International Journal of Public Health

, Volume 61, Issue 7, pp 837–845 | Cite as

See what we say: using concept mapping to visualize Latino immigrant’s strategies for health interventions

  • Lisa M. Vaughn
  • Farrah Jacquez
  • Daniel Marschner
  • Daniel McLinden
Original Article

Abstract

Objectives

Researchers need specific tools to engage community members in health intervention development to ensure that efforts are contextually appropriate for immigrant populations. The purpose of the study was to generate and prioritize strategies to address obesity, stress and coping, and healthcare navigation that are contextually appropriate and applicable to the Latino immigrant community in Cincinnati, Ohio, and then use the results to develop specific interventions to improve Latino health in our area.

Methods

A community-academic research team used concept mapping methodology with over 200 Latino immigrants and Latino-serving providers. A community intervention planning session was held to share the final concept maps and vote on strategies.

Results

The concept maps and results from the intervention planning session emphasized a community lay health worker model to connect the Latino immigrant community with resources to address obesity, stress and coping, and healthcare navigation.

Conclusions

Concept maps allowed for the visualization of health intervention strategies prioritized by the larger Latino immigrant community. Concept maps revealed the appropriate content for health interventions as well as the process community members preferred for intervention delivery.

Keywords

Latino/Hispanic Concept mapping Cincinnati Community-based participatory research Community health intervention 

