Publications by authors named "R M Gonzalez-Guarda"

Introduction: Latinx populations are underrepresented in clinical research. Asking Latinx research participants about their research experiences, barriers, and facilitators could help to improve research participation for these populations.

Methods: The Salud Estres y Resilencia (SER) Hispano cohort study is a longitudinal cohort study of young adult Latinx immigrants whose design and conduct were tailored for their study population.

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The NIH Pragmatic Trials Collaboratory supports the design and conduct of 31 embedded pragmatic clinical trials, and many of these trials use patient-reported outcome measures (PROMs) to provide valuable information about their patients' health and wellness. Often these trials enroll medically underserved patients, including people with incomes below the federal poverty threshold, racial or ethnically minoritized groups, or rural or frontier communities. In this series of trial case reports, we provide lessons learned about collecting PROMs in these populations.

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Previous studies have reported on the health impact of systemic racism among historically oppressed populations. In fact, there is an emerging body of literature, including systematic reviews, which describe the negative health consequences of systemic racism among racial/ethnic minoritized groups in the US. Less is known, however, about effective intervention strategies to address systemic racism and the resulting health inequities.

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Aims: Latinx immigrants are exposed to acculturative stressors as they adapt to the U.S. However, little is known about the impact of acculturative stressors and psychosocial resilience on physiological responses and health over time.

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Article Synopsis
  • - The study focused on implementing a nurse-led lethality assessment program in an emergency department to improve screening for intimate partner violence (IPV) and connect victims to necessary services.
  • - After the program, 143 nurses showed significant increases in knowledge and confidence related to IPV protocols, completing 14 lethality screens that identified high-risk cases needing intervention.
  • - Key implementation barriers included time constraints and privacy issues, while facilitators were supportive resources and training, highlighting the program's potential to reduce IPV homicide rates and improve victim support in healthcare.
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