Rachel S Purvis
Biographic Data
| ID | 232875 |
|---|---|
| NAME | Rachel S Purvis |
| GIVEN NAMES | Rachel S |
| FAMILY NAME | Purvis |
| SIGNATURE | PURVIS R S |
| AFFILIATIONS | University of Arkansas for Medical Sciences |
| ORCID | 0000-0002-0249-0141 |
| VERIFIED | Yes |
| TOTAL WORKS | 27 |
| TOTAL CITATIONS | 7 |
| AUTHOR COUNT | 27 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 1 |
Influences on Covid-19 booster uptake among adults intending to receive a booster: A qualitative study
Bivalent COVID-19 vaccine boosters have been recommended for all Americans 12 years of age and older. However, uptake remains suboptimal with only 17% of the United States (US) population boosted as of May 2023. This is a critical public health challenge for mitigating the ongoing effects of COVID-19 infection. COVID-19 booster uptake is not currently well understood, and few studies in the US have explored the vaccination process for booster upt…
Social Processes and Covid-19 Vaccination of Children of Hesitant Mothers
Informal and formal financial assistance to rural women during cancer treatment
Introduction: Rural women with cancer are at heightened risk of financial toxicity. Financial assistance is an important, yet underexamined, aspect of how patients with cancer cope with financial toxicity. This study aims to examine the types of financial assistance rural women with cancer received during cancer treatment and how they described the impact of that assistance. Material and Methods: Using data from interviews with 36 rural women wit…
Marshallese Mothers’ and Marshallese Maternal Healthcare Providers’ Perspectives on Contraceptive Use and Reproductive Life Planning Practices and Influences
Pacific Islander communities experience significant maternal and infant health disparities including high maternal and infant mortality. Contraception and reproductive life planning prevent approximately one-third of pregnancy-related deaths and neonatal deaths. We report the results of formative research devoted to understanding Marshallese mothers' as well as their maternal healthcare providers' practices and influences related to contraceptive…
Reaching late adopters: Factors influencing Covid-19 vaccination of Marshallese and Hispanic adults
The following strategies may improve vaccine-related attitudes and behaviors of Marshallese and Hispanic communities not only for the COVID-19 vaccine but also for other preventive vaccinations: 1) interpersonal-level - develop culturally-focused vaccine campaigns targeting the family units, 2) community-level - host vaccination events at convenient and/or trusted locations, such as FBOs, and engage community and/or FBO formal or lay leaders as v…
Motivations to Vaccinate Among Hesitant Adopters of the Covid-19 Vaccine
Best of Intentions: Influential Factors in Infant Feeding Intent among Marshallese Pregnant Women
The purpose of this study is to explore the beliefs, intentions, and influences that serve as barriers and facilitators to exclusive breastfeeding intent among Marshallese pregnant women in the United States (US). The study used a descriptive qualitative design. In total, 36 Marshallese women in their third trimester of pregnancy participated. Participants described exclusive breastfeeding as the preferred method of infant feeding, from both indi…
Overcoming barriers and enhancing facilitators to Covid-19 vaccination in the Hispanic community
Based on the findings of this study, a multi-modal and flexible approach will be implemented by the authors to address barriers to vaccine uptake among the Hispanic community in Arkansas
Complicity in sociology and community-based participatory research with Marshallese
Complicity with colonialism can be reflected in a particular approach to research, whose interests it serves, and who has power or ownership over the research process. It can also be reflected in neglect, inaction or methodological erasure of groups historically subjected to domination by colonial empires. Social scientists have often failed to account for colonialism's role or the complicit role they have played. We provide a brief historical ov…
The Risk Seems Too High”: Thoughts and Feelings about Covid-19 Vaccination
The purpose of this study was to describe the thoughts and feelings of individuals expressing concerns about the COVID-19 vaccine. A qualitative descriptive study was conducted in order to examine the thoughts and feelings of participants who are hesitant about the COVID-19 vaccine. Data were collected from 754 participants using an online instrument. Emergent themes included a lack of knowledge about the safety of the COVID-19 vaccine; concerns …
This Pandemic Is Making Me More Anxious about My Welfare and the Welfare of Others: ” Covid-19 Stressors and Mental Health
COVID-19 and subsequent social distancing guidelines have changed many aspects of people's daily lives including the way that they interact within their social environment. Pandemics are inherently social phenomena, and public health measures intended to curtail transmission of COVID-19 (e.g., quarantine and social distancing) have consequences for individuals with anxiety and depression. Using qualitative methods, respondents with previously dia…
