Cultural leverage is a process whereby the principles of cultural competence are deliberately invoked to develop interventions; it has the potential to operate at multiple levels throughout the health care delivery process. We focused on interventions that emphasized behavioral change of persons in communities and patients in health care organization, access to care, and health care organization innovation. In addition, we had access to the Atomic Learning website which provided a large online library of short easy to understand tutorials for using technology. Author manuscript; available in PMC Aug One of our NCMS goals was to ensure that the curricula and educational programs delivered to our students aligned with the New Jersey Core Curriculum Content Standards, National Common Core Standards, met all state and local standards and challenged our students in a diverse and engaging way, ensuring that the highest standards of academic achievement were applied.

Finally, those that concentrated on the health care system homed in on the role of health care professionals. In the school year, Northfield Community Middle School promoted an educational environment that nurtured and supported the development of a healthy, safe and challenging academic environment, one in which our students could successfully acquire the individual skills necessary to achieve academically, as well as socially and emotionally. Cooperation at this early stage of an intervention increases the likelihood of identifying cultural leverage strategies most likely to be effective, and it ensures the incorporation of both seen and unseen cultural nuances. Among this group, Harris et al. Confronting racial and ethnic disparities in health care.

American Journal of Hypertension. The NCS staff recognizes that enjoying this positive relationship with the Sports Boosters, NEF and PTO helps to provide a strong infrastructure for our students and this promotes educational excellence and high achievement.

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Discussion We have synthesized the literature that describes and evaluates interventions that use cultural leverage to narrow disparities in health care.

In comparison, Jenkins et al. Focus group— guided intervention; incorporated behavior change theory in the hands of trained culturally specific nutritionist and breast health educator to influence Latina women to increase fiber intake, decrease fat intake, and increase use of breast self-exam over an 8-month intervention. Making the decision to participate with an Advanced Alternative Payment Model is a very serious matter and should include advice from medical business and legal perspectives.


Significant improvement in cancer screening in both the intervention and control groups, without significant difference between intervention and control. For example, a health care homewotk that does not have the ability to hoework and track its patients with diabetes would need to develop that capability first before embarking on a culturally tailored nurse case management system.

Proceedings of an international workshop, Maythe Netherlands. Academic medical center and community health clinic.

Each was able to show a nonsignificant improvement in behaviors, except for the study by Schneider et al. A culturally competent intervention of education and care accfss black women with type 2 diabetes. First, although we pursued multiple hokework engines and databases for our references, only those published in peer-reviewed journals were included.

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Intervention tested the effectiveness of a PN in increasing compliance with colorectal cancer screening in a community of color health setting using community and ethnically matched patient.

Using a variety of initiatives, NCMS promoted the development of character traits that will help our students grow into life-long learners, abstract thinkers, and active members of our global society. Clinical trial of culturally specific messages. To augment this search strategy, we reviewed the reference lists of key reviews,Web sites, reference articles, systematic reviews, and books.

Journal of the National Medical Association. Among the communities that were studied, some populations were clearly underrepresented, such as men of color and Asian Americans.

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In contrast, 3 studies recruited and trained lay peers homfwork the target community as the primary intervention in bringing about individual behavior homeqork. Results from a randomized trial. Through community awareness our students learned strong leadership skills which empowered them with a sense of confidence and awareness that further enabled them to successfully address social issues by affecting positive change within many communities.

Improvement in diabetes care of underinsured patients enrolled in Project Dulce—A community-based, culturally appropriate, nurse case management and peer education diabetes care model. The three aspects of racism described by Ncmss may help identify potential targets and strategies for intervention in studies such as those reviewed here Jones Evaluation of an outreach intervention to promote cervical cancer screening among Cambodian American women.


Jones suggested a framework for understanding the role of racism in health and health care; such a model could inform the structure of interventions like those we review here. Institutional racism, individually mediated racism, and internalized racism are three levels of differential experience based on race that can affect health and health care.

Improvement was shown among participants in fasting glucose levels, glycosylated hemoglobin levels, cholesterol, and BMI compared with control, but not in a statistically significant fashion.

Washington ncmx Moxey used peer group work incorporating gestalt prayer and role modeling to improve drug treatment among African American women at various stages of recovery. Only two studies, by Gary et al.

NCMs and specially trained peer education worked to improve self-management and self-efficacy surrounding diabetes management; goal of the intervention is to improve clinical care, patient knowledge, treatment satisfaction, and reduce health-adverse, culture-based beliefs.

The distinction between culturally leveraged interventions and generic interventions is somewhat artificial, since there is a continuum of interventions incorporating culture. Our National Junior Honor Society and Student Council took a lead role in promoting student participation in community conscious fundraising events on both a local and global level.

Support Center Support Center. Statistically significant improvement in colonoscopy completion at 6 months compared with control group. HIV-positive women in case group had improved sexual risk reduction, but not in a statistically significantly manner.

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A third focus among these studies is improving perceptions of self-worth and self-efficacy surrounding health behaviors.