Advertisement

Reaching the Latino Population: a Brief Conceptual Discussion on the Use of Telehealth to Address Healthcare Disparities for the Large and Growing Population

  • Michelle MartinezEmail author
  • Jonathan G. Perle
Article

Abstract

Latinos collectively rank as the largest ethnic minority population in the USA, with estimates suggesting continued growth into the future. Despite the Latino population being identified as a demographic in need of greater medical and mental health care, a lack of adequate services, as well as underutilization, persists. Specifically, local availability of services, language barriers, transportation issues, health insurance coverage, immigration status, and acculturation levels are among the many challenges precluding Latinos from receiving appropriate care. Telehealth has been suggested as a novel means of addressing recognized disparities, specifically for Latinos who have been indicated as a population with greater utilization of the Internet and associated technologies than other population groups. As such, the purpose of this conceptual discussion is to briefly detail the unique possibilities that the integration of technology can hold for Latino-focused medical and mental health care. Opportunities for improved education, prompting of recommendation usage, monitoring of vitals, and application of other direct treatments are discussed in relation to the most common medical and mental health issues faced by Latinos.

Keywords

Telehealth Telemedicine Latino Disparity Intervention 

Notes

References

  1. Adames, H. Y., & Chavez-Dueña, N. Y. (2017). Cultural foundations and interventions in Latino/a mental health. New York, NY: Routledge.Google Scholar
  2. Agboola, S., Havasy, R., Myint-U, K., Kvedar, J., & Jethwani, K. (2013). The impact of using mobile-enabled devices on patient engagement in remote monitoring programs. Journal of Diabetes Science and Technology, 7(3), 623–629.  https://doi.org/10.1177/193229681300700306.CrossRefGoogle Scholar
  3. Alcala, H. E., Chen, J., Langellier, B. A., Roby, D. H., & Ortega, A. N. (2017). Impact of the affordable care act on healthcare access and utilization among Latinos. Journal of the American Board of Family Medicine, 30(1), 52–62.  https://doi.org/10.3122/jabfm.2017.01.160208.CrossRefGoogle Scholar
  4. Alcántara, C., Li, X., Wang, Y., Canino, G., & Alergría, M. (2016). Treatment moderators and effectiveness of engagement and counseling for Latinos intervention on worry reduction in a low-income primary care sample. Journal of Consulting and Clinical Psychology, 84(11), 1016–1022.  https://doi.org/10.1037/ccp0000146.CrossRefGoogle Scholar
  5. Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C., Takeuchi, D., … Meng, X. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services, 59(11), 1264–1272.  https://doi.org/10.1176/ps.2008.59.11.1264.
  6. Alegría, M., Alvarez, K., Ishikawa, R. Z., DiMarzio, K., & McPeck, S. (2016). Removing obstacles to eliminate racial and ethnic disparities in behavioral health care. Health Affairs, 35(6), 991–999.  https://doi.org/10.1377/hlthaff.2016.0029.CrossRefGoogle Scholar
  7. Alkhaldi, G., Modrow, K., Hamilton, F., Pal, K., Ross, J., & Murray, E. (2017). Promoting engagement with a digital health intervention (HeLP-diabetes) using email and text message prompts: Mixed-methods study. Interactive Journal of Medical Research, 6(2), e14.  https://doi.org/10.2196/imjr.6952.CrossRefGoogle Scholar
  8. Ashing, K., & Rosales, M. (2014). A telephone-based trial to reduce depressive symptoms among Latina breast cancer survivors. Psycho-Oncology, 23(5), 507–515.  https://doi.org/10.1002/pon.3441.CrossRefGoogle Scholar
