Search Results (45)

Background and Objective: Obesity is currently one of the major challenges in medicine. Research indicates that assessing eating habits can contribute significantly to the development of more effective treatment. This study aims to validate the Eating Behaviors Assessment for Obesity (EBA-O) in a sample of Spanish adults with overweight or obesity. Methods: This cross-sectional study included 384 participants. To evaluate the structure, reliability, and measurement invariance of the Spanish EBA-O, we conducted a confirmatory factor analysis (CFA), calculated McDonald’s omega for reliability, and carried out a hierarchical sequence of multigroup CFAs. Two-way MANOVA was used to assess the effects of sex and body mass index (BMI) categories on EBA-O scores. Results: CFA supported a second-order five-factor structure for the EBA-O, demonstrating excellent fit indices. It respected the configural, metric, and scalar invariance. The Spanish version of the EBA-O exhibited significant correlations with measures of binge eating, food addiction, and eating disorder psychopathology. Internal consistency was high (ω = 0.80). Significant effects of sex and BMI were observed across EBA-O subscales. Conclusions: The EBA-O appears to be a valid, reliable, and easy-to-use instrument for assessing eating behaviors among Spanish-speaking individuals with overweight or obesity. Its strong psychometric properties support its use in both clinical settings and research, enhancing the development of tailored interventions for this population. Full article

The Values in Action Inventory (VIA) is one of the most widely used measures for assessing character strengths. While the original version includes 240 items, shorter versions such as the VIA-72 have been developed to enhance its applicability. Psychometric studies of the VIA-72 in Spanish are still limited. This study examined the factorial structure, reliability, and convergent validity of the Spanish VIA-72 in a sample of 470 adults. Three alternative models—comprising three, five, and six factors—were tested using confirmatory factor analysis. All models showed acceptable fit, but the three-factor solution—Caring, Self-Control, and Inquisitiveness—showed the best performance in terms of parsimony, fit indices, and conceptual clarity. Internal consistency for the three-factor model was high across dimensions and comparable to previous studies. Convergent validity was supported through meaningful correlations with personality traits, particularly with conscientiousness. The factorial structure largely replicated findings obtained with both VIA-72 and VIA-240. These results support the Spanish VIA-72 as a reliable and valid instrument for assessing character strengths, offering a concise, theory-based alternative for Spanish-speaking populations. Full article

This paper examines morphosyntactic agreement in gender and number within the spontaneous spoken discourse of Spanish-speaking adults with Williams syndrome (WS), compared to that of typically developing (TD) speakers. Data were collected through natural speech transcriptions from both WS and TD groups. The analysis was conducted using Netlang 1.0.0—a piece of corpus annotation software—based on Dependency Grammar, to capture agreement patterns among determiners, nouns, and adjectives. The findings reveal that WS speakers’ gender and number agreement patterns are closely aligned with those observed in TD speakers, with only minor variations, such as a slight tendency toward unmarked gender forms among TD participants. Additionally, error rates are low in both groups, suggesting that observed discrepancies might be due to individual variation rather than condition-specific deficits, even though the statistical power of the study is limited. These results contribute to the ongoing debate on language abilities in WS, indicating that individuals with WS produce morphosyntactic agreement similarly to individuals with TD. Further research with larger datasets is recommended to validate these results, as individual variability within the WS group underscores the need for a more nuanced approach to analysis. Full article

Orthographic knowledge is a critical component of skilled language use, yet its large-scale behavioral signatures remain understudied in Spanish. To address this gap, we developed OrthoKnow-SP, a megastudy that captures spelling decisions from 27,185 native Spanish-speaking adults who completed an 80-item forced-choice task. Each trial required selecting the correctly spelled word from a pair comprising a real word and a pseudohomophone foil that preserved pronunciation while violating the correct graphemic representation. The stimuli targeted six high-confusability contrasts in Spanish orthography. We recorded response accuracy and reaction times for over 2.17 million trials, alongside demographic and device metadata. Results show robust variability across items and individuals, with item-level metrics closely aligned with independent norms of word prevalence. A composite difficulty index integrating speed and accuracy further allowed fine-grained item ranking. The dataset provides the first population-scale norms of Spanish spelling difficulty, capturing regional and generational diversity absent from traditional lab-based studies. Public release of OrthoKnow-SP enables new research on the cognitive and demographic factors shaping orthographic decisions, and provides educators, clinicians, and developers with a valuable benchmark for assessing spelling competence and modeling written language processing. Full article

