Journal article
Mixed-Methods Study of Disability Self-Management in Mexican Americans With Osteoarthritis
Nursing research (New York), Vol.73(3), pp.203-215
05/01/2024
DOI: 10.1097/NNR.0000000000000721
PMCID: PMC11045046
PMID: 38652692
Abstract
Background: Health disparities in osteoarthritis (OA) outcomes exist both in the occurrence and treatment of functional limitation and disability for Mexican Americans. Although the effect of self-management of chronic illness is well established, studies demonstrate little attention to self-management of function or disability, despite the strong potential effect on both and, consequently, on patients' lives. Objective: The purpose of this study pilot was to develop and test key variable relationships for a measure of disability self-management among Mexican Americans. Methods: In this sequential, two-phased, mixed-methods, biobehavioral pilot study of Mexican American women and men with OA, a culturally tailored measure of disability self-management was created, and initial relationships among key variables were explored. Results: First, a qualitative study of 19 adults of Mexican American descent born in Texas (United States) or Mexico was conducted. The Mexican American Disability Self-Management Scale was created using a descriptive content analysis of interview data. The scale was tested and refined, resulting in 18 items and a descriptive frequency of therapeutic management efforts. Second, correlations between study variables were estimated: Disability and function were negatively correlated. Disability correlated positively with social support and activity effort. Disability correlated negatively with disability self-management, pain, and C-reactive protein. Function was positively correlated with age, pain, and depression. Liver enzymes (alanine transaminase) correlated positively with pain and anxiety. Discussion: This mixed-methods study indicates directions for further testing and interventions for disability outcomes among Mexican Americans.
Details
- Title: Subtitle
- Mixed-Methods Study of Disability Self-Management in Mexican Americans With Osteoarthritis
- Creators
- Tracie C. Harrison - Univ Arkansas Med Sci, Coll Nursing, Geriatr Nursing, Little Rock, AR USAShelley A. Blozis - University of California, DavisJaniece Taylor - Johns Hopkins UniversityNandini Mukherjee - University of Arkansas Medical CenterLucía Caudillo Ortega - Universidad de GuanajuatoNancy Blanco - Universidad de GuanajuatoAlexandra A. Garcia - The University of Texas at AustinSharon A. Brown - The University of Texas at Austin
- Resource Type
- Journal article
- Publication Details
- Nursing research (New York), Vol.73(3), pp.203-215
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/NNR.0000000000000721
- PMID
- 38652692
- PMCID
- PMC11045046
- ISSN
- 0029-6562
- eISSN
- 1538-9847
- Number of pages
- 13
- Grant note
- NR015335 / Center for Transdisciplinary Collaborative Research in Self-Management Science at The University of Texas at Austin School of Nursing
- Language
- English
- Date published
- 05/01/2024
- Academic Unit
- Nursing
- Record Identifier
- 9984696718302771
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