  9. Badger, T. A., Segrin, C., Hepworth, J. T., Pasvogel, A., Weihs, K., & Lopez, A. M. (2013). Telephone-delivered health education and interpersonal counseling improve quality of life for Latinas with breast cancer and their supportive partners. Psycho-Oncology, 22(5), 1035–1042.  https://doi.org/10.1002/pon.3101.CrossRefGoogle Scholar
  10. Bakhshaie, J., Hanna, A. E., Viana, A. G., Garza, M., Valdivieso, J., Ochoa-Perez, M., Lemaire, C., Cardoso, J. B., Rogers, A. H., Mayorga, N. A., Bogiaizian, D., & Zvolensky, M. J. (2018). Acculturative stress and mental health among economically disadvantaged Spanish-speaking Latinos in primary care: The role of anxiety sensitivity. Psychiatry Research, 261, 421–427.  https://doi.org/10.1016/j.psychres.2018.01.009.CrossRefGoogle Scholar
  11. Balabanis, G., & Reynolds, N. L. (2001). Consumer attitudes towards multi-channel retainers’ web sties! The role of involvement, brand attitude, internet knowledge and visit duration. Journal of Business Strategies, 18(2), 105–132.Google Scholar
  12. Bauml, J., Pitschel-Walz, G., Volz, A., Luscher, S., Rentrop, M., Kissling, W., & Jahn, T. (2016). Psychoeducation improves compliance and outcome in schizophrenia without an increase of adverse side effects: A 7-year follow-up of the Munich PIP-study. Schizophrenia Bulletin, 42(Supplement1), S62–S70.  https://doi.org/10.1093/schbul/sbw008.CrossRefGoogle Scholar
  13. Brijanath, B., Protheroe, J., Mahtani, K. R., & Antoniades, J. (2016). Do web-based mental health literacy interventions improve the mental health literacy of adult consumers? Results from a systematic review. Journal of Medical Internet Research, 18(6), e165.  https://doi.org/10.2196/jmir.5463.CrossRefGoogle Scholar
  14. Britigan, D. H., Murnan, J., & Rojas-Guyler, L. (2009). A qualitative study examining Latino functional health literacy levels and sources of health information. Journal of Community Health, 34(3), 222–230.  https://doi.org/10.1007/s10900-008-9145-1.CrossRefGoogle Scholar
  15. Cabassa, L. J., Zayas, L. H., & Hansen, M. C. (2006). Latino adults’ access to mental health care: A review of epidemiological studies. Administration and Policy in Mental Health and Mental Health Services Research, 33(3), 316–330.  https://doi.org/10.1007/s10488-006-0040-8.CrossRefGoogle Scholar
  16. Centers for Disease Control and Prevention. (2015). Hispanic health: A la Buena salud – to good health! CDC Vitalsigns. Retrieved from https://www.cdc.gov/vitalsigns/pdf/2015-05-vitalsigns.pdf.
  17. Clayman, M. L., Manganello, J. A., Viswanath, K., Hesse, B. W., & Arora, N. K. (2010). Providing health messages to Hispanics/Latinos: Understanding the importance of language, trust in health information sources, and media use. Journal of Health Communication, 15(Suppl 3), 252–263.  https://doi.org/10.1080/10810730.2010.522697.CrossRefGoogle Scholar
  18. Cooper, L. A., Hill, M. N., & Powe, N. R. (2002). Designing and evaluating interventions to eliminate racial and ethnic disparities in health care. Journal of General Internal Medicine, 17(6), 477–486.CrossRefGoogle Scholar
  19. Dang, S., Karanam, C., Gómez-Orozco, C., & Gómez-Marín, O. (2017). Mobile phone intervention for heart failure in a minority urban county hospital population: Usability and patient perspectives. Telemedicine and e-Health, 23(7), 544–554.  https://doi.org/10.1089/tmj.2016.0224.CrossRefGoogle Scholar
  20. Davis, R. E., Cole, S. M., McKenney-Shubert, S. J., Jones, S. J., & Peterson, K. E. (2017). An exploration of how Mexican American WIC mothers obtain information about behaviors associated with childhood obesity risk. Journal of Nutrition Education and Behavior, 49(3), 187–195.  https://doi.org/10.1016/j.jneb.2016.10.002.CrossRefGoogle Scholar
