Exploring strategies to reach individuals of Turkish and Moroccan origin for health checks and lifestyle advice: a mixed-methods study
Identifieur interne : 000339 ( Main/Exploration ); précédent : 000338; suivant : 000340Exploring strategies to reach individuals of Turkish and Moroccan origin for health checks and lifestyle advice: a mixed-methods study
Auteurs : Andrea J. Bukman [Pays-Bas] ; Dorit Teuscher [Pays-Bas] ; Jamila Ben Meftah [Pays-Bas] ; Iris Groenenberg [Pays-Bas] ; Mathilde R. Crone [Pays-Bas] ; Sandra Van Dijk [Pays-Bas] ; Marieke B. Bos [Pays-Bas] ; Edith J. M. Feskens [Pays-Bas]Source :
- BMC Family Practice [ 1471-2296 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Compétence culturelle (MeSH), Counseling directif (MeSH), Enquêtes sur les soins de santé (MeSH), Entretiens comme sujet (MeSH), Examen physique (MeSH), Groupes de discussion (MeSH), Humains (MeSH), Langage (MeSH), Maroc (ethnologie), Mode de vie sain (MeSH), Médecine générale (méthodes), Participation des patients (MeSH), Pays-Bas (MeSH), Promotion de la santé (méthodes), Préférence des patients (MeSH), Turquie (ethnologie).
- MESH :
- ethnologie : Maroc, Turquie.
- méthodes : Médecine générale, Promotion de la santé.
- Adulte, Adulte d'âge moyen, Compétence culturelle, Counseling directif, Enquêtes sur les soins de santé, Entretiens comme sujet, Examen physique, Groupes de discussion, Humains, Langage, Mode de vie sain, Participation des patients, Pays-Bas, Préférence des patients.
English descriptors
- KwdEn :
- Adult (MeSH), Cultural Competency (MeSH), Directive Counseling (MeSH), Focus Groups (MeSH), General Practice (methods), Health Care Surveys (MeSH), Health Promotion (methods), Healthy Lifestyle (MeSH), Humans (MeSH), Interviews as Topic (MeSH), Language (MeSH), Middle Aged (MeSH), Morocco (ethnology), Netherlands (MeSH), Patient Participation (MeSH), Patient Preference (MeSH), Physical Examination (MeSH), Turkey (ethnology).
- MESH :
- ethnology : Morocco, Turkey.
- methods : General Practice, Health Promotion.
- Adult, Cultural Competency, Directive Counseling, Focus Groups, Health Care Surveys, Healthy Lifestyle, Humans, Interviews as Topic, Language, Middle Aged, Netherlands, Patient Participation, Patient Preference, Physical Examination.
Abstract
Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for cardio-metabolic diseases and follow-up (lifestyle) advice.
This mixed-methods study used a convergent parallel design, to combine data of one quantitative study and three qualitative studies. Questionnaire data were included of 310 respondents, and interview data from 22 focus groups and four individual interviews. Participants were recruited via a research database, general practitioners and key figures. Quantitative data were analysed descriptively and qualitative data were analysed using a thematic approach.
Regarding health checks, 50 % (95 % CI 41;59) of the Turkish questionnaire respondents and 66 % (95 % CI 57;76) of the Moroccan questionnaire respondents preferred an invitation from their general practitioner. The preferred location to fill out the health check questionnaire was for both ethnic groups the general practitioner’s office or at home, on paper. Regarding advice, both groups preferred to receive advice at individual level rather than in a group, via either a physician or a specialised healthcare professional. It was emphasised that the person who gives lifestyle advice should be familiar with the (eating) habits of the targeted individual. Sixty-one percent (95 % CI 53;69) of the Turkish respondents preferred to receive information in their native language compared to 37 % (95 % CI 29;45) of the Moroccan respondents. Several participants mentioned a low proficiency in the local language as an explanation for their preference to fill out the health check questionnaire at home, to receive advice from an ethnic-matched professional, and to receive information in their native language.
The general practitioner is considered as a promising contact to reach adults of Turkish and Moroccan origin for health checks or (lifestyle) advice. It might be necessary to provide information in individuals’ native language to overcome language barriers. In addition, (lifestyle) advice must be tailored. The obtained insight into preferences of Turkish and Moroccan adults regarding reach for preventive healthcare services could help professionals to successfully target these groups.
