Publications by authors named "James J García"

3 Publications

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A path model of racial/ethnic discrimination and cardiovascular disease risk factors among college students of color.

J Am Coll Health 2020 Nov 5:1-5. Epub 2020 Nov 5.

Department of Psychology, University of La Verne, La Verne, California, USA.

Objective: Racial/ethnic minorities experience disproportionately greater risk to cardiovascular diseases (CVDs). This study examined racial/ethnic discrimination-as a psychosocial stressor-in a path model and its associations with CVD health risk factors among undergraduate students of color (SoC). The sample included 404 SoC whose ages ranged from 18 to 54 ( = 21.82,  = 5.26; 65% female) from a Hispanic Serving Institution in Southern California. Participants responded to measures assessing the following traditional and non-traditional CVD indicators: depression, anxiety, and body mass index (BMI). A path model was configured with paths corresponding from racial/ethnic discrimination to BMI, depression, and anxiety symptoms, controlling for gender and age. After accounting for covariates, findings revealed greater levels of racial/ethnic discrimination was uniquely associated with greater BMI, depression, and anxiety symptoms. Findings demonstrate racial/ethnic discrimination is associated with CVD health risk factors among SoC. Data highlight the importance and magnitude of adverse psychosocial experiences on CVD health.
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November 2020

Race/Ethnicity Matters: Differences in Poststroke Inpatient Rehabilitation Outcomes.

Ethn Dis 2019 17;29(4):599-608. Epub 2019 Oct 17.

Department of Kinesiology, Athletic Training Program, University of La Verne, La Verne, CA.

Objective: To examine racial/ethnic differences in poststroke inpatient rehabilitation outcomes.

Design: Cross-sectional and retrospective study of administrative data across 2002-2018.

Setting: An inpatient rehabilitation facility in Southern California.

Participants: 3,876 racial/ethnic people aged ≥ 18 years.

Main Outcome Measures: Functional Independence Measure (FIM®) and discharge disposition.

Results: Participants were non-Hispanic Whites (NHWs, 68.5%), Hispanics (17.1%), non-Hispanic Asians (NHAs, 7.4%), and non-Hispanic Blacks (NHBs, 6.4%) aged 18-102 years (Mage = 68.47±14.66 years; MLOS = 19.47±10.05 days). Above and beyond covariates, multivariate hierarchical regression analyses showed race/ethnicity significantly predicted admission, motor efficiency, and discharge FIM® scores. Compared with NHWs, the Hispanic and NHA groups were associated with lower cognitive, motor, and total FIM® scores at admission; the NHB group was associated with lower motor efficiency, lower discharge motor and total FIM® scores, whereas the Hispanic group was associated with higher discharge total FIM® scores. Lastly, Hispanics had higher odds of a discharge home compared with NHWs.

Conclusions: Findings suggest racial/ethnic differences exist in poststroke rehabilitation outcomes.
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June 2020

The Mental Health Impact of Computer and Internet Training on a Multi-ethnic Sample of Community-Dwelling Older Adults: Results of a Pilot Randomised Controlled Trial.

Int J Biomed Sci 2013 Sep;9(3):135-47

Department of Clinical Psychology, California State University Northridge, Northridge, California, USA;

Introduction: We preliminarily explored the effects of computer and internet training in older age and attempted to address the diversity gap in the ethnogeriatric literature, given that, in our study's sample, only one-third of the participants self-identified as White. The aim of this investigation was to compare two groups - the control and the experimental conditions - regarding theme 1) computer attitudes and related self-efficacy, and theme 2) self-esteem and depressive symptomatology.

Methods: Sixty non-institutionalized residents of Los Angeles County (mean age ± SD: 69.12 ± 10.37 years; age range: 51-92) were randomly assigned to either the experimental group (n=30) or the waitlist/control group (n=30). The experimental group was involved in 6 weeks of one-on-one computer and internet training for one 2-hour session per week. The same training was administered to the control participants after their post-test. Outcome measures included the four variables, organized into the two aforementioned themes.

Results: There were no significant between-group differences in either post-test computer attitudes or self-esteem. However, findings revealed that the experimental group reported greater computer self-efficacy, compared to the waitlist/control group, at post-test/follow-up [F(1,56)=28.89, p=0.001, η2 =0.01]. Additionally, at the end of the computer and internet training, there was a substantial and statistically significant decrease in depression scores among those in the experimental group when compared to the waitlist/control group [F(1,55)=9.06, p<0.004, η2 =0.02].

Conclusions: There were significant improvements in favour of the experimental group in computer self-efficacy and, of noteworthy clinical relevance, in depression, as evidenced by a decreased percentage of significantly depressed experimental subjects from 36.7% at baseline to 16.7% at the end of our intervention.
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September 2013