Journal articles: 'Culturally appropriate interventions'

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Newman Giger, Joyce, and Ruth Davidhizar. "Promoting Culturally Appropriate Interventions Among Vulnerable Populations." Annual Review of Nursing Research 25, no. 1 (January 2007): 293–316. http://dx.doi.org/10.1891/0739-6686.25.1.293.

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Evidence-based practice is critical for the improvement of interventions for culturally diverse and disadvantaged groups in the community. Nurses are strategically located in the line of patient care and must be grounded in knowledge related to the delivery of culturally appropriate intervention strategies. Although many of the health care disciplines have failed to conduct or disseminate culturally competent interventions among vulnerable populations, it is important to note that nursing has long been engaged in such activities. Clearly, all health care professionals must be provided with the tools that they need to give appropriate and effective care to patients and to conduct and disseminate relevant research about vulnerable populations. This chapter focuses on culturally competent interventions for ethnic and racial minority groups, women, and the mentally ill.

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Gregg, E. W., and K. V. Narayan. "Culturally Appropriate Lifestyle Interventions in Minority Populations." Diabetes Care 21, no. 5 (May 1, 1998): 875. http://dx.doi.org/10.2337/diacare.21.5.875.

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Bender, Melissa S., and Mary Jo Clark. "Cultural Adaptation for Ethnic Diversity." Californian Journal of Health Promotion 9, no. 2 (December 1, 2011): 40–60. http://dx.doi.org/10.32398/cjhp.v9i2.1435.

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Obesity disproportionately affects U.S. ethnic minority preschool children, placing them at risk for obesity related co-morbidities and premature death. Effective culturally appropriate interventions are needed to improve health behaviors and reduce obesity in young high-risk minority children, while their behaviors are still developing. All known obesity intervention studies (e.g., diet and physical activity) since 2000 targeting U.S. ethnic minority preschool children were reviewed. Five electronic databases and eight published literature reviews were used to identify the studies. Intervention studies without identified ethnic minority participants were excluded. Ten obesity interventions studies met the review criteria. Published cultural adaptation guidelines were used to develop a mechanism to analyze, score, and rank the intervention adaptations. Cultural adaptations varied widely in rigor, depth, and breadth. Results indicated a relative absence of appropriately adapted obesity interventions for ethnic minority groups, suggesting a need for more rigorous cultural adaptation guidelines when designing obesity interventions for diverse ethnicities. Culturally appropriate adaptations appeared to enhance intervention relevance, effectiveness, and feasibility. The purpose of this literature review was to evaluate 1) the type and extent of cultural adaptations strategies applied to the interventions, and 2) how these adaptations related to the study outcomes.

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Marín, Gerardo. "Defining culturally appropriate community interventions: Hispanics as a case study." Journal of Community Psychology 21, no. 2 (April 1993): 149–61. http://dx.doi.org/10.1002/1520-6629(199304)21:2<149::aid-jcop2290210207>3.0.co;2-y.

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Cho, Sunghye, Hyeonkyeong Lee, Jung Hee Kim, Meenhye Lee, and Young-Me Lee. "Culturally Adaptive Walking Intervention for Korean-Chinese Female Migrant Workers." Research and Theory for Nursing Practice 31, no. 2 (2017): 179–96. http://dx.doi.org/10.1891/1541-6577.31.2.179.

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Background and Purpose: Although the literature has commonly cited that development of culturally adaptive interventions is key to improving the health outcomes of culturally and linguistically diverse populations, there have been limited culturally adaptive walking interventions specific to Korean-Chinese (KC) migrants. The objective of this study is to describe the process in development of culturally adaptive walking interventions for KC female migrant workers, using the intervention mapping (IM) method. Methods: The culturally adaptive walking intervention was developed using the IM method, which is a stepwise theory and evidence-based approach for planning interventions. The IM method process has six steps, including needs assessment, formulation of change objectives, selection of theory-based methods and practical strategies, development of an intervention program, development of an adoption and implementation plan, and development of an evaluation design. Results: The determinants of walking behavior, including knowledge, self-efficacy, social support, and acculturation, were identified through an extensive literature review, community leader interviews, and a survey of female KC migrant workers. Appropriate intervention methods and strategies were identified based on relevant theories. Acculturation was a determinant of exercise behavior, and various methods to improve cultural adaptation were identified in the context of the lifestyles and working environments of the target population. Implications for Practice: The IM method provided a foundation for creating a health intervention for KC female migrant workers. This method could easily be useful for health care providers working with other groups.

