Dharma E Cortés
Biographic Data
| ID | 79180 |
|---|---|
| NAME | Dharma E Cortés |
| GIVEN NAMES | Dharma E |
| FAMILY NAME | Cortés |
| SIGNATURE | CORTÉS D E |
| AFFILIATIONS | Harvard University |
| ORCID | 0000-0002-2400-348X |
| VERIFIED | Yes |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 348 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1991 |
| LATEST PUBLICATION YEAR | 2020 |
| H-INDEX | 6 |
Understanding the Role of Past Health Care Discrimination in Help-Seeking and Shared Decision-Making for Depression Treatment Preferences
As a part of a larger, mixed-methods research study, we conducted semi-structured interviews with 21 adults with depressive symptoms to understand the role that past health care discrimination plays in shaping help-seeking for depression treatment and receiving preferred treatment modalities. We recruited to achieve heterogeneity of racial/ethnic backgrounds and history of health care discrimination in our participant sample. Participants were Hi…
Depression treatment preferences by race/ethnicity and gender and associations between past healthcare discrimination experiences and present preferences in a nationally representative sample
Designing and Evaluating a Digital Family Health History Tool for Spanish Speakers
Digital family health history tools have been developed but few have been tested with non-English speakers and evaluated for acceptability and usability. This study describes the cultural and linguistic adaptation and evaluation of a family health history tool (VICKY: VIrtual Counselor for Knowing Your Family History) for Spanish speakers. In-depth interviews were conducted with 56 Spanish-speaking participants; a subset of 30 also participated i…
Beyond Medication Adherence
Results suggest that when clinicians must choose a dimension on which to intervene, focusing on beliefs would be the most fruitful approach to effecting change in BP control
Video-Based Grocery Shopping Intervention Effect on Purchasing Behaviors Among Latina Shoppers
Objectives. To compare changes in food-purchasing knowledge, self-efficacy, and behavior after viewing nutrition education videos among Los Angeles, California Latinas responsible for household grocery shopping. Methods. From February to May 2015, a convenience sample of 113 Latinas watched 1 video (El Carrito Saludable) featuring MyPlate guidelines applied to grocery shopping (1-video intervention) and another convenience sample of 105 Latinas w…
Measurement of Perceived and Technical Quality of Care for Depression in Racially and Ethnically Diverse Groups
Efficacy of an HIV/Aids and HIV Testing Video for Spanish-Speaking Latinos in Healthcare and Non-Healthcare Settings
Hispanic parents' reading language preference and pediatric oral health‐related quality of life
Hispanic parents (N = 387) of 8-14 year old children (mean age 10.2) completed the survey; 237 in Spanish and 150 in English. Internal consistency scores were higher (Cronbach α range = .86-.93) among Hispanic parents who completed the questionnaire in Spanish than in English (.66-.86). POQL scores from parents who completed questionnaires in Spanish were higher (worse) overall (6.03 vs. 3.82, P = 0.022), as were physical (11.61 vs. 6.54, P = 0.0…
Habits and routines in the daily management of hypertension
Two purposive case studies illustrate the role of habits and routines in illness management and how they are addressed in the clinical encounter. We argue habits and routines are related, but distinct constructs, and that by overlooking habits and routines, providers may be missing key opportunities to influence behaviour change. Utilization of 'habit-changing' professionals or health coaches who have the opportunity to communicate with patients …
Factors affecting children's oral health
Findings revealed fundamental multilevel (i.e., individual/child, family, and community) factors that are important to consider for future interventions to reduce oral health disparities: behaviors leading to caries, parental knowledge about optimal oral health, access to sugary foods within the living environment and to fluoridated water as well as barriers to oral health care such as lack of health insurance or limited health insurance coverage…
Acceptability and Cultural Fit of Spiritual Self-Schema Therapy for Puerto Rican Women with Addiction Disorders
We present findings on the (1) acceptability of Spiritual Self-Schema (3-S) therapy with Puerto Rican women and (2) fit with women's cultural, gender, literacy, clinical, and religious backgrounds. 3-S is a well-documented efficacious intervention for substance use and HIV risk behaviors. Participants were 13 urban, low-income Puerto Rican women in a residential treatment program in a large Northeastern city. Findings from therapy session videota…
Community Mental Health Agency Views of Research
Incorporating the cultural value of respeto into a framework of Latino parenting
