A Pilot Study of a Teen Dating Violence Prevention Program With Karen Refugees.

While teen dating violence (TDV) prevention programs generally report changes in participants' attitudes and mixed findings about changes in behavior, little is known about the impact of TDV programs on ethnic minority youth. This study examined the effectiveness of Safe Dates, an evidence-based TDV prevention program, in educating 21 resettled Karen refugee youth from Burma. Findings indicated changes in attitudes toward violence occurred from pretest to follow-up.

Implementation of a collaborative care model for the treatment of depression and anxiety in a community health center: results from a qualitative case study.

Background: The collaborative care model is a systematic approach to the treatment of depression and anxiety in primary care settings that involves the integration of care managers and consultant psychiatrists, with primary care physician oversight, to more proactively manage mental disorders as chronic diseases, rather than treating acute symptoms. While collaborative care has been shown to be more effective than usual primary care in improving depression outcomes in a number of studies, less is known about the factors that support the translation of this evidence-based intervention to real-world program implementation. The purpose of this case study was to examine the implementation of a collaborative care model in a community based primary care clinic that primarily serves a low-income, uninsured Latino population, in order to better understand the interdisciplinary relationships and the specific elements that might facilitate broader implementation.

What leads non-U.S.-Born Latinos to access mental health care?

Latinos underutilize mental health care services. Of those who do, about 70% do not return after the initial visit. This study's purposes were: (1) to identify factors that led non-U.

Introducing educational interventions for first year medical students in the area of cancer clinical trials: impact on attitudes and confidence.

Background: This study tested the feasibility and efficacy of a multi-faceted educational intervention designed to increase medical students' confidence in discussing cancer clinical trials with patients.

Method: First year students were provided with written resources, problem-based learning scenarios, and an optional practicum.

Results: Pre/Post results indicated significant increases in confidence levels; however, these results were tempered with declines in attitudes related to clinical trials.

Coping with prostate cancer in Asian-American, Native Hawaiian, and Caucasian families.

Prostate cancer is the most commonly diagnosed invasive cancer among men in the United States. In order to explore the coping experience of men and their families facing prostate cancer, a qualitative analysis of written responses to open-ended questions related to roles during the illness experience, closeness of relationships, and coping strategies was conducted with a sample of 100 Caucasian, Asian, and Native Hawaiian participants. Results indicate that family members and friends are essential to coping with the effects of the disease, and also that spouses, children, and friends fulfill unique and important roles in facing the illness experience.

Multi-ethnic adolescents' attitudes toward smoking: a focus group analysis.

Purpose: To explore young, multi-ethnic adolescents' attitudes and influences related to cigarette smoking for the purpose of developing and producing a youth-led, tobacco prevention drama.

Design: Focus groups and demographic surveys.

Setting: Island of Oahu, Hawaii.

Coping With Breast Cancer at the Nexus of Religiosity and Hawaiian Culture: Perspectives of Native Hawaiian Survivors and Family Members.

This article describes research to develop a breast health intervention for women in Hawaiian churches. Native Hawaiian women are disproportionately burdened by breast disease and tend to be diagnosed at advanced stages when treatment options are more limited. Research suggests that cultural conflict may be a factor in Hawaiian women's underutilization of conventional health services.

Using drama to prevent teen smoking: development, implementation, and evaluation of crossroads in Hawai'i.

The use of drama as a preventive education measure has demonstrated success in various health promotion venues and offers promise in promoting positive youth attitudes and behavior change related to tobacco use. Especially important is a need to implement culturally relevant methods to reach youth. This article describes the development and implementation of a tobacco prevention drama for Asian and Pacific Islander youth.

Empowering natural clinical trial advocates: nurses and outreach workers.

Cancer clinical trials are essential to advancing the prevention and treatment of cancer, yet adult participation rates in clinical trials remain abysmal. Despite the essential contributions of clinical trials to science and medicine, adult participation in clinical trials remains exceedingly low, with only 2%-4% of all adult patients with cancer in the U.S.