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Burlew, A. Kathleen, Donna Shambley-Ebron, Danni Lanaway, Caravella McCuistian, LaMonica Sherman, and Lashkela Steele. "Community Collaborative Cultural Adaptation: Creating Culturally Appropriate Behavioral Interventions through University and Community Collaborations." Collaborations: A Journal of Community-Based Research and Practice 2, no. 1 (May 23, 2018): 1. http://dx.doi.org/10.33596/coll.12.

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Crespo, Carlos. "Development and Implementation of Culturally Appropriate Physical Activity Interventions among Hispanics." Medicine & Science in Sports & Exercise 40, Supplement (May 2008): 53. http://dx.doi.org/10.1249/01.mss.0000321118.32521.38.

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Hamilton, Jill B., Mansi Agarwal, Lixin Song, MAJ Angelo D. Moore, and Nakia Best. "Are Psychosocial Interventions Targeting Older African American Cancer Survivors Culturally Appropriate?" Cancer Nursing 35, no. 2 (2012): E12—E23. http://dx.doi.org/10.1097/ncc.0b013e31821e0b11.

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Abbott, Douglas A., Paul R. Springer, and Cody S. Hollist. "Therapy With Immigrant Muslim Couples: Applying Culturally Appropriate Interventions and Strategies." Journal of Couple & Relationship Therapy 11, no. 3 (July 2012): 254–66. http://dx.doi.org/10.1080/15332691.2012.692946.

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DuBay, Michaela, Linda R. Watson, and Wanqing Zhang. "In Search of Culturally Appropriate Autism Interventions: Perspectives of Latino Caregivers." Journal of Autism and Developmental Disorders 48, no. 5 (November 29, 2017): 1623–39. http://dx.doi.org/10.1007/s10803-017-3394-8.

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Sharma, Sudesh Raj, and Neetu Karki. "Towards culturally sensitive public health interventions in Nepal." Health Prospect 13, no. 1 (September 16, 2014): 1–3. http://dx.doi.org/10.3126/hprospect.v13i1.11104.

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Culture plays a key role in influencing health related behaviours. However, cultural issues are often neglected in public health interventions. The viewpoint attempts to highlight key prerequisites for developing culturally sensitive public health interventions in the context of Nepal. Qualitative research should be promoted to understand the critical link of cultural issues with health problems and tailor interventions accordingly. Making key elements of Behaviour Change Communication (source, message, and channel) process culturally appropriate can render positive effects for health interventions. On an operational level, involving an anthropologist can act as a bridge between community and health workers throughout the implementation process; community organization and empowerment strategies within interventions have proven to be beneficial and sustainable in terms of health promotion and disease prevention. Focusing on developing culturally competent health workforce can produce a synergistic effect in health promotion efforts. To conclude, culturally sensitive interventions should not only be evidence based but empowering and engaging community.DOI: http://dx.doi.org/10.3126/hprospect.v13i1.11104 Health Prospect Vol.13(1) 2014: 1-3

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Tanjasiri, Sora Park, Marjorie Kagawa-Singer, Mary Anne Foo, Maichew Chao, Irene Linayao-Putman, John Nguyen, Georgi Pirumyan, and Annalyn Valdez. "Designing Culturally and Linguistically Appropriate Health Interventions: The “Life Is Precious” Hmong Breast Cancer Study." Health Education & Behavior 34, no. 1 (August 21, 2006): 140–53. http://dx.doi.org/10.1177/1090198105285336.

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Cancer is the number one cause of death for Asian American women, yet they have the lowest rates of cancer screening. Contributing factors, particularly for Hmong women, include the lack of culturally and linguistically appropriate educational interventions. This study aimed to develop a culturally and linguistically appropriate intervention to improve the breast cancer screening rates among Hmong women in Fresno and San Diego, California. Intervention elements included the development of a flipchart, brochure, and video that presented basic breast health and screening information, along with the targeting of not only women but men to support their wives’ breast cancer screenings. Analyses of pre- and post workshop surveys showed increases in knowledge and more positive attitudes among all participants, behavioral intentions for clinical breast examinations and mammograms among women, and support for such exams and possible cancer treatment among men. Implications for further research and practice are discussed.

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Jani, Jayshree S., and Bruce R. Deforge. "Contextually Appropriate Measurement as the Basis for Culturally Appropriate Interventions: A Case Study in Managua, Nicaragua." Social Work in Public Health 30, no. 2 (December 12, 2014): 157–74. http://dx.doi.org/10.1080/19371918.2014.969859.

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Gomez, Madeleine V. "Some Suggestions for Change Regarding Culturally Appropriate Interventions in Child Sexual Abuse." Journal of Child Sexual Abuse 1, no. 3 (January 19, 1993): 125–27. http://dx.doi.org/10.1300/j070v01n03_13.