Latino families face multiple stressors associated with adjusting to United States mainstream culture that, along with poverty and residence in inner-city communities, may further predispose their children to risk for negative developmental outcomes. Evidence-based mental health treatments may require culturally informed modifications to best address the unique needs of the Latino population, yet few empirical studies have assessed these cultural…
Translation And Cultural Adaptation Of A Mental Health Outcome Measure
Response to Letter from Dr. Alexander S. Young
Dickey, Barbara PhD; Normand, Sharon-Lise PhD; Cleary, Paul PhD; Hermann, Richard MD, MS; Eisen, Sue PhD; Cortés, Dharma PhD; Ware, Norma PhD Author Information
Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences
BACKGROUND: One approach to improving quality of care is to encourage physicians to follow evidence-based practice guidelines. Examples of evidence-based guidelines are the PORT recommendations for the treatment of schizophrenia. However, few studies have examined the relationship between adherence to guidelines and patient outcomes in clinical settings. OBJECTIVE: The purpose of this article is to report the relationship between guideline adhere…
The Use of the Puerto Rican Biculturality Scale with Puerto Rican Drug Users in New York and Puerto Rico
This study examines the psychometric properties of an acculturation scale specifically developed for Puerto Ricans with a sample of substance abusers residing in Puerto Rico and New York. In line with current conceptual models of acculturation, this instrument departs from a mutually exclusive or zero-sum conceptualization of acculturation by assessing involvement in both American and Puerto Rican cultures independently of each other. Findings fr…
Clinician Experiences of Managed Mental Health Care
The threat mental health professionals perceive in managed care, as indicated by their writings on the subject, is re-examined in light of evidence from an ethnographic study. Fieldwork focusing on clinician experiences of managed care was carried out at an urban community mental health center. Existing explanations of "the threat"-the possibility of deprofessionalization and the potential for deterioration in the quality of care-proved inadequat…
Variations in Familism in Two Generations of Puerto Ricans
The importance individuals give to the family in terms offeelings of loyalty, reciprocity, and solidarity known as familism is one of the most enduring and distinctive characteristics among Hispanics and Puerto Ricans in the United States. Departingfrom prior studies that have examined familistic beliefs across generations, the present study focused on how those beliefs operate within two family-linked generations (parent and child generation) of…
Biculturality among Puerto Rican adults in the United States
Identified the concept of acculturation as a cornerstone of immigration research, while questioning assumptions about zero‐sum cultural change in acculturation scales and in procedures assessing biculturality. Involvements in the host society culture and the culture of origin should be assessed separately in order to reflect the complexities of the cultural interactions immigrants and their offspring experience. To evaluate this prescription, we …
Mental Health, Race and Culture. Suman Fernando
Acculturation and mental health status among Hispanics
Acculturation and mental health status among Hispanics
Incorporating the cultural value of respeto into a framework of Latino parenting
Latino families face multiple stressors associated with adjusting to United States mainstream culture that, along with poverty and residence in inner-city communities, may further predispose their children to risk for negative developmental outcomes. Evidence-based mental health treatments may require culturally informed modifications to best address the unique needs of the Latino population, yet few empirical studies have assessed these cultural…
Variations in Familism in Two Generations of Puerto Ricans
The importance individuals give to the family in terms offeelings of loyalty, reciprocity, and solidarity known as familism is one of the most enduring and distinctive characteristics among Hispanics and Puerto Ricans in the United States. Departingfrom prior studies that have examined familistic beliefs across generations, the present study focused on how those beliefs operate within two family-linked generations (parent and child generation) of…
Clinician Experiences of Managed Mental Health Care
The threat mental health professionals perceive in managed care, as indicated by their writings on the subject, is re-examined in light of evidence from an ethnographic study. Fieldwork focusing on clinician experiences of managed care was carried out at an urban community mental health center. Existing explanations of "the threat"-the possibility of deprofessionalization and the potential for deterioration in the quality of care-proved inadequat…
Biculturality among Puerto Rican adults in the United States
Identified the concept of acculturation as a cornerstone of immigration research, while questioning assumptions about zero‐sum cultural change in acculturation scales and in procedures assessing biculturality. Involvements in the host society culture and the culture of origin should be assessed separately in order to reflect the complexities of the cultural interactions immigrants and their offspring experience. To evaluate this prescription, we …