Background/Objectives: Existing patient information leaflets (ePILs), mandated by the FDA to accompany new prescriptions, are difficult to read and understand due to their complexity and poor visual design, especially for populations with low health literacy and low English proficiency. In this study, we developed infographic-based PILs (iPILs) with a concise question-and-answer format, emphasizing essential information, as specified by the FDA. This study compared iPILs and ePILs using the 5C factors: comprehension, cosmetics, convenience, content, and credibility, as perceived by English-speaking and Spanish-speaking populations. Methods: This multicenter, experimental survey study assessed the 5C factors. English and Spanish-speaking adults on ≥1 chronic medication were recruited from community pharmacies in California (CA) and Illinois (IL). They were stratified to review either an ePIL or an iPIL for one of four common medications. They completed a Medication Knowledge Quiz (MKQ) to show their comprehension using six open-ended questions. Subsequently, they received both PIL versions and answered preference questions about the 4C and media format and, lastly, about demographic and health literacy questions. Results: A total of 235 participants completed the surveys at three sites (CA-English, CA-Spanish, and IL-English), with differing participant characteristics. The CA-Spanish participants scored the lowest on health literacy and the number of health conditions. The MKQ scores for those using the iPILs were significantly higher than for those using the ePILs across all groups. They significantly correlated with health literacy results for the ePILs (r = 0.394, p < 0.001). The participants preferred the iPILs over the ePILs for four of the C factors, barring one content question. Regardless of age, printed formats were preferred (64.7%)—alone or with digital formats (21.3%)—over digital formats alone (3.4%). Overall, 79.1% of the participants preferred iPILs, 11.9% preferred ePILs, and 8.9% preferred either version. Conclusions: The infographic-based patient information leaflets (iPILs) were easier to read, navigate, and understand, making them more accessible to individuals with varying levels of health literacy. Infographic-based leaflets outperformed existing ones in user comprehension and were preferred due to their simple layout, ease of navigation, and helpfulness. Full article

Introduction: Activity restriction (i.e., feeling limited in performing certain activities) has been studied in relation to psychological distress. The Activity Restriction Scale (ARS) has been widely used, with a two-factor structure obtained in previous studies. However, there is no validated instrument for this measure in Spanish. This study aims to analyze the psychometric properties of the Spanish version of the original ARS and to create an adapted version for older adults. Method: In Phase 1, the original ARS was tested in 143 Spanish family caregivers. In Phase 2, this version was explored through a pilot study with 10 Spanish older adults. In Phase 3, the ARS-Older Adults version (ARS-OA) was tested in a sample of 246 Spanish older adults. Confirmatory factor analysis was conducted in Phases 1 and 3, in addition to testing reliability, and convergent and concurrent validity. A descriptive analysis was carried out in Phase 2. Results: Both factor analyses provided support for a two-factor solution: instrumental and expressive activity restriction. Cronbach’s alpha was 0.86 (Phase 1) and 0.81 (Phase 3). The data also suggested good convergent and concurrent validity. Conclusions: The results revealed good psychometric properties of both versions of the ARS, suggesting that it is a suitable instrument for assessing activity restriction in Spanish-speaking populations. Activity restriction is suggested as a relevant variable to take into account in understanding people’s mental health. Full article