Perceived Barriers to Covid-19 Testing
(1) Background: Prior studies have documented that access to testing has not been equitable across all communities in the US, with less testing availability and lower testing rates documented in rural counties and lower income communities. However, there is limited understanding of the perceived barriers to coronavirus disease 2019 (COVID-19) testing. The purpose of this study was to document the perceived barriers to COVID-19 testing. (2) Method…
Perceptions of adult Arkansans regarding trusted sources of information about the Covid-19 pandemic
This finding provides insight into the importance of coordination between national, state, and local communications to bolster trust. Personal recommendations and testimonies from trusted health care providers and professionals could inform public health messaging interventions to increase vaccine uptake
Dissemination Protocol for Community-Based Participatory Research Partnerships with Marshallese Pacific Islanders in Arkansas
Implementation of CBPR principles ensures that researchers fully engage stakeholders in all aspects of research, including the dissemination of study results. This manuscript describes the dissemination protocol for an academic- community research partnership with the Marshallese community and provides a practical example for how to implement successful community-engaged dissemination
Multicomponent Informed Consent with Marshallese Participants
Pacific Islanders are the second fastest-growing population in the United States; however, Pacific Islanders, and Marshallese specifically, are underrepresented in health research. A community-based participatory research (CBPR) approach was used to engage Marshallese stakeholders and build an academic-community research collaborative to conduct health disparities research. Our CBPR partnership pilot tested a multicomponent consent process that p…
Maternal Health Beliefs, Perceptions, and Experiences in a U.S. Marshallese Community
Introduction: The purpose of this article is to review the beliefs, perceptions, and experience of maternal health among Marshallese women. Methodology: The study utilized a qualitative descriptive design with a brief survey of participant demographics. A purposive sample of 43 participants were enrolled. Results: The mean age of participants was 40 years. Four a priori themes were identified as follows: (a) family planning beliefs and experience…
Electronic cigarette use and psychological distress in the Native Hawaiian and Pacific Islander adults compared with other racial/ethnic groups: Data from the National Health Interview Survey, 2014
Document the prevalence of electronic cigarette (E‐cigarette) use among the native Hawaiian and other Pacific Islander (NHPI) adults compared with other racial/ethnic groups, and examine associations between psychological distress and E‐cigarette use. 2014 National Health Interview Survey (NHIS) and 2014 NHPI–NHIS were combined for comparisons. Data were analyzed using descriptive statistics, Rao‐Scott χ 2 test, and multivariable logistic regress…
The Effect of Family Diabetes Self-management Education on Self-care Behaviors of Marshallese Adults with Type 2 Diabetes
Objectives: In this study, we assessed the effect of Family Diabetes Self-Management Educa- tion (DSME) intervention on changes in self-care behaviors among Marshallese adults with type 2 diabetes. Methods: Marshallese adults (N = 211) with type 2 diabetes were randomized to a Family DSME intervention or a Standard DSME intervention. We assessed changes in diabetes- related self-care behaviors from baseline to 12 months within and between study a…
Compact of Free Association Migrants and Health Insurance Policies: Barriers and Solutions to Improve Health Equity
This commentary outlines the health insurance disparities of Compact of Free Association (COFA) migrants living in the United States. Compact of Free Association migrants are citizens of the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau who can live, work, and study in the United States without a visa. Compact of Free Association migrants make up a significant proportion of the rapidly growing Pac…
You Want to Give the Best Care Possible, and You Know When They Leave Your Pharmacy, You Didn't Give the Best Care Possible Most of the Time: Pharmacist- and Community Health Worker-Identified Barrier…
Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community
Health Research Funding Agencies’ Policies, Recommendations, and Tools for Dissemination
Funding agencies have a unique opportunity to encourage the dissemination of research results to research participants and lay community audiences by developing policies to increase dissemination of grantees' research findings
Just doing the best we can’: Health care providers’ perceptions of barriers to providing care to Marshallese patients in Arkansas
