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Budd EL, McWhirter EH, De Anda S, Mauricio AM, Mueller MV, Cioffi CC, Nash A, Van Brocklin K, Yarris K, Jackson A, Terral H, García JIR, Cresko WA, DeGarmo DS, Leve LD. Development and design of a culturally tailored intervention to address COVID-19 disparities among Oregon's Latinx communities: A community case study. Front Public Health 2022; 10:962862. [PMID: 36211681 PMCID: PMC9541743 DOI: 10.3389/fpubh.2022.962862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 09/05/2022] [Indexed: 02/05/2023] Open
Abstract
Background Latinx communities are disproportionately affected by COVID-19 compared with non-Latinx White communities in Oregon and much of the United States. The COVID-19 pandemic presents a critical and urgent need to reach Latinx communities with innovative, culturally tailored outreach and health promotion interventions to reduce viral transmission and address disparities. The aims of this case study are to (1) outline the collaborative development of a culturally and trauma-informed COVID-19 preventive intervention for Latinx communities; (2) describe essential intervention elements; and (3) summarize strengths and lessons learned for future applications. Methods Between June 2020 and January 2021, a multidisciplinary team of researchers and Latinx-serving partners engaged in the following intervention development activities: a scientific literature review, a survey of 67 Latinx residents attending public testing events, interviews with 13 leaders of community-based organizations serving Latinx residents, and bi-weekly consultations with the project's Public Health and Community Services Team and a regional Community and Scientific Advisory Board. After launching the intervention in the field in February 2021, bi-weekly meetings with interventionists continuously informed minor iterative refinements through present day. Results The resulting intervention, Promotores de Salud, includes outreach and brief health education. Bilingual, trauma-informed trainings and materials reflect the lived experiences, cultural values, needs, and concerns of Latinx communities. Interventionists (21 Promotores) were Latinx residents from nine Oregon counties where the intervention was delivered. Conclusions Sharing development and intervention details with public health researchers and practitioners facilitates intervention uptake and replication to optimize the public health effect in Oregon's Latinx communities and beyond.
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Affiliation(s)
- Elizabeth L. Budd
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States,Prevention Science Institute, University of Oregon, Eugene, OR, United States,*Correspondence: Elizabeth L. Budd
| | - Ellen Hawley McWhirter
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Stephanie De Anda
- Prevention Science Institute, University of Oregon, Eugene, OR, United States,Department of Special Education and Clinical Sciences, University of Oregon, Eugene, OR, United States
| | - Anne Marie Mauricio
- Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Maryanne V. Mueller
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States,Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Camille C. Cioffi
- Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Ashley Nash
- Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Kelsey Van Brocklin
- Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Kristin Yarris
- Department of Global Studies, Center for Global Health, University of Oregon, Eugene, OR, United States
| | - Arriell Jackson
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States
| | - Heather Terral
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States,Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | | | | | - William A. Cresko
- Institute of Ecology and Evolution, University of Oregon, Eugene, OR, United States,Presidential Initiative in Data Science, University of Oregon, Eugene, OR, United States
| | - David S. DeGarmo
- Prevention Science Institute, University of Oregon, Eugene, OR, United States
| | - Leslie D. Leve
- Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR, United States,Prevention Science Institute, University of Oregon, Eugene, OR, United States
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Abstract
In the past decade anthropologists working the boundary of culture, medicine, and psychiatry have drawn from ethnographic and epidemiological methods to interdigitate data and provide more depth in understanding critical health problems. But rarely do these studies incorporate psychiatric inventories with ethnographic analysis. This article shows how triangulation of research methods strengthens scholars' ability (1) to draw conclusions from smaller data sets and facilitate comparisons of what suffering means across contexts; (2) to unpack the complexities of ethnographic and narrative data by way of interdigitating narratives with standardized evaluations of psychological distress; and (3) to enhance the translatability of narrative data to interventionists and to make anthropological research more accessible to policymakers. The crux of this argument is based on two discrete case studies, one community sample of Nicaraguan grandmothers in urban Nicaragua, and another clinic-based study of Mexican immigrant women in urban United States, which represent different populations, methodologies, and instruments. Yet, both authors critically examine narrative data and then use the Center for Epidemiologic Studies Depression Scale to further unpack meaning of psychological suffering by analyzing symptomatology. Such integrative methodologies illustrate how incorporating results from standardized mental health assessments can corroborate meaning-making in anthropology while advancing anthropological contributions to mental health treatment and policy.
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Affiliation(s)
- Emily Mendenhall
- Science, Technology, & International Affairs, Walsh School of Foreign Service, Georgetown University, Intercultural Center, 37th & O Streets, NW, Washington, DC, 20057, USA.
| | - Kristin Yarris
- Department of International Studies University of Oregon Eugene USA
| | - Brandon A. Kohrt
- Duke Global Health Institute Durham USA,Department of Psychiatry and Behavioral Sciences Duke University Durham USA
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