217806 Development of video media to help Chinese seniors navigate the U.S. health care system

Tuesday, November 9, 2010

Michael K. Ong, MD PhD , Division of General Internal Medicine & Health Services Research, University of California, Los Angeles, Los Angeles, CA
Alexander Li, MD , Medical Management, LA Care Health Plan, Los Angeles, CA
Eric Olander, MIPA , KSCI LA 18, Los Angeles, CA
Ming Lo, MBA , KSCI LA 18, Los Angeles, CA
Background: A critical problem facing Chinese American seniors is the conversion of potential health care access into realized health care access; in California, few lack health insurance yet consistently report lower use of health care services and lower satisfaction than Caucasian seniors. Methods: We conducted five focus groups of Chinese American seniors and their caretakers to identify barriers and facilitators that affected their ability to obtain health care, and about interest in specific preventive health care topics. We analyzed their responses to develop video vignettes designed to address different issues facing Chinese American seniors. Topics were selected for development based on importance rank within focus groups and ability to translate into a video media framework. These video vignettes are 3 to 5 minutes in length and focus on providing the viewer with practical and actionable information regarding the specific health care topic. Findings: Topics selected for development encompass several broad constructs: 1) overcoming access barriers, e.g., obtaining interpretation services, obtaining disabled placards, obtaining paratransit services, dealing with expensive medications; 2) increasing knowledge, e.g., understanding prescription labels, understanding insurance, identifying depression; and 3) preventive care, e.g., cardiovascular prevention screening, and cancer prevention screening. We present selected final video vignettes (subtitled in English) planned for television and internet broadcast and DVD distribution. Conclusions: Video vignettes are a practical health education approach to reducing health access barriers that can reach wide audiences of stakeholders, such as Chinese American seniors and their caretakers, through multiple media outlets including television and internet and DVDs.

Learning Areas:
Advocacy for health and health education
Assessment of individual and community needs for health education
Communication and informatics
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss an approach to develop video media to assist Asian Americans with health care access issues

Keywords: Asian Americans, Media Advocacy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I represent the managing partner for a collaborative to develop video vignettes to improve health care access for Chinese seniors in the U.S.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.