  21. Dorsey, E. R., & Topol, E. J. (2016). State of telehealth. New England Journal of Medicine, 375(2), 154–161.  https://doi.org/10.1056/NEJMra1601705.CrossRefGoogle Scholar
  22. Dwright-Johnson, M., Aisenburg, E., Golinelli, D., Hong, S., O’Brien, M., & Ludman, E. (2011). Telephone-based cognitive-behavioral therapy for Latino patients living in rural areas: A randomized pilot study. Psychiatric Services, 62(8), 936–942.  https://doi.org/10.1176/ps.62.8.pss6208_0936.CrossRefGoogle Scholar
  23. Fleary, S. A., Joseph, P., & Pappagianopoulos, J. E. (2018). Adolescent health literacy and health behaviors: A systematic review. Journal of Adolescence, 63, 116–127.  https://doi.org/10.1016/j.adolescence.2017.11.010.CrossRefGoogle Scholar
  24. Fraser, M. W., & Galinsky, M. J. (2010). Steps in intervention research: Designing and developing social programs. Research on Social Work Practice, 20(5), 459–466.  https://doi.org/10.1177/1049731509358424.CrossRefGoogle Scholar
  25. Garcia-Castillo, D., & Fetters, M. D. (2007). Quality in medical translations: A review. Journal of Health Care for the Poor and Underserved, 18(1), 74–84.  https://doi.org/10.1353/hpu.2007.0009.CrossRefGoogle Scholar
  26. Gellis, Z. D., Kenaley, B. L., & Have, T. T. (2014). Integrated telehealth care for chronic illness and depression in geriatric home care patients: The integrated telehealth education and activation of mood (I-TEAM) study. Journal of the American Geriatrics Society, 62(5), 889–895.  https://doi.org/10.1111/jgs.12776.CrossRefGoogle Scholar
  27. Gross-Schulman, S., Sklaroff, L. M., Hertz, C. C., & Guterman, J. J. (2017). Safety evaluation of an automated remote monitoring system for heart failure in an urban, indigent population. Population Health Management, 20(6), 449–457.  https://doi.org/10.1089/pop.2016.0186.CrossRefGoogle Scholar
  28. Guevara, J. P., Wolf, F. M., Grum, C. M., & Clark, N. M. (2003). Effects of educational interventions for self management of asthma in children and adolescents: Systematic review and meta-analysis. BMJ, 326(7402), 1308–1309.  https://doi.org/10.1136/bmj.326.7402.1308.CrossRefGoogle Scholar
  29. Hanauer, D. A., Wentzell, K., Laffel, N., & Laffel, L. M. (2009). Computerized automated reminder diabetes system (CARDS): E-mail and sms cell phone text messaging reminders to support diabetes management. Diabetes Technology & Therapeutics, 11(2), 99–106.  https://doi.org/10.1089/dia.2008.0022.CrossRefGoogle Scholar
  30. Hunkeler, E., Hargreaves, W. A., Fireman, B., Terdiman, J., Meresman, J. F., Porterfield, Y., … Taylor, C. B. (2012). A web-delivered care management and patient self-management program for recurrent depression: A randomized trial. Psychiatric Services, 63(11), 1063–1071.  https://doi.org/10.1176/appi.ps.005332011.
  31. Jacobs, R. J., Caballero, J., Ownby, R. L., & Kane, M. N. (2014). Development of a culturally appropriate computer-delivered tailored internet-based health literacy intervention for Spanish-dominant Hispanics living with HIV. BMC Medical Informatics & Decision Making, 14(103), 103.  https://doi.org/10.1186/s12911-014-0103-9.CrossRefGoogle Scholar
  32. Keyes, K. M., Martins, S. S., Hartzenbuehler, M. L., Blanco, C., Bates, L. M., & Hasin, D. S. (2012). Mental health service utilization for psychiatric disorders among Latinos living in the United States: The role of ethnic subgroup, ethnic identity, and language/social preferences. Social Psychiatry and Psychiatric Epidemiology, 47(3), 383–394.  https://doi.org/10.1007/s00127-010-0323-y.CrossRefGoogle Scholar
