scholarly journals A review of culturally tailored interventions to reduce cardiovascular disease in South Asians

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Rozmin Jiwani ◽  
Shane Gerry ◽  
Darpan Patel
Keyword(s):  
Cardiovascular Disease ◽  
South Asians ◽  
Tailored Interventions ◽  
Culturally Tailored ◽  
Culturally Tailored Interventions

scholarly journals Qualitative Process Evaluation of a Community-Based Culturally Tailored Lifestyle Intervention for Underserved South Asians

2016 ◽  
Vol 17 (6) ◽  
pp. 802-813 ◽  
Author(s):  
Manasi Jayaprakash ◽  
Ankita Puri-Taneja ◽  
Namratha R. Kandula ◽  
Himali Bharucha ◽  
Santosh Kumar ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Disease Prevention ◽  
Process Evaluation ◽  
Lifestyle Intervention ◽  
South Asians ◽  
Cardiovascular Disease Prevention ◽  
Medically Underserved ◽  
Community Based ◽  
Culturally Tailored ◽  
Study Staff

Introduction. There are few examples of effective cardiovascular disease prevention interventions for South Asians (SAs). We describe the results of a process evaluation of the South Asian Heart Lifestyle Intervention for medically underserved SAs implemented at a community-based organization (CBO) using community-based participatory research methods and a randomized control design (n = 63). Method. Interviews were conducted with 23 intervention participants and 5 study staff using a semistructured interview guide focused on participant and staff perceptions about the intervention’s feasibility and efficacy. Data were thematically analyzed. Results. Intervention success was attributed to trusted CBO setting, culturally concordant study staff, and culturally tailored experiential activities. Participants said that these activities helped increase knowledge and behavior change. Some participants, especially men, found that self-monitoring with pedometers helped motivate increased physical activity. Participants said that the intervention could be strengthened by greater family involvement and by providing women-only exercise classes. Staff identified the need to reduce participant burden due to multicomponent intervention and agreed that the CBO needed greater financial resources to address participant barriers. Conclusion. Community-based delivery and cultural adaptation of an evidence-based lifestyle intervention were effective and essential components for reaching and retaining medically underserved SAs in a cardiovascular disease prevention intervention study.

Effectiveness of Culturally Tailored Interventions for Chronic Illnesses among Ethnic Minorities

2020 ◽  
Vol 43 (1) ◽  
pp. 73-84
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Health Care ◽  
Ethnic Minorities ◽  
Systematic Reviews ◽  
Chronic Conditions ◽  
English Language ◽  
Health Care Outcomes ◽  
Tailored Interventions ◽  
Culturally Tailored ◽  
Care Outcomes ◽  
Culturally Tailored Interventions

Culturally tailored interventions have been applied to provide benefits to ethnic minorities’ care; however, the effectiveness of these interventions for chronic conditions is mixed. This systematic review of systematic reviews critically evaluates recent evidence of the effects that culturally tailored interventions have on health care outcomes among ethnic minorities with chronic conditions. It synthesizes results of eight English-language systematic reviews published between 2010 and 2018 and identifies four health care outcomes common to the reviews: disease knowledge, objective clinical outcomes, satisfaction, and access. Our findings suggest that culturally tailored interventions can contribute to the improvement of ethnic minorities’ health care outcomes and especially improve patients’ satisfaction with care. However, results overall are mixed. Further studies to better understand the value of culturally tailored interventions for ethnic minorities’ care are needed.

scholarly journals Culturally Targeted Strategies for Diabetes Prevention in Minority Population

2017 ◽  
Vol 43 (1) ◽  
pp. 54-77 ◽  
Author(s):  
Pooja A. Lagisetty ◽  
Shubadra Priyadarshini ◽  
Stephanie Terrell ◽  
Mary Hamati ◽  
Jessica Landgraf ◽  
...  
Keyword(s):  
Ethnic Minority ◽  
Diabetes Prevention ◽  
English Language ◽  
Minority Groups ◽  
Minority Populations ◽  
Minority Population ◽  
Eligibility Criteria ◽  
Tailored Interventions ◽  
Culturally Tailored ◽  
Culturally Tailored Interventions

Purpose The purpose of this study is to (a) assess the effectiveness of culturally tailored diabetes prevention interventions in minority populations and (b) develop a novel framework to characterize 4 key domains of culturally tailored interventions. Prevention strategies specifically tailored to the culture of ethnic minority patients may help reduce the incidence of diabetes. Methods We searched PubMed, EMBASE, and CINAHL for English-language, randomized controlled trials (RCTs) or quasi-experimental (QE) trials testing culturally tailored interventions to prevent diabetes in minority populations. Two reviewers independently extracted data and assessed risk of bias. Inductive thematic analysis was used to develop a framework with 4 domains (FiLLM: Facilitating [ie, delivering] Interventions Through Language, Location, and Message). The framework was used to assess the overall effectiveness of culturally tailored interventions. Results Thirty-four trials met eligibility criteria. Twelve studies were RCTs, and 22 were QE trials. Twenty-five out of 34 studies (74%) that used cultural tailoring demonstrated significantly improved A1C, fasting glucose, and/or weight loss. Of the 25 successful interventions, 21 (84%) incorporated at least 3 culturally targeted domains. Seven studies used all 4 domains and were all successful. The least utilized domain was delivery (4/34) of the intervention’s key educational message. Conclusions Culturally tailoring interventions across the 4 domains of facilitators, language, location, and messaging can be effective in improving risk factors for progression to diabetes among ethnic minority groups. Future studies should evaluate how specific tailoring approaches work compared to usual care as well as comparative effectiveness of each tailoring domain.

scholarly journals Interventions to Reduce Racial and Ethnic Disparities in Health Care

2007 ◽  
Vol 64 (5_suppl) ◽  
pp. 7S-28S ◽  
Author(s):  
Marshall H. Chin ◽  
Amy E. Walters ◽  
Scott C. Cook ◽  
Elbert S. Huang
Keyword(s):  
Cardiovascular Disease ◽  
Performance Measures ◽  
Pay For Performance ◽  
Ethnic Disparities ◽  
Robert Wood Johnson Foundation ◽  
Racial And Ethnic Disparities ◽  
Tailored Interventions ◽  
Current State ◽  
Introductory Paper ◽  
Culturally Tailored Interventions

In 2005, the Robert Wood Johnson Foundation created Finding Answers: Disparities Research for Change, a program to identify, evaluate, and disseminate interventions to reduce racial and ethnic disparities in the care and outcomes of patients with cardiovascular disease, depression, and diabetes. In this introductory paper, we present a conceptual model for interventions that aim to reduce disparities. With this model as a framework, we summarize the key findings from the six other papers in this supplement on cardiovascular disease, diabetes, depression, breast cancer, interventions using cultural leverage, and pay-for-performance and public reporting of performance measures. Based on these findings, we present global conclusions regarding the current state of health disparities interventions and make recommendations for future interventions to reduce disparities. Multifactorial, culturally tailored interventions that target different causes of disparities hold the most promise, but much more research is needed to investigate potential solutions and their implementation.

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