Implementation of a bilingual and bicultural navigation program for Hispanic children with traumatic brain injuries.
Background: Traumatic brain injury (TBI) disproportionately affects Hispanic children, with higher rates of severe injuries and worse outcomes compared to non-Hispanic White children. Patient navigation has shown effectiveness in improving health outcomes among Hispanic populations. However, cultura...
| Publicado en: | Brain Injury Vol. 39; no. 9; pp. 730 - 742 |
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| Autores principales: | , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186372993&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186372993 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02699052 B6W jtl: Brain Injury issn: 02699052 maglogo: Y pubinfo: dt: 2025 vid: 39 iid: 9 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 186372993 184070215 186372993 186372993 10.1080/02699052.2025.2479824 186372993 ppf: 730 ppct: 12 formats: tig: atl: Implementation of a bilingual and bicultural navigation program for Hispanic children with traumatic brain injuries. aug: au: Garcia, Celeste N. Ramirez, Magaly Alam, Tasnia Ko, Linda K. Jimenez, Nathalia affil: Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, Washington, USA sug: subj: Brain Injuries Therapy Multilingualism Cultural Diversity Patient Navigation In Infancy and Childhood Hispanic Americans In Infancy and Childhood Hospital Programs Program Implementation Caregivers Psychosocial Factors Human Male Female Child Adult Middle Age Funding Source Caregiver Burden Caregiver Attitudes Interviews Brain Injuries Education Content Analysis Implementation Science Interview Guides Health Services Needs and Demand Ethics, Organizational Organizational Policies Rules and Regulations Support, Psychosocial Documentation Healthcare Disparities Child: 6-12 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Traumatic brain injury (TBI) disproportionately affects Hispanic children, with higher rates of severe injuries and worse outcomes compared to non-Hispanic White children. Patient navigation has shown effectiveness in improving health outcomes among Hispanic populations. However, culturally tailored navigation programs for pediatric TBI are lacking, and knowledge gaps remain regarding contextual factors influencing the implementation of these programs. This study examined factors that facilitate or hinder the implementation of a bilingual and bicultural navigation program for caregivers of Hispanic children with TBIs. Methods: In-depth interviews were conducted with 12 personnel involved in implementing the 1st Brain Injury Education and Outpatient Navigation (1st BIEN) program across four states. Directed content analysis was used based on the Consolidated Framework for Implementation Research (CFIR) to guide the development of the interview guide and data analysis. Results: Key facilitators included the program's adaptability to patient needs, bilingual/bicultural patient navigator's skills, and alignment with organizational values. Barriers included restrictive healthcare regulatory policies hindering interinstitutional work, incomplete medical records, and gaps in behavioral support training. Discussion: These findings offer insights for optimizing the implementation of patient navigation programs in pediatric TBI care, potentially improving access to care and reducing disparities for Hispanic children with brain injuries. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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