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Effect of Virtual Versus In Person Interpreting on Diabetes Outcomes in Non-English Language Preference Patients: A Pilot Study
(Journal of Primary Care & Community Health, 2024-05-02) So, Marvin; Jadoo, Hailie; Stong, Jennifer; Klemenhagen, Kristen; Philbrick, Ann; Freeman, Kathryn
Objective: The objective of this pilot study was to explore the impact of interpreter format (virtual vs in person) on clinical outcomes in patients with non-English language preference (NELP) and type 2 diabetes mellitus (T2DM) in a primary care setting. We hypothesized that NELP patients utilizing in person interpreters would have improved HbA1c values, better follow-up rate, and more complex care plans compared to patients utilizing virtual interpreters. Methods: We completed a retrospective chart review of 137 NELP patients with T2DM who required a medical interpreter (February to June 2021). We calculated univariate and bivariate statistics to characterize the sample and assess the extent to which measures of continuity (follow-up visit rate and time to follow-up visit), quality (change in HbA1c), and complexity (medication intervention complexity) were associated with interpreter type. Results: There was no statistically significant difference in follow-up rate or average days to follow-up visit for NELP patients with in person as opposed to virtual interpreters. Patients with virtual interpreters demonstrated a non-statistically significant decrease in HbA1c compared to those with in person interpreters. Finally, there was no statistically significant association between interpreter format and intervention complexity. Conclusions: Quality medical interpretation contributes to optimal health outcomes in NELP patients with diabetes. Our study suggests that both in person and virtual interpreters can be effective in providing care for NELP patients, especially for chronic disease management in the context of a primary care relationship. It also highlights the importance of pursuing additional qualitative and mixed method studies to better understand the benefits of various interpreter formats across different visit types.
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Protective Factors Among Pregnant and Parenting Youth Experiencing Homelessness in Shelter: A Qualitative Exploratory Study
(Adversity and Resilience Science, 2024-02-01) So, Marvin; Kaja, Sarah; Brar, Pooja; Mehus, Christopher; Woodlee, Christina; Gewirtz O'Brien, Janna
Pregnant and parenting youth experiencing homelessness (PPYEH) face considerable health and socioeconomic challenges. Although protective factors, such as positive adult relationships, are key elements for healthy development throughout adolescence and young adulthood, they remain less understood among PPYEH. Drawing on in-depth interviews with 11 female participants (ages 15–20) in a shelter-based health program, we conducted a qualitative analysis to explore protective factors among PPYEH. Guided by a theory-informed codebook, we identified individual, interpersonal, organizational, and community-level factors that supported the health of PPYEH. Individual factors included youths’ future orientation, sexual health and contraceptive knowledge, understanding/prioritization of personal and child health, self-efficacy and engagement in their parent role, and ability to navigate complex systems. Interpersonal factors included meaningful parent–child relationships and multidimensional support from family and school. Organizational factors included instrumental support from school and shelter, shelter rules and policies, and the benefit of the shelter compared to previous housing circumstances. Community factors included having access to and satisfaction with primary care, easy access to sexual and reproductive healthcare, and a network of professional supports. Societal-level protective factors were not identified. Findings demonstrate the value of understanding and enhancing protective factors within ongoing clinical, educational, and policy efforts to support PPYEH.
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Minnesota Crookston Women's Basketball Falls 77-66 At Minot State
(University of Minnesota Crookston, 2020-02-14) Smith, Shawn D.
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Golden Eagles Fall in Heart-Breaking Fashion to NSIC Foe Bemidji State
(University of Minnesota Crookston, 2020-02-14) Plante, Hunter