Objectives: The aims of this study were to compare pre- and post-operative word recognition scores (WRSs) for the adult Spanish-speaking population and to describe their cochlear implant (CI) performance trajectory. Methods: A retrospective chart review (n = 115) was completed for Spanish-speaking post-lingually deafened adults who underwent a traditional CI evaluation and subsequent surgery between 2018 and 2023. Pre- and post-CI (3, 6, 12-month) Spanish Bisyllable WRSs and CI datalogging (hours per day) were collected for 66 subjects who met inclusion. Patients were, on average, 61.4 years of age (SD = 14.9) at the time of their first CI, and all were Hispanic and White (100%). Results: The outcomes of the 66 subjects who met the inclusion criteria were analyzed. Spanish Bisyllable WRSs improved at all post-CI test intervals, though the mean change between intervals showed a decreasing trend over time, with a plateau in WRSs occurring by 6 months post-CI. Time was a significant predictor of increased post-CI WRSs at 6 months (p = 0.004) and 12 months (p < 0.001). Sex, the implanted ear, electrode type, CI manufacturer, and datalogging hours did not significantly predict Bisyllable WRSs. Conclusions: This study used the largest cohort dataset to date to describe pre-and post-CI WRSs for Spanish-speaking adults. The post-CI performance trajectory is similar in Spanish-speaking CI recipients compared to English-speaking cohorts. This study is fundamental in providing evidence-based outcomes for Spanish-speaking CI recipients and will assist clinicians with pre-CI counseling based on realistic expectations. Full article

Gender-based violence among young people is a pressing global problem, causing injury and disability to women and posing physical, mental, sexual, and reproductive health risks. This study aimed to psychometrically validate the Dating Violence Questionnaire—Revised (DVQ-R) in a sample of 340 Ecuadorian university students. The study included 340 male and female students from two universities in Ecuador. The reliability and validity of the questionnaire were rigorously assessed by exploratory and confirmatory factor analyses, which revealed a four-factor model as the most parsimonious solution (RMSEA = 0.012). The factors were labelled as follows: ‘emotional neglect and contempt’, ‘physical violence and aggression’, ‘coercion and control’, and ‘emotional manipulation and testing’. The validated scale yielded a Cronbach’s alpha (α) of 0.839, with individual alpha values of 0.872, 0.764, 0.849, and 0.729 for each dimension. Convergent validity was established, as the mean variance extracted per factor exceeded 0.4. Divergent validity was confirmed, as the variance retained by each factor was greater than the variance shared between them (mean variance extracted per factor > ϕ²). These results indicate that the DVQ-R is a valid and reliable instrument to assess dating violence among Spanish-speaking young adults, which supports future research and prevention programmes. Full article

Tools to briefly assess diet among US Spanish-speaking adults are needed to identify individuals at risk for cardiometabolic disease (CMD) related to diet. Two registered dietitian nutritionists (RDNs) recruited bilingual medical students to translate the validated Diet Risk Score (DRS) into Spanish (DRS-S). Participants were recruited from a federally qualified health center. Students administered the DRS-S and one 24-h recall (Automated Self-Administered 24-Hour (ASA24^®) Dietary Assessment Tool) on one day; a second recall was administered within 1 week. Recalls were scored using the Healthy Eating Index (HEI)-2015, a measure of adherence to the Dietary Guidelines for Americans. Spearman correlations, weighted kappa, and ANOVA were conducted using SAS 9.4 to assess the relative validity of the DRS-S. Thirty-one Spanish-speaking adults (female: n = 17, 53%; mean age: 58 (42–69)) completed assessments. The mean DRS-S was 9 (SD = 4.2) (max: 27; higher score = higher risk) and the mean HEI-2015 score was 65.7 (SD = 9.7) (max: 100; higher score = lower risk), with significant agreement between measures (r: −0.45 (p = 0.01)), weighted kappa: −0.3 (p = 0.03). The DRS-S can be used in resource-constrained settings to assess diet for intervention and referral to RDNs. The DRS-S should be tested in clinical care to assess the impact of dietary changes to reduce CMD risk. Full article