References

  1. Abdul-Quader AS, Collins C (2011) Identification of structural interventions for HIV/AIDS prevention: the concept mapping exercise. Public Health Rep 1:777–788Google Scholar
  2. Ahmad F, Mahmood S, Pietkiewicz I, McDonald L, Ginsburg O (2012) Concept mapping with South Asian immigrant women: barriers to mammography and solutions. J Immigr Minor Health 14:242–250CrossRefPubMedGoogle Scholar
  3. Ayón C, Marsiglia FF, Bermudez-Parsai M (2010) Latino family mental health: exploring the role of discrimination and familismo. J Community Psychol 38:742–756. doi:10.1002/jcop.20392 CrossRefPubMedPubMedCentralGoogle Scholar
  4. Boudreau ADA, Kurowski DS, Gonzalez WI, Dimond MA, Oreskovic NM (2013) Latino families, primary care, and childhood obesity: a randomized controlled trial. Am J Prev Med 44:S247–S257CrossRefGoogle Scholar
  5. Burke JG, O’Campo P, Peak GL, Gielen AC, McDonnell KA, Trochim WM (2005) An introduction to concept mapping as a participatory public health research method. Qual Health Res 15:1392–1410CrossRefPubMedGoogle Scholar
  6. Clinical and Translational Science Awards Consortium (CTSA), Comunity Engagement Key Function Committee Task Force on the Principles of Community Engagement (2011) Principals of community engagement. NIH Publicaton No. 11-7782, 2nd edn. National Institute of Health, Bethesda, MarylandGoogle Scholar
  7. Cupertino AP, Saint-Elin M, de los Rios JB, Engelman KK, Greiner KA, Ellerbeck EF, Nápoles AM (2015) Empowering promotores de salud as partners in cancer education and research in rural Southwest Kansas. Oncol Nurs Forum 42:15–22. doi:10.1188/15.ONF.15-22 CrossRefPubMedPubMedCentralGoogle Scholar
  8. de Casanova EM (2010) New allies for immigration reform: a Cincinnati story. Lat Stud 8:121–125CrossRefGoogle Scholar
  9. De Leeuw J, Mair P (2011) Multidimensional scaling using majorization: SMACOF in R, Department of Statistics, UCLAGoogle Scholar
  10. Everitt B (1980) Cluster analysis, 2nd edn. Halsted Press, A Division of John Wiley and Sons, New YorkGoogle Scholar
  11. Farnsworth SK et al (2014) Community engagement to enhance child survival and early development in low-and middle-income countries: an evidence review. J Health Comm 19:67–88CrossRefGoogle Scholar
  12. Green AE, Fettes DL, Aarons GA (2012) A concept mapping approach to guide and understand dissemination and implementation. J Behav Health Ser R 39:362–373CrossRefGoogle Scholar
  13. Gryboski K, Yinger NV, Dios RH, Worley H, Fikree FF (2015) Working with the community for improved health. Health Bulletin 3Google Scholar
  14. Hoerster KD, Beddawi S, Peddecord KM, Ayala GX (2010) Healthcare use among California farm workers: predisposing and enabling factors. J Immigr Minor Health 12:506–512CrossRefPubMedGoogle Scholar
  15. Israel BA et al (2010) Community-based participatory research: a capacity-building approach for policy advocacy aimed at eliminating health disparities. Am J Public Health 100:2094–2102CrossRefPubMedPubMedCentralGoogle Scholar
  16. Jackson KM, Trochim WM (2002) Concept mapping as an alternative approach for the analysis of open-ended survey responses. Organ Res Meth 5:307–336CrossRefGoogle Scholar
  17. Jacquez F, Vaughn LM, Pelley T, Topmiller M (2015) Healthcare experiences of Latinos in a nontraditional destination area. J Community Prac 23:76–101CrossRefGoogle Scholar
  18. Jacquez F, Vaughn L, Zhen-Duan J, Graham C (2016) Healthcare utilization and barriers to care among Latino immigrants in a new migration area. J Healthc Poor Underserved. (In Press) Google Scholar
  19. Kane M, Trochim WMK (2007) Concept mapping for planning and evaluation. Applied social research methods series. Sage Publications, Thousand OaksCrossRefGoogle Scholar
  20. Kelly CM, Baker EA, Brownson RC, Schootman M (2007) Translating research into practice: using concept mapping to determine locally relevant intervention strategies to increase physical activity. Eval Program Plan 30:282–293CrossRefGoogle Scholar
  21. Leclere OA, López RA (2012) The jornalero: perceptions of health care resources of immigrant day laborers. J Immigr Minor Health 14:691–697CrossRefPubMedGoogle Scholar
  22. Lewin S et al. (2007) Lay health workers in primary and community health care. Cochrane Database Syst Rev 1Google Scholar
  23. Martinez CR, McClure HH, Eddy JM, Wilson DM (2011) Time in US residency and the social, behavioral, and emotional adjustment of Latino immigrant families. Hisp J Behav Sci:0739986311411281Google Scholar
  24. McLaren L, Hawe P (2005) Ecological perspectives in health research. J Epidemiol Commun H 59:6–14CrossRefGoogle Scholar
  25. Ogden CL, Carroll MD, Kit BK, Flegal KM (2014) Prevalence of childhood and adult obesity in the United States, 2011–2012. JAMA 311:806–814CrossRefPubMedPubMedCentralGoogle Scholar
  26. Pew Research Center (2013) Pew Research Hispanic Trends Project: US Hispanic Population by County, 1980–2011. Pew Research Center. http://www.pewhispanic.org/2013/08/29/u-s-hispanic-population-by-county-1980-2011/. Accessed 30 Oct 2014