The Use of the Puerto Rican Biculturality Scale with Puerto Rican Drug Users in New York and Puerto Rico
This study examines the psychometric properties of an acculturation scale specifically developed for Puerto Ricans with a sample of substance abusers residing in Puerto Rico and New York. In line with current conceptual models of acculturation, this instrument departs from a mutually exclusive or zero-sum conceptualization of acculturation by assessing involvement in both American and Puerto Rican cultures independently of each other. Findings fr…
Understanding the Role of Past Health Care Discrimination in Help-Seeking and Shared Decision-Making for Depression Treatment Preferences
As a part of a larger, mixed-methods research study, we conducted semi-structured interviews with 21 adults with depressive symptoms to understand the role that past health care discrimination plays in shaping help-seeking for depression treatment and receiving preferred treatment modalities. We recruited to achieve heterogeneity of racial/ethnic backgrounds and history of health care discrimination in our participant sample. Participants were Hi…
Habits and routines in the daily management of hypertension
Two purposive case studies illustrate the role of habits and routines in illness management and how they are addressed in the clinical encounter. We argue habits and routines are related, but distinct constructs, and that by overlooking habits and routines, providers may be missing key opportunities to influence behaviour change. Utilization of 'habit-changing' professionals or health coaches who have the opportunity to communicate with patients …
Depression treatment preferences by race/ethnicity and gender and associations between past healthcare discrimination experiences and present preferences in a nationally representative sample
Community Mental Health Agency Views of Research
Acculturation and mental health status among Hispanics
Mental Health, Race and Culture. Suman Fernando
Biculturality among Puerto Rican adults in the United States
Identified the concept of acculturation as a cornerstone of immigration research, while questioning assumptions about zero‐sum cultural change in acculturation scales and in procedures assessing biculturality. Involvements in the host society culture and the culture of origin should be assessed separately in order to reflect the complexities of the cultural interactions immigrants and their offspring experience. To evaluate this prescription, we …
Variations in Familism in Two Generations of Puerto Ricans
The importance individuals give to the family in terms offeelings of loyalty, reciprocity, and solidarity known as familism is one of the most enduring and distinctive characteristics among Hispanics and Puerto Ricans in the United States. Departingfrom prior studies that have examined familistic beliefs across generations, the present study focused on how those beliefs operate within two family-linked generations (parent and child generation) of…
Clinician Experiences of Managed Mental Health Care
The threat mental health professionals perceive in managed care, as indicated by their writings on the subject, is re-examined in light of evidence from an ethnographic study. Fieldwork focusing on clinician experiences of managed care was carried out at an urban community mental health center. Existing explanations of "the threat"-the possibility of deprofessionalization and the potential for deterioration in the quality of care-proved inadequat…
The Use of the Puerto Rican Biculturality Scale with Puerto Rican Drug Users in New York and Puerto Rico
This study examines the psychometric properties of an acculturation scale specifically developed for Puerto Ricans with a sample of substance abusers residing in Puerto Rico and New York. In line with current conceptual models of acculturation, this instrument departs from a mutually exclusive or zero-sum conceptualization of acculturation by assessing involvement in both American and Puerto Rican cultures independently of each other. Findings fr…
Associations Between Adherence to Guidelines for Antipsychotic Dose and Health Status, Side Effects, and Patient Care Experiences
BACKGROUND: One approach to improving quality of care is to encourage physicians to follow evidence-based practice guidelines. Examples of evidence-based guidelines are the PORT recommendations for the treatment of schizophrenia. However, few studies have examined the relationship between adherence to guidelines and patient outcomes in clinical settings. OBJECTIVE: The purpose of this article is to report the relationship between guideline adhere…
Translation And Cultural Adaptation Of A Mental Health Outcome Measure
Response to Letter from Dr. Alexander S. Young
Dickey, Barbara PhD; Normand, Sharon-Lise PhD; Cleary, Paul PhD; Hermann, Richard MD, MS; Eisen, Sue PhD; Cortés, Dharma PhD; Ware, Norma PhD Author Information
Incorporating the cultural value of respeto into a framework of Latino parenting