Nutrition promotion programs may have varying effects and influence health disparities. SuperShelf promotes healthy choices in food pantries through inventory changes and nudge implementation (e.g., choice architecture). This secondary analysis of the SuperShelf cluster-randomized trial assessed whether the effect of SuperShelf on client diet quality differed by equity characteristics. English-, Spanish-, or Somali-speaking adult clients from 11 food pantries in Minnesota were included (N = 193). We measured change in diet quality by the Healthy Eating Index 2015 (HEI-2015; maximum score 100) using up to two 24 h dietary recalls from pre-intervention and post-intervention periods. We used linear mixed-effects models to determine whether the effect of SuperShelf on diet quality varied by self-reported gender, race/ethnicity, education, and employment status. In separate adjusted models, the interactions of SuperShelf and gender, education, or employment status were not significant. The interaction of SuperShelf and race/ethnicity was significant (p-interaction = 0.008), but pairwise comparisons in diet quality were non-significant in all racial/ethnic subgroups. SuperShelf did not have differential effects on diet quality by gender, race/ethnicity, education, or employment status, suggesting it does not worsen dietary disparities among food pantry clients, though more subgroup analyses are needed to explore potential racial/ethnic disparities in this context. Full article

The Centers of Medicare and Medicaid Services recently announced a new voluntary nationwide model. This model aims to provide comprehensive, standard care for people living with dementia and their unpaid caregivers and to enhance health equity in dementia care. However, little is known about the needs of older adults with dementia and their caregivers in a multiethnic and multicultural patient population of a safety net health system. The aim of this study is to include their voices. We conducted four focus groups in English and Spanish to investigate the common needs and barriers unique to the care of patients within the Los Angeles County healthcare system. Using qualitative, iterative analyses of the transcripts, we identified four domains of concern from the dyads (persons with dementia and their caregivers): need for education for dyad-centered care, barriers to resources, dyad safety, and caregiver burden and insight. These domains are interconnected, and the way this patient population experiences these domains may differ compared to those in well-resourced or predominantly English-speaking healthcare settings. Therefore, the identified domains serve as potential building blocks for dementia support programs inclusive of underserved, multicultural populations. Full article

Research in Chile, regarding language teaching and learning, has focused on Spanish as a first language (L1). However, due to the growing influx and settlement of non-Spanish-speaking adult migrants, the significance of investigating language education within a second-language (L2)-context has surged. Accordingly, the objective of this study is to examine the implementation of a Spanish language teaching–learning program as an L2 from the learners’ perspectives. The ultimate objective is to contribute to the advancement of knowledge in this field within the national framework. This qualitative, descriptive/interpretive study involves 10 adult Haitian migrants who do not speak Spanish and live in a rural area. These participants possess varying educational backgrounds and are situated within a vulnerable context. In pursuit of the objective, two focus groups were convened. The outcomes underscore the pressing need for comprehensive macro-level development, at the governmental level, to address the inclusion of migrants. This entails equipping educators with linguistic proficiency and theoretical and pedagogical expertise for instructing an L2 program. Furthermore, the inclusion of linguistic mediators, a judicious use of the learners’ L1 as a pedagogical resource, and the implementation of strategies that cater to individual needs contribute to a more effective and inclusive teaching–learning experience. Full article

