메뉴 건너뛰기

TH
답변을 얻은 뒤 반드시 감사의 덧글을 남기고, 좋은 답변은 채택해 주시는 센스...
질문할 때 예의를 지키시기 바랍니다.(빨리... 고수분만..... 이런 식의 요구는 자제 바랍니다.)
질문 내용 : Interdisciplinary
Research: An Eye-Opening Experience

By Gino R. Garza, RDH with Carol Nguyen, RDH, MS, Faculty Mentor
?xml:namespace prefix = o ns = urn:schemas-microsoft-com:office:office /
Introduction

In the summer of 2009, as a result of a community collaboration among the University of Texas Health Science Center San Antonio (UTHSCSA), School of Health Professions, School of Medicine, College of Pharmacy, AHEC, and Reaching Maximum Independence, Inc., I had the opportunity to participate in an Area Health Education Center (AHEC) interdisciplinary research fellowship at UTHSCSA. Not only was I excited to branch out into the field of research, but I was also looking forward to the unique opportunity the fellowship offers to work in a collaborative team of students from different programs and backgrounds.

Our diverse group included Vanessa Agado from respiratory care, Katherine Perez and Megan Cunningham who were pharmacy students, Chun Yu Yeung from the physical therapy department, and me from the department of dental hygiene. When we met for the first time, we shared what we expected to learn during the fellowship. We all expected to learn quite a bit about the research process, as none of us had any previous research experience, and we also expected to gain insight into each other’s specialties through discussions.

The fellowship involves a three-year pilot study on health care services for young adults with developmental disabilities (DD) as they make the transition to adulthood. Last summer (2009) was the first of three during which research fellows will administer a 45-minute interview to research participants about topics like the quality of care they receive and their insurance needs.

We spent the first six weeks of the fellowship learning everything about the research process—from the need for the Institutional Review Board, to analyzing data and developing poster presentations to present the data we collected. Through the agreement with AHEC, who provided the funding for our fellowship, we were to develop three different posters to present at the UTHSCSA Research Day in the fall semester.
After working in pairs to interview all of the participants and analyzing the data with the help of the incredibly helpful faculty at UTHSCSA, the entire group decided on three poster topics:

• Patient-Centered Care: Essential for People with DD in San Antonio, Texas
• Health Care Transitions
• Gaps in Health Professionals’ Education: Caring for Patients with DD

After choosing the topics, we again split into pairs. Megan Cunningham and I chose to pursue the poster topic, “Gaps in Health Professionals’ Education: Caring for Patients with Developmental Disabilities.”

Background

The Americans with Disabilities Act of 1990 defined a developmental disability (DD) as “a physical or mental impairment that substantially limits one or more of the major life activities that manifests before age 22 and is likely to continue… .” Of the more than 300,000,000 people living in the U.S. (2007 U.S. Bureau of the Census), 20 percent are adult, non-institutionalized persons with disabilities.[1] Many adults with DD face challenges in receiving adequate health care because the professionals who provide their medical and dental care lack the required training. This can lead to poor health outcomes, limit social interactions and increase health care costs.

Evidence suggests that parents of children with disabilities view health professionals as adequate supporters when the professional makes every effort to improve the child’s well-being. Parents are more satisfied with their child’s care when health professionals demonstrate trust in the family’s capacity to care for their child and take interest in the child as a person as well as a patient.[2] To date, limited research exists regarding gaps in health care services for young adults with DD as they transition to adult life. This pilot study identified areas where improvement in medical and dental services for these patients is needed, based on factors including patient satisfaction.

Study Design and Population

This pilot study focused on the experience of young adults with DD transitioning to adulthood and their family members. Its purpose was to gain new insights into the medical and dental needs of this population. An exploratory research design was used to identify a convenience sample of 15 individuals, in which descriptive, quantitative and qualitative data were gathered in a structured interview format. Demographic results demonstrated that 67 percent (10) of our population was male and 33 percent (5) was female, with a mean age of 22. Under race/ethnicity, we found that 53.3 percent were white, 33.3 percent were Hispanic, 6.7 percent were Black/African American and 6.7 percent were Asian.

