Abstract
The purpose of this study is to determine if psychiatrists’ level of Spanish proficiency impacts patient adherence with follow-up mental health care. We hypothesize that increased Spanish proficiency will increase the likelihood of follow up mental health care. Data were collected via retrospective chart review of Spanish-speaking patients at an adult outpatient center. Our final sample included 201 patients with an average age of 46.5 years. Spanish speaking ability of the clinician was categorized using the standard set by the US Census bureau. The dependent variable of presence or absence of follow-up was dichotomized to whether or not the patient came back for a visit within 6 months of initial evaluation. Odds ratios (ORs) were calculated for each independent variable. Results indicate that Spanish proficiency significantly predicted a follow-up visit. Additionally, patients who were married and those who received psychotherapy were more likely to have a repeat visit. The significance of these results lies in that most research up to date has focused on the English proficiency of the patient as a factor for decreased use of mental health services. Although, effective strategies have been designed to reduce the language barrier in mental health care, Spanish-speaking patients still express a strong preference for bilingual providers. These results may allow identifying which patients are at higher risk of not adhering with follow-up visits. This provides a possibility to anticipate and prevent dropouts from treatment and to implement strategies to support patients that experience a greater burden of social and psychiatric disadvantages.
Highlights
There is limited data on personal use fall prevention programs, and the relationship of race and ethnicity on fall risk awareness, personal beliefs, behavior change, and response to intervention
One question remains unsolved, whether older adults could make accurate trustworthiness judgements if evaluative information is accessible
The results indicated that younger adults (YAs)’ and the majority of older adults (OAs)’ proportions of correct investment increase, gradually reaching a stable high correction rate, OAs needed more trials than did YAs
Summary
There is limited data on personal use fall prevention programs, and the relationship of race and ethnicity on fall risk awareness, personal beliefs, behavior change, and response to intervention. Objective: The aim of this study was to develop an educational program to prevent falls for ethnically diverse older adults. The content domains were constructed based on data from a conventional content analysis of four focus groups from older participants (n=28) and their family caregivers (n=4), and individual in-depth interviews from health care providers (n=8). Patient-Centered Outcomes Research Institute, Washington, District of Columbia, United States, 3.
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