Url:
DOI: 10.1186/s12875-016-0476-1
PubMed: 27439610
PubMed Central: 4955164
Affiliations:
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Bos</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Dutch Heart Foundation, P.O Box 300, 2501 CH The Hague, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dutch Heart Foundation, P.O Box 300, 2501 CH The Hague</wicri:regionArea></affiliation></author><author><name sortKey="Feskens, Edith J M" sort="Feskens, Edith J M" uniqKey="Feskens E" first="Edith J. M." last="Feskens">Edith J. M. 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Bukman</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Human Nutrition, Wageningen University, P.O Box 8129, 6700 EV Wageningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Division of Human Nutrition, Wageningen University, P.O Box 8129, 6700 EV Wageningen</wicri:regionArea></affiliation></author><author><name sortKey="Teuscher, Dorit" sort="Teuscher, Dorit" uniqKey="Teuscher D" first="Dorit" last="Teuscher">Dorit Teuscher</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Human Biology, Maastricht University Medical Centre+, NUTRIM School for Nutrition, Toxicology and Metabolism, P.O Box 616, 6200 MD Maastricht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Human Biology, Maastricht University Medical Centre+, NUTRIM School for Nutrition, Toxicology and Metabolism, P.O Box 616, 6200 MD Maastricht</wicri:regionArea></affiliation></author><author><name sortKey="Ben Meftah, Jamila" sort="Ben Meftah, Jamila" uniqKey="Ben Meftah J" first="Jamila" last="Ben Meftah">Jamila Ben Meftah</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden</wicri:regionArea></affiliation></author><author><name sortKey="Groenenberg, Iris" sort="Groenenberg, Iris" uniqKey="Groenenberg I" first="Iris" last="Groenenberg">Iris Groenenberg</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden</wicri:regionArea></affiliation></author><author><name sortKey="Crone, Mathilde R" sort="Crone, Mathilde R" uniqKey="Crone M" first="Mathilde R." last="Crone">Mathilde R. Crone</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden</wicri:regionArea></affiliation></author><author><name sortKey="Van Dijk, Sandra" sort="Van Dijk, Sandra" uniqKey="Van Dijk S" first="Sandra" last="Van Dijk">Sandra Van Dijk</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Public Health and Primary Care, Leiden University Medical Center, Hippocratespad 21, 2300 RC Leiden</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Health, Medical and Neuropsychology Unit, Faculty of Social and Behavioral Sciences, Leiden University, P.O Box 9555, 2300 RB Leiden, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Health, Medical and Neuropsychology Unit, Faculty of Social and Behavioral Sciences, Leiden University, P.O Box 9555, 2300 RB Leiden</wicri:regionArea></affiliation></author><author><name sortKey="Bos, Marieke B" sort="Bos, Marieke B" uniqKey="Bos M" first="Marieke B." last="Bos">Marieke B. Bos</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Dutch Heart Foundation, P.O Box 300, 2501 CH The Hague, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Dutch Heart Foundation, P.O Box 300, 2501 CH The Hague</wicri:regionArea></affiliation></author><author><name sortKey="Feskens, Edith J M" sort="Feskens, Edith J M" uniqKey="Feskens E" first="Edith J. M." last="Feskens">Edith J. M. Feskens</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Division of Human Nutrition, Wageningen University, P.O Box 8129, 6700 EV Wageningen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Division of Human Nutrition, Wageningen University, P.O Box 8129, 6700 EV Wageningen</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Family Practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Cultural Competency (MeSH)</term><term>Directive Counseling (MeSH)</term><term>Focus Groups (MeSH)</term><term>General Practice (methods)</term><term>Health Care Surveys (MeSH)</term><term>Health Promotion (methods)</term><term>Healthy Lifestyle (MeSH)</term><term>Humans (MeSH)</term><term>Interviews as Topic (MeSH)</term><term>Language (MeSH)</term><term>Middle Aged (MeSH)</term><term>Morocco (ethnology)</term><term>Netherlands (MeSH)</term><term>Patient Participation (MeSH)</term><term>Patient Preference (MeSH)</term><term>Physical Examination (MeSH)</term><term>Turkey (ethnology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Compétence culturelle (MeSH)</term><term>Counseling directif (MeSH)</term><term>Enquêtes sur les soins de santé (MeSH)</term><term>Entretiens comme sujet (MeSH)</term><term>Examen physique (MeSH)</term><term>Groupes de discussion (MeSH)</term><term>Humains (MeSH)</term><term>Langage (MeSH)</term><term>Maroc (ethnologie)</term><term>Mode de vie sain (MeSH)</term><term>Médecine générale (méthodes)</term><term>Participation des patients (MeSH)</term><term>Pays-Bas (MeSH)</term><term>Promotion de la santé (méthodes)</term><term>Préférence des patients (MeSH)</term><term>Turquie (ethnologie)</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Maroc</term><term>Turquie</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Morocco</term><term>Turkey</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>General Practice</term><term>Health Promotion</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Médecine générale</term><term>Promotion de la santé</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cultural Competency</term><term>Directive Counseling</term><term>Focus Groups</term><term>Health Care Surveys</term><term>Healthy Lifestyle</term><term>Humans</term><term>Interviews as Topic</term><term>Language</term><term>Middle Aged</term><term>Netherlands</term><term>Patient Participation</term><term>Patient Preference</term><term>Physical Examination</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Compétence culturelle</term><term>Counseling directif</term><term>Enquêtes sur les soins de santé</term><term>Entretiens comme sujet</term><term>Examen physique</term><term>Groupes de discussion</term><term>Humains</term><term>Langage</term><term>Mode de vie sain</term><term>Participation des patients</term><term>Pays-Bas</term><term>Préférence des patients</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Low participation rates among ethnic minorities in preventive healthcare services are worrisome and not well understood. The objective of this study was to explore how adults of Turkish and Moroccan origin living in the Netherlands, aged 45 years and older, can be reached to participate in health checks for cardio-metabolic diseases and follow-up (lifestyle) advice.