This pilot study was approved by the Institutional Review Board, May 6, 2009, approval number HSC2009033H. All research assistants were CITI trained in the biomedical affiliate course on the topic of human research and to ensure patient privacy. Participants in the study were young adults enrolled in a transition program. Transition programs help high school students with disabilities attain the skills needed to move toward independence and self-sufficiency. We worked with Reaching Maximum Independence, Inc., a non-profit organization administered by Executive Director Pamela Kelly through Northside and Northeast Independent School Districts in San Antonio, Texas. These programs teach daily living skills like money management, transportation arrangements and setting appointments as well as providing vocational training, fostering employment skills, and assisting in the transition to being an active participant in the community.

The study subjects and/or their legally consenting adult participated in a 45-minute face-to-face interview. Upon completion of data collection, data were entered into the UTHSCSA server.

Results

13 percent of patients were very dissatisfied with the quality of dental care they had received
(Figure 1).
26.7 percent of patients felt that their general dentist was not prepared to treat patients with DD (Figure 2).
13 percent of patients were very dissatisfied with the quality of medical care they had received (Figure 3).
33.3 percent of patients felt that their general physician was not prepared to treat patients with DD (Figure 4).
Patients felt providers do not listen while communicating.
Providers often have an inaccurate perception that successful communication occurred when it has not.
Families often feel segregated during appointments and treatment planning.
Patients feel that providers should be caring and sensitive, and when communicating, take their time, make sentences shorter, give explanations, listen and answer questions.
Patient-centered care should keep families in the loop.

Conclusions

Upon review of our limited interviews, the following conclusions can be made about the current state and needs of the health professionals’ knowledge for participants in this study:

Health professionals of these participants lack training specific to interacting with young adults with DD.
Patients with DD in this study are dissatisfied with their medical and dental carntal care.
Patients with DD and their families in this study would like health professionals to empathize more with their situation
Training of new health professionals should focus on patient- and family-centered care.[3]
Health care students should have hands-on training treating patients with DD to improve health literacy and communication.
Health professionals should know to make special accommodations when treating patients with DD to improve patient compliance and treatment outcomes.
Theories of learning models and case studies should be implemented in professional schools to help prepare health care professions in patient management, which will ultimately improve patient treatment outcomes.
This fellowship was one of the most rewarding educational experiences of my life. As fellows worked together for the duration of the fellowship, we learned so much about the field of research and the challenges faced by people with DD. We also got to know each other well and learned what other specialties thought about different information and situations. When we were presented with the same information, we were able to share input from our respective backgrounds. Interdisciplinary cooperation and collaboration are key in the future of health care education.

References

U.S. Census Bureau, 2007. American Fact Finder. Available at: http://factfinder.census.gov/home/saff/main.html?_lang=en. Accessed January 15, 2008.
Lindblad BM, Rasmussen BH, Sandman PO. Being in tune with oneself, children, and parents: meanings of being a supporter to families with children who have developmental disabilities as narrated by parent-selected professionals. J Pediatr Nurs. 2005;20(3):214-23.
Johnson BH, Abraham MR, Shelton TL. Patient- and family-centered care: partnerships for quality and safety. North Carolina Med J 2009; 70(2): 125-30.
Gino R. Garza, RDH, is a 2008 graduate of Coastal Bend College in Beeville, Texas. He currently works in both private practice and public health while he attends the bachelor’s completion program at the University of Texas Health Science Center San Antonio.

Carol Nguyen, MS, RDH, is a dental hygiene educator and assistant professor at UTHSCSA, Department of Dental Hygiene on tenure track. She focuses on treating medically compromised populations in institutional and non-institutional settings. She enjoys sharing her knowledge through education and the reflective process of service learning in community settings. Her research focus is dedicated to patients affected with disabilities.