Latino families face multiple stressors associated with adjusting to United States mainstream culture that, along with poverty and residence in inner-city communities, may further predispose their children to risk for negative developmental outcomes. Evidence-based mental health treatments may require culturally informed modifications to best address the unique needs of the Latino population, yet few empirical studies have assessed these cultural…
Factors affecting children's oral health
Findings revealed fundamental multilevel (i.e., individual/child, family, and community) factors that are important to consider for future interventions to reduce oral health disparities: behaviors leading to caries, parental knowledge about optimal oral health, access to sugary foods within the living environment and to fluoridated water as well as barriers to oral health care such as lack of health insurance or limited health insurance coverage…
Acceptability and Cultural Fit of Spiritual Self-Schema Therapy for Puerto Rican Women with Addiction Disorders
We present findings on the (1) acceptability of Spiritual Self-Schema (3-S) therapy with Puerto Rican women and (2) fit with women's cultural, gender, literacy, clinical, and religious backgrounds. 3-S is a well-documented efficacious intervention for substance use and HIV risk behaviors. Participants were 13 urban, low-income Puerto Rican women in a residential treatment program in a large Northeastern city. Findings from therapy session videota…
Community Mental Health Agency Views of Research
Habits and routines in the daily management of hypertension
Two purposive case studies illustrate the role of habits and routines in illness management and how they are addressed in the clinical encounter. We argue habits and routines are related, but distinct constructs, and that by overlooking habits and routines, providers may be missing key opportunities to influence behaviour change. Utilization of 'habit-changing' professionals or health coaches who have the opportunity to communicate with patients …
Hispanic parents' reading language preference and pediatric oral health‐related quality of life
Hispanic parents (N = 387) of 8-14 year old children (mean age 10.2) completed the survey; 237 in Spanish and 150 in English. Internal consistency scores were higher (Cronbach α range = .86-.93) among Hispanic parents who completed the questionnaire in Spanish than in English (.66-.86). POQL scores from parents who completed questionnaires in Spanish were higher (worse) overall (6.03 vs. 3.82, P = 0.022), as were physical (11.61 vs. 6.54, P = 0.0…
Efficacy of an HIV/Aids and HIV Testing Video for Spanish-Speaking Latinos in Healthcare and Non-Healthcare Settings
Measurement of Perceived and Technical Quality of Care for Depression in Racially and Ethnically Diverse Groups
Video-Based Grocery Shopping Intervention Effect on Purchasing Behaviors Among Latina Shoppers
Objectives. To compare changes in food-purchasing knowledge, self-efficacy, and behavior after viewing nutrition education videos among Los Angeles, California Latinas responsible for household grocery shopping. Methods. From February to May 2015, a convenience sample of 113 Latinas watched 1 video (El Carrito Saludable) featuring MyPlate guidelines applied to grocery shopping (1-video intervention) and another convenience sample of 105 Latinas w…
Designing and Evaluating a Digital Family Health History Tool for Spanish Speakers
Digital family health history tools have been developed but few have been tested with non-English speakers and evaluated for acceptability and usability. This study describes the cultural and linguistic adaptation and evaluation of a family health history tool (VICKY: VIrtual Counselor for Knowing Your Family History) for Spanish speakers. In-depth interviews were conducted with 56 Spanish-speaking participants; a subset of 30 also participated i…
Beyond Medication Adherence
Results suggest that when clinicians must choose a dimension on which to intervene, focusing on beliefs would be the most fruitful approach to effecting change in BP control
Understanding the Role of Past Health Care Discrimination in Help-Seeking and Shared Decision-Making for Depression Treatment Preferences
As a part of a larger, mixed-methods research study, we conducted semi-structured interviews with 21 adults with depressive symptoms to understand the role that past health care discrimination plays in shaping help-seeking for depression treatment and receiving preferred treatment modalities. We recruited to achieve heterogeneity of racial/ethnic backgrounds and history of health care discrimination in our participant sample. Participants were Hi…
Depression treatment preferences by race/ethnicity and gender and associations between past healthcare discrimination experiences and present preferences in a nationally representative sample
Psychology (20 works) · Medicine (16 works) · Sociology (11 works) · Psychiatry (10 works) · Ethnic group (7 works) · Gerontology (7 works) · Health care (7 works) · Mental health (7 works) · Political science (7 works) · Clinical Psychology (6 works)