  33. Kunz, S., Ingram, M., Piper, R., Ochoa, S., Sander, A., Navarro, C., & McKenzie, S. (2016). The Vivir Mejor! Consortium: A rural, US-Mexico collaborative model to prevent and treat diabetes. Journal of Health Care for the Poor and Underserved, 27(4), 39–45.  https://doi.org/10.1353/hpu.2016.0188.CrossRefGoogle Scholar
  34. Lai, J. C. K., Woo, J., Hu, E., & Chan, W. U. (2004). Telerehabilitation - a new model for community-based stroke rehabilitation. Journal of Telemedicine and Telecare, 10(4), 199–205.  https://doi.org/10.1258/1357633041424340.CrossRefGoogle Scholar
  35. López, C. M., Shealy, K. M., & Rheingold, A. A. (2014). Empirically supported trauma treatment for an adult Latino man diagnosed with PTSD: Overcoming barriers to engagement. Clinical Case Studies, 13(5), 436–452.  https://doi.org/10.1177/1534650114521282.CrossRefGoogle Scholar
  36. Matthews, P. H., Darbisi, C., Sandmann, L., Galen, R., & Rubin, D. (2008). Disseminating health information and diabetes care for Latinos via electronic information kiosks. Journal of Immigrant and Minority Health, 11, 520–526.  https://doi.org/10.1007/s10903-008-9134-6.CrossRefGoogle Scholar
  37. Militello, L., Melnyk, B. M., Hekler, E. B., Small, L., & Jacobonson, D. (2016). Automated behavioral text messaging and face-to-face intervention for parents of overweight or obese preschool children: Results from a pilot study. JMIR mHealth and UHealth, 4(1), e21.  https://doi.org/10.2196/mhealth.4398.CrossRefGoogle Scholar
  38. Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., … Turner, M. B. (2015). Heart disease and stroke statistics – 2016 update: A report from the American Heart Association. Circulation, 133, e38-e360.  https://doi.org/10.1161/CIR.0000000000000350.
  39. National Alliance on Mental Illness. (2018). Latino mental health. Retrieved from https://www.nami.org/Find-Support/Diverse-Communities/Latino-Mental-Health
  40. Nielsen, J. D. J., Wall, W., & Tucker, C. M. (2016). Testing a model with Latino patients that explains the links among patient-perceived provider cultural sensitivity, language preference, and patient treatment adherence. Journal of Racial and Ethnic Health Disparities, 3(1), 63–73.  https://doi.org/10.1007/s40615-015-0114-y.CrossRefGoogle Scholar
  41. Nutbeam, D. (2008). The evolving concept of health literacy. Social Science and Medicine, 67(12), 2072–2078.  https://doi.org/10.1016/j.socscimed.2008.09.050.CrossRefGoogle Scholar
  42. Osmani A. The cost of Javascript, https://medium.com/@addyosmani/the-cost-of-javascript-in-2018-7d8950fbb5d4 (2018, accessed 29 December 18).
  43. Pew Research Center. (2016). Digital divide narrows for Latinos as more Spanish speakers and immigrants go online. Retrieved from http://www.pewhispanic.org/2016/07/20/digital-divide-narrows-for-latinos-as-more-spanish-speakers-and-immigrants-go-online/.
  44. Piñón, J., & Rojas, V. (2011). Language and cultural identity in the new configuration of the US Latino tv industry. Global Media and Communication, 7(2), 129–147.  https://doi.org/10.1177/1742766511410220.CrossRefGoogle Scholar
  45. Quinn, C. C., Shardell, M. D., Terrin, M. L., Barr, E. A., Ballew, S. H., & Gruber-Baldini, A. L. (2011). Cluster-randomized trial of a mobile phone personalized behavioral intervention for blood glucose control. Diabetes Care, 34(9), 1934–1942.  https://doi.org/10.2337/dc11-0366.CrossRefGoogle Scholar
  46. Schumann, J. H., von Wangenheim, F., & Groene, N. (2014). Targeted online advertising: Using reciprocity appeals to increase acceptance among users of free web services. Journal of Marketing, 78(1), 59–75.  https://doi.org/10.1509/jm.11.0316.CrossRefGoogle Scholar
