Table 4.

Excerpts From Theme 3: Challenges in Reaching and Communicating With the Latino Population

Subtheme	Representative quote
3A) Importance of communicating in Spanish to build rapport	Provider_WA_4: …[I]t's easy with Latinos, especially if you speak their language and you have that sort of relation that you come from similar backgrounds and you're making the effort to see them in their native language and so they're very appreciative of that
3A) Importance of communicating in Spanish to build rapport	Provider_WA_1: Talking to someone who's going through what they're going through or who has in the past is really valuable, and especially if that can be someone who speaks Spanish and there's a real sense of connection
3B) Importance of communicating in Spanish for patient understanding	Caregiver_CA_14: And when you go and collect medicine, have you not had any problem communicating with the pharmacist or does not understand what you are saying or that you are complicated in some way? A: Not because people who see that one does not speak Spanish, so they put a person who speaks Spanish so you can understand things well Q: And hasn't you had problems such as not being able to understand what the bottles say, not being able to understand what the brochure says? Things like that? A: Not because everything comes in Spanish Q: Everything comes in Spanish
3B) Importance of communicating in Spanish for patient understanding	Caregiver_CA_12: Q: And when you collect the medications, do you [get] your medicine there, and [get] a sheet with the information about the medication? Q: No, nothing [besides] the bottle Q: …do they give [the instructions] to Spanish or English? A: No, in English Q: Well, then they are not useful A: No, they are useless Q: Ok, and the pharmacists give you a consultation to explain or offer you to explain the medications? A: No. As the doctor explained to me. Or nothing else [other than] “a capsule a day or 2.” Nothing else
3B) Importance of communicating in Spanish for patient understanding	Caregiver_CA_8: Q: Very good. Have you sometimes experienced some problems in obtaining information for things that, sometimes in case you do not read English or by language or some other method…? A: Sometimes yes. I don't understand what they tell me, and as I always go alone
3B) Importance of communicating in Spanish for patient understanding	Caregiver_CA_12: Q: And would they have [Caregiver Support Group] what to be in Spanish? A: Yes, in Spanish. They have told me some places, but of pure English, not Spanish. And there would be where they teach or something, I would leave
3C) Understanding cultural nuance to deepen rapport	Provider_WA_3: In that sense, humor is also very important because, culturally, I feel like that's a big piece for the Latino population, just facing things with humor and being able to laugh about themselves and their circumstances sometimes. Yeah. And it is harder to do that with someone that doesn't know your culture
3C) Understanding cultural nuance to deepen rapport	Provider_WA_7: I've been told generalities about [being] cautious, don't use the word burden. This is part of perhaps the culture review. It's not a burden to provide caregiving to a family member
3C) Understanding cultural nuance to deepen rapport	Caregiver_WA_04: And I sit there and wonder to myself. I have friends who say, “Well, people do put them in homes.” And they do this and they do that. And I go, “You don't understand. My culture, we don't do that. We keep our responsibilities until you just can't. And if, for some reason, you have to do that it has to be because they're ready to croak
3D) Promotion of resources at Latino-centric facilities	Provider_WA_1: I would say [resources include] community centers, senior centers, Latino-focused organizations. I mean, really, any health care organization that's serving the Latino community would be a resource for caregivers