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Blood Pressure Self-Monitoring Intervention among Low-Income Pregnant and Postpartum Individuals in Nurse-Family Partnership: A Qualitative Program Evaluation Assessing Self-Efficacy and Health Literacy
No full textBackground: Hypertensive disorders of pregnancy (HDP) are a leading cause of maternal morbidity and mortality in the United States, disproportionately affecting low-income and marginalized populations. Blood pressure self-monitoring (BPSM) has emerged as a promising intervention to support management of HDP. This study evaluated the impact of a BPSM program on self-efficacy and health literacy among low-income, first-time pregnant and ostpartum individuals enrolled in Snohomish County’s Nurse-Family Partnership (NFP) program.
Methods: This qualitative program evaluation involved semi-structured interviews with 10 participants enrolled in the BPSM program. Interviews were conducted via secure video conferencing, transcribed, and analyzed using inductive thematic analysis supported by AI-assisted coding. Themes were developed through iterative review and comparison of manual and AI-generated codes.
Results: Four key themes emerged: (1) increased confidence in health care decision-making, (2) integration of health behaviors into daily life, (3) empowered understanding of health, and (4) improved communication with health care teams. The intervention fostered routine health behaviors and enhanced participants’ ability to understand and act on health information, including using health data to guide clinical conversations and influence care decisions.
Conclusions: The BPSM intervention enhanced participants perceived self-efficacy and health literacy, two critical factors in improving maternal health outcomes. These findings support the integration of BPSM into home-visiting programs like NFP, particularly for populations at elevated risk for HDP. By promoting autonomy and informed decision-making, BPSM mayserve as a valuable tool in reducing disparities in maternal health. Further research is recommended to explore long-term impacts and address barriers to implementation
Asian American Mental Health Detection, Treatment, and Adherence in Primary Care
No full textBackground: Asian Americans are understudied in the field of mental healthcare. Barriers to care include stigma, acculturative stress, and community expectations, coupled with structural limitations such as culturally insensitive care and knowledge gaps, which contribute to decreased rates of mental health access and utilization for this population.
Objective: Identify gaps in the diagnosis, and treatment pathways for Asian Americans receiving mental health services in the primary care setting.
Methods: A retrospective chart review was conducted through a group of community health clinics in Seattle, Washington. Race, preferred language, English-proficiency, age, income, insurance-type, and ethnic subgroups were identified and compared to screening, diagnosis, and treatment outcomes: The following variables were used as outcome measures: positive (score \u3e10) PHQ-9 and GAD-7 screening scores, the presence of a depression or anxiety diagnosis, the presence of antidepressant use, and the presence of behavioral health encounters.
Results: Asian American (AA) patients and white patients are diagnosed with depression at the same rates, while AAs are less likely than white patients to be diagnosed with anxiety. For insurance type and income level, there is little variability in treatment type. More adults under 65 years of age are being diagnosed with both depression and anxiety than adults greater than 65 years of age; however, both groups are equally likely to receive treatment. Lastly, English-proficient patients are being diagnosed with depression and anxiety at a greater rate than patients requiring an interpreter, but there is little variability with treatment.3
Conclusion: There is still much to overcome regarding mental health stigma and cultural nuances in the realm of improving help-seeking and service utilization amongst the Asian American population. However, it is apparent that culturally specific strategies are beneficial and must be continued through trusted access points like community health centers to improve the current nature of mental health for Asian Americans
2025-11-26 Gingerbread Village Provides a Sweet Holiday Treat for Type 1 Diabetes Research
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