Caregiver Experiences, Functioning, and Needs of Low-Income African-American and Latino Mothers of Children with Asthma

Thursday, 25 July 2013: 8:30 AM

Jo A. Dowell, PhD, PNP/FNP-BC, Postdoctoral Fellow
School of Nursing, Duke University, Durham, NC

Learning Objective 1: to provide information on caregiver experiences, functioning and needs of children with asthma

Learning Objective 2: to provide information on the preceived caregiver experiences on cultural competency of health care providers and health care delivery system

Purpose:

 The purpose of this proposed pilot study was to explore the caregiver experiences of African American and Hispanic/Latino mothers of children with asthma in an effort to understand how specific cultural influences have an effect on the care of these children and subsequent health outcomes.

Methods:

 A qualitative, descriptive design was used to examine the experiences, functioning and needs of low income African American and Hispanic/Latino mothers of children with asthma.  Sample: The participants (mothers) were recruited from a Child Development Center in North Carolina.  A purposive sampling technique was used to enroll a sample of 10 low income, African American and 10 low income, Hispanic or Latino mothers of children with asthma.  Purposive sampling involves deliberate sampling for maximal variation (Blankertz, 1998; Patton, 2002) on factors considered important to the concepts being studied (e.g., family configurations, acuity of asthma, age of child).  Procedure: One semi-structure interview lasting 60-90 minutes was conducted by the principal investigator with mothers in their homes.  Analysis: The audio recorded tapes were transcribed into electronic text and analyzed using content analysis techniques with the aid of a text-based analysis computer software program (ATLAS.TI version 7).  The interview data was analyzed to discover regularities and to identify and categorize patterns (Miles & Huberman, 1994). 

Results:

 The caregiver experiences, functioning, and needs of low income African American and Latino mothers of children with asthma provided information on cultural adaptation to the health care system.

Conclusion:

Future research needs to focus cultural competency measures that correlate with these mothers cultural experiences.