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Lillie, Kate M., Lisa G. Dirks, J. Randall Curtis, Carey Candrian, Jean S. Kutner, and Jennifer L. Shaw. "Culturally Adapting an Advance Care Planning Communication Intervention With American Indian and Alaska Native People in Primary Care." Journal of Transcultural Nursing 31, no. 2 (July 1, 2019): 178–87. http://dx.doi.org/10.1177/1043659619859055.

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Introduction: Advance care planning (ACP) is a process in which patients, families, and providers discuss and plan for desired treatment goals. American Indian and Alaska Native people (AI/AN) have higher prevalence of many serious, life-limiting illnesses compared with the general population; yet AI/ANs use ACP considerably less than the overall population. Method: We conducted a qualitative study to culturally adapt an existing ACP intervention for AI/ANs in two primary care settings. Results: We found that it is important to incorporate patients’ cultural values and priorities into ACP, determine who the patient wants involved in ACP conversations, and consider the culturally and locally relevant barriers and facilitators when developing an ACP intervention with AI/AN communities. Discussion: At the core, ACP interventions should be clear and understandable across populations and tailored to facilitate culturally appropriate and meaningful patient–provider communication. Our results and methodology of culturally adapting an intervention may be applicable to other underrepresented populations.

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Brown, Jennifer L., Iakovos Anastasakis, Natalia Revzina, Ariadna Capasso, Ekaterina Boeva, Vadim Rassokhin, Adrienne Crusey, et al. "Development and Cultural Adaptation of a Computer-Delivered and Multi-Component Alcohol Reduction Intervention for Russian Women Living with HIV and HCV." Journal of the International Association of Providers of AIDS Care (JIAPAC) 20 (January 2021): 232595822110449. http://dx.doi.org/10.1177/23259582211044920.

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Background: There is elevated prevalence of problem drinking among Russian women living with HIV and HCV co-infection. This paper describes the development and cultural adaptation of a multi-component alcohol reduction intervention incorporating a brief, computer-delivered module for Russian women living with HIV and HCV co-infection. Methods: The format and content of the intervention were adapted to be linguistic-, cultural-, and gender-appropriate using the ADAPT-ITT framework. A computer-delivered module and brief clinician-delivered individual and telephone sessions were developed. Results: We describe the theoretical foundations of the intervention, the cultural adaptation of the intervention, and overview the content of the intervention’s multiple components. Discussion: Interventions to reduce alcohol use that can be integrated within Russian HIV treatment centers are urgently needed. If efficacious, the culturally-adapted intervention offers the promise of a cost-effective, easily disseminated intervention approach for Russian women living with HIV/HCV co-infection engaging in problematic alcohol use.

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Hancock, Tina U., and Natalie Ames. "Toward a Model for Engaging Latino Lay Ministers in Domestic Violence Intervention." Families in Society: The Journal of Contemporary Social Services 89, no. 4 (October 2008): 623–30. http://dx.doi.org/10.1606/1044-3894.3824.

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There is growing recognition that culturally relevant interventions with Latino couples experiencing domestic violence must take place at the community level as well as through clinically-oriented services. This article examines structural and cultural issues related to domestic violence among Latino immigrants living in rural areas of the United States. The authors present a culturally appropriate, environmentally-based model for domestic violence intervention and prevention with rural Latino families. The model identifies Latino church leaders as a potential resource in rural communities and calls upon social workers to collaborate with and support church leaders in preventing and intervening in domestic violence in rural Latino communities.

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Silenzio, Vincent M. B. "Anthropological Assessment for Culturally Appropriate Interventions Targeting Men Who Have Sex With Men." American Journal of Public Health 93, no. 6 (June 2003): 867–71. http://dx.doi.org/10.2105/ajph.93.6.867.

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Lakhani, Aruna, Ketan Gandhi, and Martine Collumbien. "Addressing semen loss concerns: Towards culturally appropriate HIV/AIDS interventions in Gujarat, India." Reproductive Health Matters 9, no. 18 (January 1, 2001): 49–59. http://dx.doi.org/10.1016/s0968-8080(01)90090-4.

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Ziabakhsh, Shabnam, Ann Pederson, Natasha Prodan-Bhalla, Diane Middagh, and Sharon Jinkerson-Brass. "Women-Centered and Culturally Responsive Heart Health Promotion Among Indigenous Women in Canada." Health Promotion Practice 17, no. 6 (July 9, 2016): 814–26. http://dx.doi.org/10.1177/1524839916633238.