  27. Riffe HA, Turner S, Rojas-Guyler L (2008) The diverse faces of Latinos in the Midwest: planning for service delivery and building community. Health Soc Work 33:101–110CrossRefGoogle Scholar
  28. Risisky D, Hogan VK, Kane M, Burt B, Dove C, Payton M (2008) Concept mapping as a tool to engage a community in health disparity identification. Ethn Dis 18:77PubMedGoogle Scholar
  29. Rosas SR, Kane M (2012) Quality and rigor of the concept mapping methodology: a pooled study analysis. Eval Program Plann 35:236–245CrossRefPubMedGoogle Scholar
  30. Rusch D, Frazier SL, Atkins M (2015) Building capacity within community-based organizations: new directions for mental health promotion for Latino immigrant families in urban poverty. Adm Policy Ment Health 42:1–5CrossRefPubMedGoogle Scholar
  31. Sallis JF, Owen N, Fisher EB (2008) Ecological models of health behavior. Health Behav Health Educ Theo Res Pract 4:465–486Google Scholar
  32. Sturrock K, Rocha J (2000) A multidimensional scaling stress evaluation table. Field Methods 12:49–60CrossRefGoogle Scholar
  33. Szaflarski M, Vaughn LM, McLinden D, Wess Y, Ruffner A (2015) Using concept mapping to mobilize a black faith community to address HIV. Int Public Health J Suppl. Contributions of Inter-professional Collaborations 7:117Google Scholar
  34. The Health Foundation of Greater Cincinnati (2006) 2005 Greater Cincinnati Hispanic/Latino Health Survey. Cincinnati OH, AuthorGoogle Scholar
  35. Timberlake JM, Williams RH (2012) Stereotypes of US immigrants from four global regions. Soc Sci Quart 93:867–890CrossRefGoogle Scholar
  36. Torres L (2010) Predicting levels of Latino depression: acculturation, acculturative stress, and coping. Cult Div Ethn Min 16:256CrossRefGoogle Scholar
  37. Torres L, Driscoll MW, Voell M (2012) Discrimination, acculturation, acculturative stress, and Latino psychological distress: a moderated mediational model. Cult Div Eth Min 18:17CrossRefGoogle Scholar
  38. Tran AN, Ornelas IJ, Perez G, Green MA, Lyn M, Corbie-Smith G (2014) Evaluation of Amigas Latinas Motivando el Alma (ALMA): a pilot promotora intervention focused on stress and coping among immigrant Latinas. J Immigr Minor Health 16:280–289CrossRefPubMedPubMedCentralGoogle Scholar
  39. Trochim WM (1989) An introduction to concept mapping for planning and evaluation. Eval Program Plan 12:1–16CrossRefGoogle Scholar
  40. Valdez CR, Lewis Valentine J, Padilla B (2013) “Why we stay”: immigrants’ motivations for remaining in communities impacted by anti-immigration policy. Cult Divers Ethn Min 19:279CrossRefGoogle Scholar
  41. Vaughn L, McLinden D (2016) Concept mapping: visualizing what the community thinks. In: Jason L, Glenwick DS (eds) Handbook of methodological approaches to community-based research: qualitative, quantitative, and mixed methods, Chapter 30. Oxford University Press, New York (In press) Google Scholar
  42. Vaughn LM, Jacquez F, McLinden D (2013) The use of concept mapping to identify community-driven intervention strategies for physical and mental health. Health Promot Pract 24:1524839912462871Google Scholar
  43. Vaughn L, Jones JR, Booth E, Burke JG (2016) Concept mapping methodology and community-engaged research: a perfect pairing. Eval Progr Plan (In Press) Google Scholar
  44. Walker RE, Jones JR, Burke JG (2014) Concept mapping for community perceptions. In: Burke J, Albert SM (eds) Methods for community public health research: Integrated and engaged approaches. Springer, New York, pp 171–194Google Scholar
  45. Wallerstein NB, Yen IH, Syme SL (2011) Integration of social epidemiology and community-engaged interventions to improve health equity. Am J Pub Health 101:822CrossRefGoogle Scholar
  46. Waters MC, Jiménez TR (2005) Assessing immigrant assimilation: new empirical and theoretical challenges. Annu Rev Sociol 31:105–125CrossRefGoogle Scholar
  47. Winer M, Ray K (2000) Collaboration handbook: creating, sustaining, and enjoying the journey. Amherst Wilder Foundation, St. PaulGoogle Scholar
  48. Zandvakili S, Passty B, von Hofe R, Mueller A (2010) Economic impact of Hispanic community in the Cincinnati msa. University of Cincinnati, CincinnatiGoogle Scholar
  49. Zúñiga V, Hernández-León R (2005) New destinations : Mexican immigration in the United States. Russell Sage Foundation, New YorkGoogle Scholar

Copyright information

© Swiss School of Public Health (SSPH+) 2016

Authors and Affiliations

  • Lisa M. Vaughn
    • 1
  • Farrah Jacquez
    • 2
  • Daniel Marschner
    • 3
  • Daniel McLinden
    • 4
  1. 1.Department of Pediatrics, Division of Emergency MedicineCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Department of PsychologyUniversity of CincinnatiCincinnatiUSA
  3. 3.Department of Educational StudiesUniversity of CincinnatiCincinnatiUSA
  4. 4.Department of Pediatrics, Division of General PediatricsCincinnati Children’s Hospital Medical CenterCincinnatiUSA

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