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Improving Self-Efficacy for Latinos Through Goal Setting at a Community Health Center

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Chronic disease continues to cost the United States billions of dollars a year, with Latinos being disproportionately affected because of various obstacles and issues. Efforts focused on interventions to assist patients to self-manage are integral to decrease these health disparities. Goal setting implemented by staff nurses during routine primary care visits was used to investigate whether self-efficacy and selfrated health scores would improve among Spanish-speaking participants ( = 184). Although not statistically significant, the intervention group did experience a greater increase in mean self-efficacy scores than the usual care group. Self-efficacy is an important factor in any health promotion activity geared toward behavior change. Providing patients with goal-setting experience will assist them in gaining mastery experience, which is an essential way to improve self-efficacy. Future research should include ongoing training of the nurses during the implementation and evaluation of instrumentation used specific to Latino populations.

Spanish
Las enfermedades crónicas le cuestan a los E.E.U.U. billones de dólares al año, siendo los Latinos desproporcionadamente afectados debido a varios obstáculos. Los esfuerzos centrados en las intervenciones para ayudar a los pacientes a la libre gestión son esenciales para disminuir estas disparidades de salud. El establecimiento de metas implementado por el personal de enfermería durante las visitas de atención primaria de rutina se utilizó para investigar si la autoeficacia y la autopercepción de las puntuaciones de salud mejoraría entre los participantes de habla hispana (N = 184). Aunque no estadísticamente significativa, el grupo de intervención experimentó un aumento más alto en las puntuaciones medias de autoeficacia que el grupo de atención habitual. La autoeficacia es un factor importante en cualquier actividad de promoción de salud orientado hacia el cambio de comportamiento. Proporcionar a los pacientes con experiencia de la fijación de metas les ayudará a ganar experiencia de dominio, que es una forma esencial para mejorar la autoeficacia. La investigación futura debe incluir la formación continua de las enfermeras durante la ejecución y evaluación de la instrumentación utilizada específicamente para la comunidad latina.
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Keywords: CHRONIC DISEASE; COMMUNITY HEALTH CENTER; GOAL SETTING; HISPANIC/LATINO

Document Type: Research Article

Affiliations: Fairfield University, Fairfield, Connecticut, USA

Publication date: September 1, 2013

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