title: Developing Occupation-Based Preventive Programs for Late-Middle-Aged Latino Patients in Safety-Net Health Systems.
abstract: Latino adults between ages 50 and 60 yr are at high risk for developing chronic conditions that can lead to early disability. We conducted a qualitative pilot study with 11 Latinos in this demographic group to develop a foundational schema for the design of health promotion programs that could be implemented by occupational therapy practitioners in primary care settings for this population. One-on-one interviews addressing routines and activities, health management, and health care utilization were conducted, audiotaped, and transcribed. Results of a content analysis of the qualitative data revealed the following six domains of most concern: Weight Management; Disease Management; Mental Health and Well-Being; Personal Finances; Family, Friends, and Community; and Stress Management. A typology of perceived health-actualizing strategies was derived for each domain. This schema can be used by occupational therapy practitioners to inform the development of health-promotion lifestyle interventions designed specifically for late-middle-aged Latinos.
authors.affiliation: Stacey L. Schepens Niemiec, PhD, OTR/L, is Research Assistant Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles; schepens@usc.edu.
authors.forename: Stacey L
authors.initials: SL
authors.lastname: Schepens Niemiec
authors.affiliation: Mike Carlson, PhD, is Research Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
authors.forename: Mike
authors.initials: M
authors.lastname: Carlson
authors.affiliation: Jenny Martínez, OTD, OTR/L, is Assistant Professor of Clinical Occupational Therapy, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
authors.forename: Jenny
authors.initials: J
authors.lastname: Martínez
authors.affiliation: Laura Guzmán is Project Assistant, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
authors.forename: Laura
authors.initials: L
authors.lastname: Guzmán
authors.affiliation: Anish Mahajan, MD, MS, MPH, is Director of System Planning, Improvement and Data Analytics, Los Angeles County Department of Health Services, Los Angeles, CA.
authors.forename: Anish
authors.initials: A
authors.lastname: Mahajan
authors.affiliation: Florence Clark, PhD, OTR/L, is Professor, Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
authors.forename: Florence
authors.initials: F
authors.lastname: Clark