Stakeholder Interview Prep and Update 7.10.13

Ariel and Steven worked on finalizing the stakeholder survey. They worked with Linda Hemby, our community mentor, and practiced running through the interview to make sure that questions were on point and the interview questions flowed.

We made final edits and are ready for our first three interviews this week. The interviews will be with the Department of Family Medicine (UVA Hospital), the Medicaid Unit under Social Services at UVA (government organization), and  United Way (NGO). These next three interviews will allow us to test our survey instrument with a diverse range of service providers. If needed, edits will be made to the stakeholder survey after these three interviews.

Two new interviews have been scheduled since the last update:

7/12 from 3:00 - 4:30 pm: Interview with representative from United Way

7/17 from 10:00 to 11:30 pm: Interview with social worker at UVA Medical Associates

Two more interviews are almost scheduled, one with Habitat for Humanity and one with UVA Language Assistance Services. Steven is continuing to contact and organize the rest of the stakeholders.

Training Complete 7.10.13

After a wonderful dinner Monday night, we started training in earnest on Tuesday. The first order of business was a cultural sensitivity training with Linda Hemby, who has been an amazing asset to our project. After her introduction, the team worked through all of the surveys in depth. Here's a quick overview of training.

Linda Hemby leads a discussion on the Latino population of Charlottesville.

Latinos in Charlottesville - Linda Hemby

• Health trends at US, VA, and Charlottesville level
• Health disparities: prevention, screening, misdiagnosis, medication problems
• Charlottesville population: age, income, ethnicity, living situation, documentation status
• Barriers to healthcare: language, transportation, childcare, education, experience in healthcare system
• Needs from providers: language/cultural training, awareness in interpersonal interactions

Service Providers - Steven Nguyen

• Goals, specific aims, purpose of study
• Development/structure of the interview guide
• Interview procedure
• Stakeholders overview: who they are, what they do
• Interview schedule 
• Coding... TBD
• Mock interview with Linda Hemby 7/10
• NEW RESOURCES: check the GoogleDrive

Community Members - Melissa Ogden

• Approaching community members and the oral consent process
• Structure/overview of the survey
• Survey delivery and coding instructions
• Anticipation of questions and sources of confusion
• Next steps- location visits, timing of interviews (nights and weekends)
• Coding- an Excel spreadsheet is being set up for data entry to begin immediately

Steven familiarizes Vianca and Ariel with all of the stakeholders.

Field Worker Dinner/Training 7.8.13

We finally met face to face with the rest of our research team tonight at dinner at Mellow Mushroom. We had a great time talking and getting to know everyone a little bit better!

Some highlights from this meeting:

• We reviewed project overview
• We updated each other on research
• **With research from now on, we will add findings to the documents in the "Background Research" folder. List your findings with the paragraph summary and ranking of importance (1 - 3)
• We reviewed expected working environment and personal working styles
• We discussed project goals and personal goals for each person

Next Steps:

• 1. Send picture and short blurb/bio to Melissa
• 2. Review the "Organizational Health" folder 
• 3. Electronically sign your name in the Working Environment doc
• 4. Add your info to the Working Styles and Personal Goals doc
• 5. Add your contact information into the Researcher Contact Sheet
• 6. Prepare for training tomorrow: review surveys and bring notebook and computer

*Please complete 1-5 before Friday 7/12 at our 10:30 am check-in meeting. 

We will see everyone tomorrow (Tues.) at 10:30 am in the Health Sciences Library Rm 1326 for the official day of training!

Melissa and Vianca are so excited for pizza!!

Scheduled Stakeholder Interviews

Checking in with scheduled stakeholder interviews so far. We have three lined up and several in the stages of being scheduled. The three that are scheduled are listed below:

7/11 from 10:30 am - 12:00 pm: Interview with Dr. Fern Hauck (Director of International Family Medicine Clinic, UVA Dept. of Family Medicine)

7/12 from 12:30 pm - 2:00 pm: Interview with Ms. Wanda Hoerman (Program Manager of the Medicaid Unit, UVA Financial Services)

7/23 from 1:00 pm - 1:15 pm: Interview with Ms. Chris Worsham (Patient Care Director, Charlottesville Free Clinic)

I created a document in the Stakeholder Survey Docs folder that keeps a running tab of the stakeholders that I have contacted and their status. It is called the "Stakeholder Status Sheet." You can refer to this document to see where progress has been made with scheduling.