We sought to analyze the relationship between health literacy, confidence in COVID-19 vaccines, and self-reported vaccination. We hypothesized that the relationship between health literacy and vaccination would be mediated by vaccine confidence. We recruited (N = 271) English- and Spanish-speaking adults in Boston and Chicago from September 2018 to September 2021. We performed a probit mediation analysis to determine if confidence in COVID-19 vaccines and health literacy predicted self-reported vaccination. We hypothesized that the relationship between health literacy and vaccination would be mediated by vaccine confidence. Participants were on average 50 years old, 65% female, 40% non-Hispanic Black, 25% Hispanic, and 30% non-Hispanic White; 231 (85%) reported at least one COVID-19 vaccination. A higher mean vaccine confidence score (t = −7.9, p < 0.001) and higher health literacy (t = −2.2, p = 0.03) were associated with vaccination, but only vaccine confidence predicted vaccination in a multivariate model. Vaccine confidence mediated the relationship between health literacy and COVID-19 vaccination (mediated effects: 0.04; 95% CI [0.02, 0.08]). We found that using a simple tool to measure vaccine confidence identified people who declined or delayed COVID-19 vaccination in a diverse sample of adults with varying levels of health literacy. Simple short survey tools can be useful to identify people who may benefit from vaccine promotion efforts and evidence-based communication strategies. Full article

Hispanic/Latino communities have suffered a disproportionate burden of the COVID-19 pandemic. Although Puerto Rico has one of the highest COVID-19 primary series vaccination rates nationwide, this estimate contrasts with the reported booster doses’ low uptake. This study aimed to assess health belief correlates of COVID-19 vaccine booster uptake. Using a convenience sampling approach, the Puerto Rico-Community Engagement Alliance (PR-CEAL) conducted a cross-sectional study where 787 participants were recruited using online and in-person strategies between December 2021 and February 2022. Participants were adults 18 years or older, Spanish-speaking, and residents of Puerto Rico. The Health Belief Model was used to evaluate attitudes and beliefs. A total of 784 participants were used in this analysis. Adjusted Poisson regression models were used to estimate prevalence ratios (PR) and 95% confidence intervals (CI) of booster refusal. Overall, 22% of participants refused the vaccine booster or had not gotten it yet. Adjusted models showed that (i) participants who disagreed that getting the booster dose either made them feel less worried about COVID-19 or (ii) felt that the vaccine decreased their chances of getting COVID-19 presented higher booster-refusal prevalence ratios (PR = 4.20, 95% CI: 3.00, 5.90; PR = 3.70, 95% CI: 2.64, 5.18). Moreover, participants that (iii) reported having concerns for booster side effects [PR = 2.47; 95% CI = 1.73, 3.51], (iv) booster efficacy [PR = 2.50; 95% CI = 1.75, 3.58], and (v) booster safety [PR = 2.80; 95% CI = 1.96, 3.99] were significantly more likely to refuse the booster. In conclusion, booster vaccination refusal was associated with lower perceived vaccine benefits and greater barriers among adults in Puerto Rico. These results informed the development of PR-CEAL’s targeted community outreach strategies and public health campaigns to increase booster vaccine uptake. Full article

Purpose: Multigenerational families are becoming increasingly common in the U.S. This trend is primarily driven by three-generation households with grandparents. The coresident grandparents play an important role in adolescents’ health and well-being. Thus, by focusing on three-generational households, this study examined the determinants of living in three-generational households among adolescents within the contexts of the social–economic, cultural, and family factors that influence grandparent co-residence by ethnic groups. Methods: This study used the National Longitudinal Study of Adolescent to Adult Health (Wave I–III). The study sample included 10,093 adolescents, including White, African American, Asian, and Hispanic youth. This study conducted a series of logistic regression models to examine the associations between co-residence with grandparents and significant predictors in family structure, socioeconomic status, and cultural factors for youths in the U.S. by ethnic groups. Results: For White families, lower socioeconomic status was more pertinent to three-generational co-residence. However, the associations were in the opposite direction for Hispanic and African American households, indicating that higher socioeconomic status families were found to live with grandparents in those groups. For Hispanic families, adolescents from Spanish-speaking homes were more likely to live in three-generational households than those from English-speaking homes. Implications: These results suggest that family characteristics in three-generational households vary by ethnic group. Notably, family cultural factors were significant determinants of co-residence with grandparents in three-generational households, especially in Hispanic families. This study contributes to the sustainability discourse by examining the intersectionality of cultural maintenance, health and well-being, and aging society among three-generational households in the United States. Full article