Introduction: Marshallese migrating to the United States encounter challenges in accessing health care. Previous literature has investigated Marshallese participants' perceptions of the barriers they face in accessing health care. For this study, health care providers managing the care of Marshallese patients were interviewed to understand the providers' perception of barriers that their Marshallese patients encounter. Methods: A qualitative rese…
Community Health Warriors: Marshallese Community Health Workers’ Perceptions and Experiences with CBPR and Community Engagement
Our manuscript highlights the viewpoints and reflections of the native Marshallese community health workers (CHWs) engaged in research with the local Marshallese community in Northwest Arkansas. In particular, this paper documents the vital role Marshallese CHWs play in the success of programs and research efforts. The negative health effects of nuclear testing in the Marshall Islands has been passed down through many generations, along with unfa…
Interpretive policy analysis: Marshallese Cofa migrants and the Affordable Care Act
While the ACA and Medicaid Expansion have reduced the national uninsured rate, Marshallese COFA migrants have not benefited equally from this policy. The lack of healthcare coverage for the Marshallese COFA migrants exacerbates the health disparities this underserved population faces. This article is an important contribution to researchers because it presents the Marshallese's interpretation of the policy, which will help inform policy makers th…
Just doing the best we can’: Health care providers’ perceptions of barriers to providing care to Marshallese patients in Arkansas
Introduction: Marshallese migrating to the United States encounter challenges in accessing health care. Previous literature has investigated Marshallese participants' perceptions of the barriers they face in accessing health care. For this study, health care providers managing the care of Marshallese patients were interviewed to understand the providers' perception of barriers that their Marshallese patients encounter. Methods: A qualitative rese…
Dissemination Protocol for Community-Based Participatory Research Partnerships with Marshallese Pacific Islanders in Arkansas
Implementation of CBPR principles ensures that researchers fully engage stakeholders in all aspects of research, including the dissemination of study results. This manuscript describes the dissemination protocol for an academic- community research partnership with the Marshallese community and provides a practical example for how to implement successful community-engaged dissemination
Electronic cigarette use and psychological distress in the Native Hawaiian and Pacific Islander adults compared with other racial/ethnic groups: Data from the National Health Interview Survey, 2014
Document the prevalence of electronic cigarette (E‐cigarette) use among the native Hawaiian and other Pacific Islander (NHPI) adults compared with other racial/ethnic groups, and examine associations between psychological distress and E‐cigarette use. 2014 National Health Interview Survey (NHIS) and 2014 NHPI–NHIS were combined for comparisons. Data were analyzed using descriptive statistics, Rao‐Scott χ 2 test, and multivariable logistic regress…
You Want to Give the Best Care Possible, and You Know When They Leave Your Pharmacy, You Didn't Give the Best Care Possible Most of the Time: Pharmacist- and Community Health Worker-Identified Barrier…
Delaware Tribe in a Cherokee Nation
Book Review| April 01 2011 Delaware Tribe in a Cherokee Nation Delaware Tribe in a Cherokee Nation. By Obermeyer, Brice. (Lincoln: University of Nebraska Press, 2009. $45.00 cloth.) Rachel Smith Purvis Rachel Smith Purvis Search for other works by this author on: This Site Google Ethnohistory (2011) 58 (2): 329–331. https://doi.org/10.1215/00141801-1163091 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Revi…
Black Slaves, Indian Masters: Slavery, Emancipation, and Citizenship in the Native American South
Book Review| January 01 2015 Black Slaves, Indian Masters: Slavery, Emancipation, and Citizenship in the Native American South Black Slaves, Indian Masters: Slavery, Emancipation, and Citizenship in the Native American South. By Krauthamer, Barbara. (Chapel Hill: University of North Carolina Press, 2013. $34.95 cloth.) Rachel Smith Purvis Rachel Smith Purvis Search for other works by this author on: This Site Google Ethnohistory (2015) 62 (1): 18…
Interpretive policy analysis: Marshallese Cofa migrants and the Affordable Care Act
While the ACA and Medicaid Expansion have reduced the national uninsured rate, Marshallese COFA migrants have not benefited equally from this policy. The lack of healthcare coverage for the Marshallese COFA migrants exacerbates the health disparities this underserved population faces. This article is an important contribution to researchers because it presents the Marshallese's interpretation of the policy, which will help inform policy makers th…
Community Health Warriors: Marshallese Community Health Workers’ Perceptions and Experiences with CBPR and Community Engagement
