Latinos are the largest minority group in the United States, yet there is currently a lack of Web sites that focus on Latino health. This article shares qualitative research results obtained from Latinos, with a focus on creating a culturally sensitive, bilingual, interactive, computer-based cardiovascular disease risk assessment and behavioral goal-setting program. This project is a substudy of the Latinos Using Cardio Health Actions to Reduce Risk (LUCHAR) grant, a 5-year trial, funded by the National Heart, Lung, and Blood Institute, whose primary aim is the primary prevention of cardiovascular disease in Latinos. Ten focus groups, five in English and five in Spanish, were conducted at six community sites with trained, bilingual facilitators in Denver, Colorado. Results from the focus groups are used to make recommendations on how to develop a culturally sensitive cardiovascular health care Web site for Latinos.
Bull, S., Gaglio, B., McKay, G., & Glasgow, R.E. ( 2005). Harnessing the potential of the Internet to promote chronic illness self-management: Diabetes as an example of how well are we doing. Chronic Illness, 1, 143-155.
2.
Centers for Disease Control and Prevention. ( 2005). Racial/ethnic disparities in prevalence, treatment and control of hypertension- United States, 1999-2002. Morbidity and Mortality Weekly Report, 54(1), 7-9.
3.
Centers for Disease Control and Prevention. ( 2006). Hypertension related mortality among Hispanic subpopulations-United States 1995-2002. Morbidity and Mortality Weekly Report, 55(07), 177-180.
4.
Crespo, C.J., Loria, C.M., & Burt, V.L. ( 1996). Hypertension and other cardiovascular disease risk factors among Mexican Americans, Cuban Americans, and Puerto Ricans from the National Health and Nutrition Examination Survey. Public Health Reports , 111(Suppl. 2), 7-10.
5.
Dey, A.N., & Lucas, J.W. ( 2006). Physical and mental health characteristics of US and foreign born adults: United States, 1998-2003. Advance data from vital and health statistics (No. 369). Hyattsville, MD: National Center for Health Statistics.
6.
Glasgow, R.E., Boles, S.M., McKay, H.G., Feil, E.G., & Barrera, M., Jr. (2003). The D-Net diabetes self-management program: Long-term implementation, outcomes, and generalization results. Preventive Medicine, 36(4), 410-419.
7.
Glasgow, R.E., Bull, S.S., Piette, J.D., & Steiner, J.F. ( 2004). Interactive behavior change technology: A partial solution to the competing demands of primary care. American Journal of Preventive Medicine, 27(Suppl. 2), 80-87.
8.
Gottlieb, S. ( 2000). Study explores Internet as tool for care of diabetic patients. British Medical Journal, 320(7234), 892.
9.
Hajjar, I., & Kotchen, T.A. ( 2003). Trends in prevalence, awareness, treatment and control of hypertension in the United States, 1988-2000. Journal of the American Medical Association, 290(2), 199-206.
10.
Hoyert, D.L., Kung, H.C., & Smith, B.L. ( 2005). Deaths: preliminary data for 2003. National Vital Statistics Reports, 53, 1-48.
11.
Kreuter, M.W., & Strecher, V.J. (1995). Changing inaccurate perceptions of health risk: Results from a randomized trial. Health Psychology , 14(1), 56-63.
12.
Locke, E.A., & Latham, G.P. ( 2002). Building a practically useful theory of goal setting and task motivation. A 35 year odysseyAmerican Psychologist , 57(9), 705-717.
13.
McMahon, G.T., Gomes, H.E., Hickson, H.S., Hu, T., Levine, B.A., & Conlin, P.R. ( 2005). Web based care management in patients with poorly controlled diabetes. Diabetes Care, 28, 1624-1629.
14.
Moreno, C., Alvarado, M., Balcazar, H., Lane, C., Newman, E., Ortiz, G., et al. (1997). Heart disease education and prevention program targeting immigrant Latinos: Using focus group responses to develop effective interventions. Journal of Community Health, 22(6), 435-450.
15.
Oenema, A., Brug, J., & Lechner, L. ( 2001). Web-based tailored nutrition education: Results of a randomized controlled trial. Health Education Research, 16, 647-660.
16.
Ritterband, L.M., Gonder-Frederick, L.A., Cox, D.J., Clifton, A.D., West, R.W., & Borowitz, S.M. (2003). Internet interventions: In review, in use, and into the future. Professional Psychology-Research and Practice, 34(5), 527-534.
17.
Shaw, B.R., Han, J.Y., Baker, T., Witherly, J., Hawkins, R.P., McTavish, F., et al. (2007). How women with breast cancer learn using interactive cancer communication systems. Health Education Research, 22(1), 108-119.
18.
Spooner, T., & Rainie, L. ( 2001). Hispanics and the Internet. Retrieved October 26, 2006, from http://www.pewinternet.org/pdfs/PIP_Hispanics_Online_Report.pdf
19.
Strauss, A., & Corbin, J. ( 1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
20.
Sundquist, J., & Winkleby, M.A. (1999). Cardiovascular risk factors in Mexican American adults: A transcultural analysis of NHANES III, 1988-1994 . American Journal of Public Health, 89(5), 723-730.
21.
Sundquist, J., Winkleby, M.A., & Pudaric, S. ( 2001). Cardiovascular disease risk factors among Black, Mexican-American and White women and men: An analysis of NHANES III. Third National Health and Nutrition Examination Survey. Journal of the American Geriatrics Society, 49(2), 109-116.
22.
Tate, D.F., Wing, R.R., & Winett, R.A. ( 2001). Using Internet technology to deliver a behavioral weight loss program. Journal of the American Medical Association , 285, 1172-1177.
23.
University of California, Los Angeles. (2003 , July 31). Internet use for Latinos lower than for non-Latinos . UCLA News. Retrieved July 30, 2007, from http://www.digitalcenter.org/pdf/findings-Latino-Internet-Use.pdf
24.
U.S. Census Bureau. (2000). Census 2000 gateway. Retrieved February 13, 2004, from http://www.census.gov/main/www./cen2000.html
25.
Williamson, D.A., Martin, P.D., White, M.A., Newton, R., Walden, H., York-Crowe, E., et al. (2005). Efficacy of an Internet based behavioral weight loss program for overweight adolescent AfricanAmerican girls. Eating and Weight Disorders, 10, 193-203.
26.
Winkleby, M.A., Kraemer, H.C., Ahn, D.K., & Varady, A.N. ( 1998). Ethnic and socioeconomic differences in cardiovascular disease risk factors: Findings for women from the Third National Health and Nutrition Examination Survey, 1988-1994. Journal of the American Medical Association, 280(4), 356-362.
27.
Yabroff, K.R., & Mandelblatt, J.S. (1999). Interventions targeted toward patients to increase mammography use. Cancer Epidemiology, Biomarkers and Prevention, 8(9), 749-757.
