Anatomy of culturally sensitive interventions promoting nutrition and exercise in hispanics: a critical examination of existing literature.
Anatomy of culturally sensitive interventions promoting nutrition and exercise in hispanics: a critical examination of existing literature.
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DOI：
10.1177/1524839908328991
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发表时间：
2010-07
影响因子：
1.9
通讯作者：
Medina AA
中科院分区：
文献类型：
--
作者：
Mier N;Ory MG;Medina AA
与非西班牙裔白人相比，西班牙裔白人承受着不成比例的慢性病负担。了解影响西班牙裔健康项目成功的因素，需要对量身定制的干预措施的原则和组成部分进行更清晰的检查。本研究包括对针对西班牙裔人的营养和运动干预的随机对照试验的综合文献综述，以及对这些干预措施如何构建的检查。对符合研究标准的18项干预措施的回顾表明，大多数促进西班牙裔人营养和锻炼的量身定制计划都是理论驱动的，并由形成性研究提供信息。此外，研究结果表明，显著的文化敏感干预成分是(a)双语和双文化促进器和材料，(b)以家庭为基础的活动，(c)适合识字的材料，以及(d)社会支持。还需要对西班牙文化价值观有清晰的了解。进一步的实证检验是必要的，以确定因素调解或预测西班牙裔文化敏感的健康计划的效力。
Compared with non-Hispanic Whites, Hispanics experience a disproportionate burden of chronic diseases. Understanding the factors influencing the success of health programs in Hispanics requires a clearer examination of the principles and components of tailored interventions. This research comprises a comprehensive literature review of randomized controlled trials testing nutrition and exercise interventions tailored for Hispanics and an examination of how these interventions were constructed. The review of 18 interventions meeting study criteria suggests that most tailored programs promoting nutrition and exercise in Hispanics are theory driven and are informed by formative research. Also, the findings indicate that salient culturally sensitive intervention components are (a) bilingual and bicultural facilitators and materials, (b) family-based activities, (c) literacy-appropriate materials, and (d) social support. A clear understanding of Hispanic cultural values is also required. Further empirical examination is warranted to determine the factors mediating or predicting the efficacy of culturally sensitive health programs for Hispanics.