269472 Participant and delivery site characteristics associated with attending a Spanish-language disease self-management program among Hispanic adults

Monday, October 29, 2012

Matthew Lee Smith, PhD, MPH, CHES , Department of Health Promotion and Behavior, The University of Georgia, College of Public Health, Athens, GA
Marcia G. Ory, PhD, MPH , Social & Behavioral Health, Texas A&M HSC School of Rural Public Health, College Station, TX
Wendy Zenker , Resource Center, National Council on Aging, Washington, DC
Kristie Patton, MSW , 1901 L Street, National Council on Aging, Washington, DC
SangNam Ahn, PhD, MPSA , Division of Health Systems Management and Policy, The University of Memphis School of Public Health, Memphis, TN
Kate Lorig, DrPH, RN , Patient Education Research Center, Stanford School of Medicine, Palo Alto, CA
Nancy Whitelaw, PHD , The National Council on the Aging, Washington, DC
Background. Many factors influence preferred ways in which middle-aged and older Hispanic adults receive health-related information. While grand scale efforts have increased the availability of Spanish-language disease management programs offered in community and healthcare settings, less is known about the utilization of these services among the Hispanic population.

Objectives. The current study aims to: (1) identify personal characteristics of middle-aged and older Hispanic adults who attended Spanish-language Chronic Disease Self-Management Program (CDSMP) workshops; and (2) examine personal and delivery site characteristics (including neighborhood-level aspects) associated with attending Spanish-language CDSMP relative to English-language CDSMP.

Methods. Data were analyzed from 8,586 Hispanic adults collected during a national dissemination of CDSMP spanning 47 states and two territories. Logistic regression was performed to compare characteristics associated with participant enrollment in Spanish- versus English-language CDSMP workshops.

Results. Hispanic adults who were aged 50 to 64 (OR=1.50, P<0.001) and female (OR=1.40, P<0.001) were significantly more likely to attend Spanish-language CDSMP workshops. Conversely, those with more chronic conditions were less likely to attend Spanish-language CDSMP (OR=0.87, P<0.001). Hispanic participants who attended workshops at healthcare organizations (OR=0.77, P<0.001) or in rural settings (OR=0.18, P<0.001) were less likely to attend Spanish-language CDSMP. Those who attended workshops where the Hispanic population was less affluent were more likely to attend Spanish-language CDSMP (OR=0.87, P<0.001). Hispanic participants who successfully completed the workshop were more likely to attend Spanish-language CDSMP (OR=1.43, P<0.001).

Conclusion: This study provides insight into Spanish-language CDSMP recruitment and utilization with implications for program adoption in underserved Hispanic community settings.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture

Learning Objectives:
1. Identify three participant characteristics associated with attending the Chronic Disease Self-Management Program (CDSMP) offered in Spanish. 2. Identify two delivery site characteristics associated with attending CDSMP offered in Spanish. 3. Describe three ways in which understanding the reach and adoption of this national CDSMP dissemination among Hispanic participants can influence future recruitment and retention efforts.

Keywords: Hispanic, Disease Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served on the evaluation team for the Chronic Disease Self-Management Program at national, state, and local levels. I have extensive experience evaluating reach, adoption, implementation, and outcome aspects of evidence-based programs for older adults.
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.

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