</p></sec><sec><title>Methods</title><p>This mixed-methods study used a convergent parallel design, to combine data of one quantitative study and three qualitative studies. Questionnaire data were included of 310 respondents, and interview data from 22 focus groups and four individual interviews. Participants were recruited via a research database, general practitioners and key figures. Quantitative data were analysed descriptively and qualitative data were analysed using a thematic approach.</p></sec><sec><title>Results</title><p>Regarding health checks, 50 % (95 % CI 41;59) of the Turkish questionnaire respondents and 66 % (95 % CI 57;76) of the Moroccan questionnaire respondents preferred an invitation from their general practitioner. The preferred location to fill out the health check questionnaire was for both ethnic groups the general practitioner’s office or at home, on paper. Regarding advice, both groups preferred to receive advice at individual level rather than in a group, via either a physician or a specialised healthcare professional. It was emphasised that the person who gives lifestyle advice should be familiar with the (eating) habits of the targeted individual. Sixty-one percent (95 % CI 53;69) of the Turkish respondents preferred to receive information in their native language compared to 37 % (95 % CI 29;45) of the Moroccan respondents. Several participants mentioned a low proficiency in the local language as an explanation for their preference to fill out the health check questionnaire at home, to receive advice from an ethnic-matched professional, and to receive information in their native language.</p></sec><sec><title>Conclusions</title><p>The general practitioner is considered as a promising contact to reach adults of Turkish and Moroccan origin for health checks or (lifestyle) advice. It might be necessary to provide information in individuals’ native language to overcome language barriers. In addition, (lifestyle) advice must be tailored. The obtained insight into preferences of Turkish and Moroccan adults regarding reach for preventive healthcare services could help professionals to successfully target these groups.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lopez, Ad" uniqKey="Lopez A">AD Lopez</name></author><author><name sortKey="Mathers, Cd" uniqKey="Mathers C">CD Mathers</name></author><author><name sortKey="Ezzati, M" uniqKey="Ezzati M">M Ezzati</name></author><author><name sortKey="Jamison, Dt" uniqKey="Jamison D">DT Jamison</name></author><author><name sortKey="Murray, Cjl" uniqKey="Murray C">CJL Murray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Dieren, S" uniqKey="Van Dieren S">S van Dieren</name></author><author><name sortKey="Beulens, Jwj" uniqKey="Beulens J">JWJ Beulens</name></author><author><name sortKey="Van Der Schouw, Yt" uniqKey="Van Der Schouw Y">YT van der 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Bader</name></author><author><name sortKey="Musshauser, D" uniqKey="Musshauser D">D Musshauser</name></author><author><name sortKey="Sahin, F" uniqKey="Sahin F">F Sahin</name></author><author><name sortKey="Bezirkan, H" uniqKey="Bezirkan H">H Bezirkan</name></author><author><name sortKey="Hochleitner, M" uniqKey="Hochleitner M">M Hochleitner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schmidt, M" uniqKey="Schmidt M">M Schmidt</name></author><author><name sortKey="Absalah, S" uniqKey="Absalah S">S Absalah</name></author><author><name sortKey="Nierkens, V" uniqKey="Nierkens V">V Nierkens</name></author><author><name sortKey="Stronks, K" uniqKey="Stronks K">K Stronks</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Pays-Bas</li></country></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Bukman, Andrea J" sort="Bukman, Andrea J" uniqKey="Bukman A" first="Andrea J." last="Bukman">Andrea J. Bukman</name></noRegion><name sortKey="Ben Meftah, Jamila" sort="Ben Meftah, Jamila" uniqKey="Ben Meftah J" first="Jamila" last="Ben Meftah">Jamila Ben Meftah</name><name sortKey="Bos, Marieke B" sort="Bos, Marieke B" uniqKey="Bos M" first="Marieke B." last="Bos">Marieke B. Bos</name><name sortKey="Crone, Mathilde R" sort="Crone, Mathilde R" uniqKey="Crone M" first="Mathilde R." last="Crone">Mathilde R. Crone</name><name sortKey="Feskens, Edith J M" sort="Feskens, Edith J M" uniqKey="Feskens E" first="Edith J. M." last="Feskens">Edith J. M. Feskens</name><name sortKey="Groenenberg, Iris" sort="Groenenberg, Iris" uniqKey="Groenenberg I" first="Iris" last="Groenenberg">Iris Groenenberg</name><name sortKey="Teuscher, Dorit" sort="Teuscher, Dorit" uniqKey="Teuscher D" first="Dorit" last="Teuscher">Dorit Teuscher</name><name sortKey="Van Dijk, Sandra" sort="Van Dijk, Sandra" uniqKey="Van Dijk S" first="Sandra" last="Van Dijk">Sandra Van Dijk</name><name sortKey="Van Dijk, Sandra" sort="Van Dijk, Sandra" uniqKey="Van Dijk S" first="Sandra" last="Van Dijk">Sandra Van Dijk</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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