Date of Conferral

11-11-2025

Date of Award

November 2025

Degree

Ph.D.

School

Psychology

Advisor

Ethel Perry

Abstract

Spanish-speaking Latinos continue to face significant barriers when attempting to access social support services through healthcare initiatives such as California Advancing and Innovating Medi-Cal (CalAIM). Despite previous efforts to address this issue, this population continues to encounter barriers such as systemic discrimination, language barriers, and limited access to culturally responsive care. This qualitative study was guided by the consolidated framework for implementation research and used an interpretative phenomenological analysis approach to explore the lived experiences of Spanish-speaking Latino parents whose children received CalAIM asthma home remediation (AHR) services. The purpose of this study was to understand the barriers and challenges Spanish-speaking Latino face in accessing support services. Semistructured telephone interviews were conducted with a purposive sample of five Spanish-speaking Latino adults whose children received AHR services. The central research question was “What are the barriers and challenges of Spanish-speaking Latinos who received social support services through the newly implemented CalAIM initiative?” The data were analyzed using a seven-step thematic coding process to identify experiential themes. This study uncovered insights into how organizational and individual-level factors affect access to and engagement with CalAIM services. By focusing on the voices of Spanish-speaking Latinos, this research contributes to a deeper understanding of how underserved populations experience CalAIM. The potential for positive social change includes advancing health equity by informing strategies to deliver more inclusive and effective care for Spanish-speaking Latino communities.

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