Our manuscript highlights the viewpoints and reflections of the native Marshallese community health workers (CHWs) engaged in research with the local Marshallese community in Northwest Arkansas. In particular, this paper documents the vital role Marshallese CHWs play in the success of programs and research efforts. The negative health effects of nuclear testing in the Marshall Islands has been passed down through many generations, along with unfa…
Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community
Health Research Funding Agencies’ Policies, Recommendations, and Tools for Dissemination
Funding agencies have a unique opportunity to encourage the dissemination of research results to research participants and lay community audiences by developing policies to increase dissemination of grantees' research findings
Just doing the best we can’: Health care providers’ perceptions of barriers to providing care to Marshallese patients in Arkansas
Introduction: Marshallese migrating to the United States encounter challenges in accessing health care. Previous literature has investigated Marshallese participants' perceptions of the barriers they face in accessing health care. For this study, health care providers managing the care of Marshallese patients were interviewed to understand the providers' perception of barriers that their Marshallese patients encounter. Methods: A qualitative rese…
The Effect of Family Diabetes Self-management Education on Self-care Behaviors of Marshallese Adults with Type 2 Diabetes
Objectives: In this study, we assessed the effect of Family Diabetes Self-Management Educa- tion (DSME) intervention on changes in self-care behaviors among Marshallese adults with type 2 diabetes. Methods: Marshallese adults (N = 211) with type 2 diabetes were randomized to a Family DSME intervention or a Standard DSME intervention. We assessed changes in diabetes- related self-care behaviors from baseline to 12 months within and between study a…
Compact of Free Association Migrants and Health Insurance Policies: Barriers and Solutions to Improve Health Equity
This commentary outlines the health insurance disparities of Compact of Free Association (COFA) migrants living in the United States. Compact of Free Association migrants are citizens of the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau who can live, work, and study in the United States without a visa. Compact of Free Association migrants make up a significant proportion of the rapidly growing Pac…
You Want to Give the Best Care Possible, and You Know When They Leave Your Pharmacy, You Didn't Give the Best Care Possible Most of the Time: Pharmacist- and Community Health Worker-Identified Barrier…
Maternal Health Beliefs, Perceptions, and Experiences in a U.S. Marshallese Community
Introduction: The purpose of this article is to review the beliefs, perceptions, and experience of maternal health among Marshallese women. Methodology: The study utilized a qualitative descriptive design with a brief survey of participant demographics. A purposive sample of 43 participants were enrolled. Results: The mean age of participants was 40 years. Four a priori themes were identified as follows: (a) family planning beliefs and experience…
Electronic cigarette use and psychological distress in the Native Hawaiian and Pacific Islander adults compared with other racial/ethnic groups: Data from the National Health Interview Survey, 2014
Document the prevalence of electronic cigarette (E‐cigarette) use among the native Hawaiian and other Pacific Islander (NHPI) adults compared with other racial/ethnic groups, and examine associations between psychological distress and E‐cigarette use. 2014 National Health Interview Survey (NHIS) and 2014 NHPI–NHIS were combined for comparisons. Data were analyzed using descriptive statistics, Rao‐Scott χ 2 test, and multivariable logistic regress…
The Risk Seems Too High”: Thoughts and Feelings about Covid-19 Vaccination
The purpose of this study was to describe the thoughts and feelings of individuals expressing concerns about the COVID-19 vaccine. A qualitative descriptive study was conducted in order to examine the thoughts and feelings of participants who are hesitant about the COVID-19 vaccine. Data were collected from 754 participants using an online instrument. Emergent themes included a lack of knowledge about the safety of the COVID-19 vaccine; concerns …
This Pandemic Is Making Me More Anxious about My Welfare and the Welfare of Others: ” Covid-19 Stressors and Mental Health
COVID-19 and subsequent social distancing guidelines have changed many aspects of people's daily lives including the way that they interact within their social environment. Pandemics are inherently social phenomena, and public health measures intended to curtail transmission of COVID-19 (e.g., quarantine and social distancing) have consequences for individuals with anxiety and depression. Using qualitative methods, respondents with previously dia…
Perceived Barriers to Covid-19 Testing
