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Report Title:	Reducing the Burden of Arthritis in Hispanic Populations: Environmental Scan Report
*Abstract:*	This document provides findings of an environmental scan through Internet analysis conducted by ORC Macro on behalf of the Centers for Disease Control and Prevention (CDC) for the Formative Research Aimed at Reducing the Burden of Arthritis in Hispanic Populations (English-speaking, Spanish-speaking) project. The first priority is to identify appropriate audience segments within the Hispanic population (aged 45–64) that would be responsive to a physical activity campaign. Included and referenced in the environmental scan is information from Websites with coverage of Hispanic/Latino health, arthritis, physical activity and other relevant health care issues. Materials from these sites were collected between October 2002 and January 2003. After review of Websites’ contents, selected items were categorized, documented, and stored as a separate entry in a template created for that purpose (Please refer to Appendix B with a Table of Organizations and Resources). The items selected for inclusion in this environmental scan (listed on Appendix B) are professional organizations, programs, health promotion materials, reports, and other documents related to Hispanic/Latinos, arthritis, and promoting physical activity. Within each entry, this table captures a brief description of the selected entry and identifies its intent, target audience, and authoring agency. The findings of this report are discussed in 5 interrelated areas that correspond to the information captured in this environmental scan: general profile of Hispanic/Latinos; international and national initiatives; partnerships and key stakeholders; education programs and media campaigns, and clinical and psychosocial trends. This information is provided to help guide the development of communication plans marketed to Hispanic/Latino audiences by identifying key aspects of target populations that could affect how messages are interpreted. Marketing health behaviors such as physical activity should consider conceptualization, development and production of bilingual materials or materials available separately in both languages. Based on specific Census 2000 information (combination of percentage and absolute numbers) plus geographical distribution diversity, the following cities emerge as good candidates for inclusion on a segmentation plan for future data collection activities: · Los Angeles (CA) · Chicago (IL) · Hialeah or Miami (FL) · Laredo, Brownsville, El Paso or McAllen (TX). It is recommended to focus on a combination of cities with a geographical distribution variety and numbers of Hispanic/Latino population per age group (45- 64). The final set of cities selected will also have a mix of countries of origin available in the pool of potential study participants on incoming data collection activities through focus groups, as per Census 2000 data. Most of the health information online reviewed in this environmental scan (in either Spanish or English) recommended people with arthritis to consult with their doctor on several important issues: · Diagnosis of arthritis · Referrals to a physical therapist to help with an exercise program · Weight control and nutrition information · Prescription drugs and assisting devices · Surgery For Hispanics/Latinos with arthritis who might also be in lower SES and have little or no access to health care, this recommendation is not necessarily a realistic one in many cases. It would be meaningful to further investigate the target population views on this issue. Thus, it is recommended to include relevant questions and probes into the discussion guide exploring participant’s experiences and perceptions on the role of primary care providers and alternative sources of care in relation to management of a chronic disease such as arthritis. There are various national objectives and initiatives relevant to arthritis and physical activity that serve to promote awareness and improve delivery of quality health care for people with arthritis, which are listed in this report. There are a number of prominent organizations addressing arthritis, self-management, promotion of physical activity, and health care needs of Hispanic/Latino populations. Through their efforts, these organizations are actively working to increase awareness and improve practices of both patients and health care providers. The partnership model provides opportunities for coordination of activities and to capitalize on existing infrastructures for dissemination of future campaign activities for this project. Education programs and media campaigns reviewed for this environmental scan focused on current efforts targeting chronic disease (specifically diabetes), Hispanic/Latino patients and health care providers. The programs and campaigns listed here use Spanish materials, integrate the concept of “la familia” as a target audience for activities, recognize and incorporate music and dance as innovative ways to increase physical activities into daily routines, and use community health workers or “promotores” as peer educators, among others strategies. Through culturally and linguistically competent health promotion education and awareness activities, these programs and campaigns enforce the lifestyle changes for the prevention and proper management of certain chronic diseases and improved quality of life for the target Hispanic/Latino populations. A number of clinical and psychosocial trends have emerged in relation to promoting physical activity to Hispanic/Latino populations. These trends become apparent in observing the messages that are conveyed and the mechanisms that disseminate these messages. They include: · Bundling chronic diseases health promotion messages by promoting physical activity across diseases affecting Hispanic/Latinos, · Emphasis on prevention, self-management, and patient empowerment in English and Spanish, and · Use of the partnership model for message development and dissemination.
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Agency:	Centers for Disease Control and Prevention
Date of Report:	1/1/2003

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Report Title:	Reducing the Burden of Arthritis in Hispanics Populations Literature Review
*Abstract:*	The purpose of the literature review is to provide CDC with information that will assist in conducting qualitative formative research with Hispanics/Latinos with arthritis, in order to develop a communication plan to increase physical activity. Building on the findings from the literature review, the formative research will help shape future programs and interventions that seek to reduce the negative effects of arthritis, as well as reduce disproportionate disability due to arthritis for the underserved populations of the United Sates, with particular attention to Hispanic/Latino populations (English- and Spanish-speaking).
	Details...
Agency:	Centers for Disease Control and Prevention
Date of Report:	1/1/2003

Displaying: 1-2 of 2 documents