulting in 18 items and a descriptive frequency of therapeutic management efforts. Second, correlations between study variables were estimated: Disability and function were negatively correlated. Disability correlated positively with social support and activity effort. Disability correlated negatively with disability self-management, pain, and C-reactive protein. Function was positively correlated with age, pain, and depression. Liver enzymes (alanine transaminase) correlated positively with pain and anxiety. Discussion: This mixed-methods study indicates directions for further testing and interventions for disability outcomes among Mexican Americans. Competing Interests: The authors have no conflicts of interest to report. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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