Culturally Tailored Interventions for People Affected by Dementia: A Systematic Review and Conceptual Model About Implementation

2020 ◽  
Author(s):  
Tiffeny James ◽  
Naaheed Mukadam ◽  
Andrew Sommerlad ◽  
Stefanny Guerra Ceballos ◽  
Gill Livingston
Keyword(s):  
Systematic Review ◽  
Conceptual Model ◽  
Tailored Interventions ◽  
Culturally Tailored ◽  
Culturally Tailored Interventions

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.

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