(1) Background: Prior studies have documented that access to testing has not been equitable across all communities in the US, with less testing availability and lower testing rates documented in rural counties and lower income communities. However, there is limited understanding of the perceived barriers to coronavirus disease 2019 (COVID-19) testing. The purpose of this study was to document the perceived barriers to COVID-19 testing. (2) Method…
Perceptions of adult Arkansans regarding trusted sources of information about the Covid-19 pandemic
This finding provides insight into the importance of coordination between national, state, and local communications to bolster trust. Personal recommendations and testimonies from trusted health care providers and professionals could inform public health messaging interventions to increase vaccine uptake
Dissemination Protocol for Community-Based Participatory Research Partnerships with Marshallese Pacific Islanders in Arkansas
Implementation of CBPR principles ensures that researchers fully engage stakeholders in all aspects of research, including the dissemination of study results. This manuscript describes the dissemination protocol for an academic- community research partnership with the Marshallese community and provides a practical example for how to implement successful community-engaged dissemination
Multicomponent Informed Consent with Marshallese Participants
Pacific Islanders are the second fastest-growing population in the United States; however, Pacific Islanders, and Marshallese specifically, are underrepresented in health research. A community-based participatory research (CBPR) approach was used to engage Marshallese stakeholders and build an academic-community research collaborative to conduct health disparities research. Our CBPR partnership pilot tested a multicomponent consent process that p…
Motivations to Vaccinate Among Hesitant Adopters of the Covid-19 Vaccine
Best of Intentions: Influential Factors in Infant Feeding Intent among Marshallese Pregnant Women
The purpose of this study is to explore the beliefs, intentions, and influences that serve as barriers and facilitators to exclusive breastfeeding intent among Marshallese pregnant women in the United States (US). The study used a descriptive qualitative design. In total, 36 Marshallese women in their third trimester of pregnancy participated. Participants described exclusive breastfeeding as the preferred method of infant feeding, from both indi…
Overcoming barriers and enhancing facilitators to Covid-19 vaccination in the Hispanic community
Based on the findings of this study, a multi-modal and flexible approach will be implemented by the authors to address barriers to vaccine uptake among the Hispanic community in Arkansas
Complicity in sociology and community-based participatory research with Marshallese
Complicity with colonialism can be reflected in a particular approach to research, whose interests it serves, and who has power or ownership over the research process. It can also be reflected in neglect, inaction or methodological erasure of groups historically subjected to domination by colonial empires. Social scientists have often failed to account for colonialism's role or the complicit role they have played. We provide a brief historical ov…
Informal and formal financial assistance to rural women during cancer treatment
Introduction: Rural women with cancer are at heightened risk of financial toxicity. Financial assistance is an important, yet underexamined, aspect of how patients with cancer cope with financial toxicity. This study aims to examine the types of financial assistance rural women with cancer received during cancer treatment and how they described the impact of that assistance. Material and Methods: Using data from interviews with 36 rural women wit…
Marshallese Mothers’ and Marshallese Maternal Healthcare Providers’ Perspectives on Contraceptive Use and Reproductive Life Planning Practices and Influences
Pacific Islander communities experience significant maternal and infant health disparities including high maternal and infant mortality. Contraception and reproductive life planning prevent approximately one-third of pregnancy-related deaths and neonatal deaths. We report the results of formative research devoted to understanding Marshallese mothers' as well as their maternal healthcare providers' practices and influences related to contraceptive…
Reaching late adopters: Factors influencing Covid-19 vaccination of Marshallese and Hispanic adults
The following strategies may improve vaccine-related attitudes and behaviors of Marshallese and Hispanic communities not only for the COVID-19 vaccine but also for other preventive vaccinations: 1) interpersonal-level - develop culturally-focused vaccine campaigns targeting the family units, 2) community-level - host vaccination events at convenient and/or trusted locations, such as FBOs, and engage community and/or FBO formal or lay leaders as v…
Medicine (21 works) · Nursing (16 works) · Psychology (16 works) · Family medicine (15 works) · Sociology (13 works) · Political science (12 works) · Qualitative research (12 works) · Health care (11 works) · Public health (10 works) · Population (8 works)