241279 Understanding the disability training experiences, desires and needs of health care providers in North Central Florida

Wednesday, November 2, 2011: 11:06 AM

Ellen Lopez, MPH, PhD , Center for Alaska Native Health Research, University of Alaska Fairbanks, Fairbanks, AK
Vijay Vasudevan, MPH , Department of Disability and Human Development, University of Illinois at Chicago, Chicago, IL
Eva Egensteiner , University of Florida, Gainesville, FL
Melissa Lanzone, MPH , Suncoast Hospice, Florida, Tampa, FL
Elena Andresen, PhD , Department of Epidemiology, University of Florida, Gainesville, FL
Lisa Hannold , Rorc, VA, Gainesville, FL
Staci Graff, MPA , Center for Independent Living of North Central Florida, Gainesville, FL
Background: No minimal disability competency is required for health care providers who perform breast cancer screenings. Yet, as our population ages, and disability rates increase, more women with disabilities are requiring preventive breast health care. Purpose: We sought to better understand the disability training mammographers and other medical providers receive and desire, and the advice they would extend to their colleagues about working with women with disabilities. Methods: Within the context of a community-academic partnership, telephone interviews were conducted with 14 mammographers and 15 medical providers (MDs, Nurses) practicing in North Central Florida. Grounded theory techniques uncovered major themes. Results: The extent, content, and delivery of disability training varied across participants. Analysis revealed differences across provider type with regard to training wishes and advice they would bestow upon their colleagues. Mammographers desired training on positioning to ‘get the best breast image,' while their advice to colleagues focused on affording patience and respect to the patient. Medical care providers were more likely to reject additional training, or requested information that would allow them to stay current on technical and non-technical aids to facilitate patient visits. Their advice to colleagues focused on providing equitable treatment to all patients, and considering the whole person, not just their disability. Conclusion: Training experiences of health care providers was inconsistent, but deemed important by most respondents. Future training options should consider the needs of different providers, and focus on both the technical and social implications of providing breast health care to women with disabilities.

Learning Areas:
Advocacy for health and health education
Social and behavioral sciences

Learning Objectives:
Describe the disability training experiences and training needs of health care providers Explain how disability training needs to consider the needs of different types of providers

Keywords: Breast Cancer Screening, Health Care Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the PI on this project and oversee all aspects of the project, including dissemination of findings. With my training and experience in public health and community-based participatory research, I am interested in developing strong and mutually beneficial collaborative research partnerships with Alaska Native organizations and communities. The focus of my research program is to identify and begin to address the factors that impact cancer prevention, early detection, control, and survivorship among Alaska Native individuals, their families, and their communities.
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.