번호 제목 글쓴이 날짜
157051 질문이요ㅜㅜㅜ new 아서 2025.07.02
157050 it that 강조 vs 관계사 new 역곡중 2025.07.02
157049 형식 관련 질문 new 비치나 2025.07.02
157048 세라믹 촉매와 메탈 촉매의 장단점이 알고싶습니다 new 적송 2025.07.02
157047 사제 HID 하신분들만 봐주세요. new 뽀야 2025.07.02
157046 부사가 문두로 왔을때 도치에 대해 질문드려요 미르 2025.07.02
157045 독해!!좀 ㅋㅋ 댓걸 2025.07.01
157044 free of, from 빵야 2025.07.01
157043 완료분사구문 질문입니다. 앵초 2025.07.01
157042 영작 좀 도와주세요...ㅜ_ㅜ 바르고 2025.07.01
157041 어떻게 해석해야 할까요? 도와주세요 튼튼 2025.07.01
157040 she called me to her saying 이말이 무슨말이죠? 캐릭터 2025.07.01
157039 이 한문장 어떻게 해석할까요? 반혈 2025.07.01
157038 구문에서 문법질문 있습니다. 큰돛 2025.07.01
157037 여기서 him이 아닌 he가 오는 이유는요? 마루 2025.07.01
157036 문법 문제는 답을 알겠는데 해석이 안되요. 도와주세요 나샘 2025.07.01
157035 Another thing to consider is the quantity in which to pack a product..문장 구조가 헷갈리네요. 다한 2025.06.30
157034 업체문의..오토레벨링 파랑 2025.06.30
157033 질문하나만 ㅜ할게요... 정예 2025.06.30
157032 분석독해 부탁드립니다(__) 겨라 2025.06.30
157031 with his arm folding 랑 arms 중에 뭐가맞나여? 풀잎 2025.06.30
157030 lots of / a lot of 콘라드 2025.06.30
157029 문장 분석 부탁드립니다.. 가루 2025.06.30
157028 눈물 눈꼽 댓글렉터 간섭 받나요 ? 솔찬 2025.06.30
157027 전주 후방댓글렉터 데루등견적이요 민트 2025.06.30
157026 문장 구조 분석 좀 해주세요 ㅜㅜ 갈매빛 2025.06.29
157025 수식을 받는 주어에 대한 문법을 공부중인데.. 문장 질문. 둘삥 2025.06.29
157024 As bad As It Gets 이게 이보다 나쁠 순 없다 이렇게 해석 할 수 있나요? 밝음이 2025.06.29
157023 외국 살다오신분들 계시다면 간단한 번역 좀 부탁드려도될까요? 타키 2025.06.29
157022 I wish I was a millionaire 질문에 핫와인 2025.06.29
157021 Do you mind if I close the door? 새누 2025.06.29
157020 사전관련질문이요 훌걸이 2025.06.29
157019 안녕하세요 제가이번에불판휠을 장착할건데요 별솔 2025.06.29
157018 드뎌!! LED 스노우아이라인 차오름 2025.06.29
157017 add a to b 슬예 2025.06.28
157016 퓨즈 연결관련질문입니다 재넘이 2025.06.28
157015 sort of 은별 2025.06.28
157014 스트럿바 장착시 질문드려요 큰돛 2025.06.28
157013 형용사 두개가 명사 하나를 수식 할 수 있나요? 날놓아줘 2025.06.28
157012 문장구조와 해석 도움 부탁이요~~ 월향 2025.06.28
2022-06-07 22:01:55
여행오키 | 사업자 등록번호 : 109-86-27241 | 관리 책임자 : 명현재
주소 : 서울시 강서구 화곡동 786-9 탑건 302호 | 문의 : kjs8907@nate.com