How can health promotion interventions be adapted for minority ethnic communities? Five principles for guiding the development of behavioural interventions
How can health promotion interventions be adapted for minority ethnic communities? Five principles for guiding the development of behavioural interventions
复制标题
DOI：
10.1093/heapro/daq012
复制
发表时间：
2010-06-01
影响因子：
2.7
通讯作者：
Jackson, Angela
中科院分区：
文献类型：
--
作者：
Netto, Gina;Bhopal, Raj;Jackson, Angela
“对文化敏感”一词通常用来描述适合少数民族社区的干预措施。然而，对这些社区调整行为干预措施的战略的理解有限。本文讨论的问题是：什么是适应干预措施，以减少少数民族社区冠心病（CHD）的主要策略？为什么要以这些方式调整干预措施？进行了一项系统性审查，以调查预防CHD的干预措施，包括促进体育活动，戒烟和健康饮食，在巴基斯坦，中国和印度社区，这些群体是少数民族。检索了国际数据库和关键网站，初步确定了23 477个标题和摘要。17篇论文符合纳入和质量标准。采用“元人种志”方法进行数据综合，以确定调整干预措施的基本原则。在个别研究中，支持适应的理由并不明确，限制了普遍性。为少数民族社区调整行为干预措施确定了五项原则：（一）利用社区资源宣传干预措施，增加获得干预措施的机会;（二）查明和消除获得和参与的障碍;（三）制定对语言使用和信息要求敏感的沟通战略;（四）与促进或阻碍行为改变的文化或宗教价值观合作;及（v）容纳不同程度的文化认同。虽然这些原则需要进一步的测试和验证，但它们是通过系统的研究识别、质量评估和数据综合方法产生的。这是在促进对少数民族社区适应性行为干预措施的理解方面取得的重大进展。
The term 'culturally sensitive' is often used to describe interventions adapted for minority ethnic communities. However, understanding of strategies for adapting behavioural interventions for such communities is limited. The questions addressed in this paper are: What are the main strategies for adapting interventions to reduce coronary heart disease (CHD) for minority ethnic communities? Why have interventions been adapted in these ways? A systematic review was carried out to investigate interventions for preventing CHD, including promoting physical activity, smoking cessation and healthier diets in Pakistani, Chinese and Indian communities in countries where these groups are minorities. International databases and key websites were searched, and 23 477 titles and abstracts were initially identified. Seventeen papers met inclusion and quality criteria. A 'meta-ethnographic' approach to data synthesis was employed to identify underlying principles for adapting interventions. The rationale underpinning adaptations is not made explicit in individual studies, limiting generalizability. Five principles for adapting behavioural interventions for minority ethnic Comm unities were identified: (i) use community resources to publicize the intervention and increase accessibility; (ii) identify and address barriers to access and participation; (iii) develop communication strategies which are sensitive to language use and information requirements; (iv) work with cultural or religious values that either promote or hinder behavioural change; and (v) accommodate varying degrees of cultural identification. While the principles require further testing and verification, they have been generated through a systematic approach to study identification, quality appraisal and data synthesis. This represents significant progress in advancing understanding of adapted behavioural interventions for minority ethnic communities.