  47. Shattell, M. M., Hamilton, D., Starr, S. S., Jenkins, C. J., & Hinderliter, N. A. (2008). Mental health service needs of a Latina population: A community-based participatory research project. Issues in Mental Health Nursing, 29(4), 351–370.  https://doi.org/10.1080/01612840801904316.CrossRefGoogle Scholar
  48. Sorkin, D. H., Murphy, M., Nguyen, H., & Biegler, K. A. (2016). Barriers to mental health care for an ethnically and racially diverse sample of older adults. The American Geriatrics Society, 64(10), 2138–2143.  https://doi.org/10.1111/jgs.14420.CrossRefGoogle Scholar
  49. Stolz, T., Schulz, A., Krieger, T., Vincent, A., Urech, A., Moser, C., … Berger, T. (2018). A mobile app for social anxiety disorder: A three-arm randomized controlled trial comparing mobile and pc-based guided self-help interventions. Journal of Consulting and Clinical Psychology, 86(6), 493–504.  https://doi.org/10.1080/00043249.2018.1495519.
  50. Stromberg, A. (2005). The crucial role of patient education in heart failure. The European Journal of Heart Failure, 7(3), 363–369.  https://doi.org/10.1016/j.ejheart.2005.01.002.CrossRefGoogle Scholar
  51. Suárez-Orozco, M. M., & Paez, M. (2008). Introduction: The research agenda. In M. M. Suarez-Orozco & M. M. Paez (Eds.), Latinos remaking American (pp. 1–37). Berkeley, CA: University of California Press.Google Scholar
  52. Turner-McGrievy, G. M. (2013). Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. Journal of the American Medical Informatics Association, 20(3), 513–518.  https://doi.org/10.1136/amiajnl-2012-001510.CrossRefGoogle Scholar
  53. Uebelacker, L. A., Marootian, B. A., Tigue, P., Haggarty, R., Primack, J. M., & Miller, I. W. (2011). Telephone depression care management for Latinos Medicaid health plan members. The Journal of Nervous and Mental Disease, 199(9), 678–683.  https://doi.org/10.1097/nnd.0b013e318229d100.CrossRefGoogle Scholar
  54. United States Census Bureau. (2017). Facts for features: Hispanic heritage month 2017. Retrieved from https://www.census.gov/newsroom/facts-for-features/2017/hispanic-heritage.html.
  55. United States Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity: A supplement to mental health: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.CrossRefGoogle Scholar
  56. Velasco-Mondragon, E., Jimenez, A., Palladino-Davis, A. G., Davis, D., & Escamilla-Cejudo, J. A. (2016). Hispanic health in the USA: A scoping review of the literature. Public Health Reviews, 37(1), 31.  https://doi.org/10.1186/s40985-016-0043-2.CrossRefGoogle Scholar
  57. Wells, A., Lagomasino, I. T., Palinkas, L. A., Green, J. M., & Gonzalez, D. (2013). Barriers to depression treatment among low-income, Latino emergency department patients. Community Mental Health Journal, 49(4), 412–418.  https://doi.org/10.1007/s10597-012-9547-5.CrossRefGoogle Scholar
  58. Whitehead, L., & Seaton, P. (2016). The effectiveness of self-management mobile phone and tablet apps in long-term condition management: A systematic review. Journal of Medical Internet Research, 18(5), e97.  https://doi.org/10.2196/jmir.4883.CrossRefGoogle Scholar
  59. Wilson, M. (2018). Engaging adults with chronic disease in online depressive symptom self-management. Western Journal of Nursing Research, 40(6), 834–853.  https://doi.org/10.1177/0193945916689068.CrossRefGoogle Scholar
  60. Zuckerman, K. E., Lindly, O. J., Reyes, N. M., Chavez, A. E., Macias, K., & Smith, K. N. (2017). Disparities in diagnosis and treatment of autism in Latino and non-Latino white families. Pediatrics, 139(5), 1–10.  https://doi.org/10.1542/peds.2016-3010.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Behavioral SciencesMidwestern UniversityDowners GroveUSA

Personalised recommendations