Searching for Latino Health Surveys

By looking at different Latino health surveys from U.S and Virginia will help for future data comparison with our data as well as give us further information about other Latino communities and the disparities they face. Currently, information will come from surveys, and different pilot programs that have compiled data about different Latino communities. 

These surveys provide important profiles of Latinos in the United States and smaller communities. This information will hopefully compliment the census data 

From the Pew Hispanic Center (PHC) survey of Latino adults (national representative sample of 4,014 hispanic adults. There is also an analysis of the data compiled from this survey at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2764038/.

(http://pewhispanic.org/files/reports/91.pdf)

(http://pewhispanic.org/files/reports/91.pdf)

Another Hispanic/Latino Profile comes from the U.S department of Health and Human Services of Minority health. This website provides an overview of the demographics of Latinos in the U.S.  This website also provides links to different census conducted. 

From the “Income, Poverty, and Health Insurance Coverage in the United States”

(http://www.census.gov/prod/2011pubs/p60-239.pdf)

Overall, I am finding more surveys conducted on a national level rather than surveys on a community level.  If you all have suggestions please let me know! 

Sources:

http://pewhispanic.org/files/reports/91.pdf

http://minorityhealth.hhs.gov/templates/browse.aspx?lvl=2&lvlID=54

Census Data Updates

The hunt for census data begins!

Here are the guiding questions for this search:
1) What is the Hispanic make-up of the Charlottesville, VA community (population #, %, etc.) ?
2) How is the Hispanic community of Charlottesville geographically concentrated?

This search will utilize the census data most available, which is in this case from the year 2010. Some Google searches, reviews of census.gov data, and help from Vatsal addressed the first of these questions:

Charlottesville, VA 2010 Total Population: 43,475
Charlottesville, VA 2010 Hispanic/Latino Population: 2,223 (5.1%)
Broken down by                    #      %

Mexican	954	2.2
Puerto Rican	200	0.5
Cuban	119	0.3
Other Hispanic or Latino [5]	950	2.2

Charlottesville, VA 2010 Hispanic/Latino Population Breakdown by Age: 

Graph: Population by Age and Hispanic or Latino Origin, 2010 Census - Charlottesville, Virginia

Population by Hispanic or Latino Origin (of any race), 2000 Census - Charlottesville, Virginia	Counts	Percentages	Color
Persons of Hispanic or Latino Origin	1,102	2.45%
Persons Not of Hispanic or Latino Origin	43,947	97.55%

Sources:
http://censusviewer.com/city/VA/Charlottesville (comes with an interactive map!)
http://quickfacts.census.gov/qfd/states/51/51540lk.html (summary of Charlottesville census data and population projections)

This is, of course, of a very rough and preliminary start! Some feedback is more than welcome on what kind of data we want (spatial, numeric, health-related, etc.)!

Field worker meeting 7.1.13

Steven and I actually got Skype to work today and met with Vianca and Ariel! We had a super technologically-dysfunctional meeting last week, so we wanted to catch up today in preparation for getting started next week!

What was covered:
-walk through the blog, Google Drive, surveys instruments, and field work schedule
-first week tentative schedule: Monday dinner, Tuesday meeting, Linda Hemby training eventually
-clarification of research roles: Vianca- Latino health surveys, Ariel- Census data

Next steps:
-blog updates this weekend with research progress
-review surveys (including Spanish version)- all in Google Drive
-come to dinner Monday with questions and expectations (What do you guys want to get out of this project? What is your working style? What can Steven and I do to make sure things run smoothly?)
-write a brief bio and upload a picture onto the Meet the Researchers page (let Melissa know if you need help!)

Looking forward to meeting everyone in person on Monday! Post in the comments what you think about dinner... Boylan, Basil, Mellow, Virginian?