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Most women in Canada confront a combination of bio-psychosocial factors that put them at risk for cardiovascular disease. The challenge for health planners is to address these factors while contextualizing interventions that meet the specific needs of particular social and cultural groupings. The article will discuss a women-centered, group-based heart health pilot initiative designed to engage with indigenous approaches to healing. The nurse practitioners co-led the group with a representative from the indigenous community to balance women-centered practices with more traditional and culturally appropriate ones. In particular, indigenous processes, such as a Talking Circle, combined with indigenous knowledge/content were integrated into the pilot program. The project was evaluated to investigate its outcomes (how the intervention impacted the participants) and processes (how participants perceived the intervention). Evaluation involved analysis of the Talking Circle’s content, a focus group, field observations, and self-completed surveys. Most women made changes regarding their diet, some began physical activities, and others focused on better managing their emotional health. Women viewed the group as successful because it embraced both women-centered and culturally appropriate health promotion practices. The intervention created a culturally safe space for learning and transformation. The findings confirm the need for employing culturally relevant, gender-specific approaches to heart health promotion that are situated in and responsive to community needs.

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Freytes, I. Magaly, Schmitzberger Magda, Rivera-Rivera Naiomi, Lopez Janet, Mylott Daniela, Motta-Valencia Keryl, and Constance R. Uphold. "SERVING UNDERSERVED VETERANS AND THEIR CAREGIVER: DEVELOPING TAILORED CULTURALLY RELEVANT INTERVENTIONS." Innovation in Aging 3, Supplement_1 (November 2019): S674. http://dx.doi.org/10.1093/geroni/igz038.2491.

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Abstract Family members of stroke survivors experience high rates of depression and burden. The majority of stroke survivors return to their homes and need assistance to perform activities of daily living. These demands coupled with the lack of preparedness for their new roles lead to a high risk for developing depression and other negative outcomes among caregivers. Studies indicate that Hispanic caregivers report higher levels of depression compared to others. However, no interventions have focused on this population. Our objective is to develop culturally-relevant interventions to help reduce disparities Hispanic Veterans post-stroke and their caregivers. We tailored our Spanish RESCUE intervention for the Puerto Rican population. The goal of the problem-solving telephone support & educational intervention is to reduce caregiver burden and depressive symptoms by teaching them a creative and optimistic approach to solving caregiving related problems. The intervention was developed to reflect specific characteristics of the target population. To enhance the cultural relevance of the intervention, we used recommendations from Key Stakeholders and guidelines from authoritative sources such as: 1) involving persons from the target population in all phases of the project; 2) emphasizing themes valued by the PR culture; 3) assuring that the language and wording of the materials is at appropriate reading level; 4) using certified translators and Spanish-speaking experts, and 5) having Hispanic research members, fluent in Spanish, and knowledgeable about the PR culture conduct the intervention and assessments. The intervention is currently been tested in a RCT.

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Kendall, Elizabeth, and Leda Barnett. "Principles for the development of Aboriginal health interventions: culturally appropriate methods through systemic empathy." Ethnicity & Health 20, no. 5 (July 4, 2014): 437–52. http://dx.doi.org/10.1080/13557858.2014.921897.

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Summerbell, Carolyn, Helen Moore, and Claire O’Malley. "Consequences and determinants of poor nutrition in children aged 0-3 years, and public health interventions that may improve dietary intake: a general review." Journal of Children's Services 9, no. 2 (June 10, 2014): 128–42. http://dx.doi.org/10.1108/jcs-02-2014-0007.

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Purpose – The purpose of this paper is to review the evidence base for effective public health interventions which aim to improve the diet of children aged zero to three years. Design/methodology/approach – General review. Findings – Key approaches and components of effective interventions include: repeated tasting, parental modelling, use of rewards, moderate restriction of “unhealthy” foods alongside an increase in portion sizes of fruits and vegetables, culturally appropriate messages, culturally acceptable health care provider, sufficient intensity of intervention, and an intervention which targets parental self-efficacy and modelling. Interventions which provide home visits (rather than require visits to a GP surgery or local community centre) financial incentives and/or mobile phone reminders may increase retention, particularly for some individuals. Recruiting mothers into programmes whilst they are pregnant may improve recruitment and retention rates. Originality/value – Allows for key public health interventions, approaches and components to be explored and identified. This will ensure that there is guidance to inform the development of new interventions for this age group and more importantly recommend that those components which are most successful be incorporated in policy and practice.

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Snell-Rood, Claire, Ryan Jenkins, Keisha Hudson, Carole Frazier, Wayne Noble, and Frances Feltner. "Building interventions when distress is under debate: a case study from Appalachia." Transcultural Psychiatry 56, no. 5 (May 1, 2019): 918–46. http://dx.doi.org/10.1177/1363461519833580.

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Scholarship on idioms of distress has emphasized cross-cultural variation, but devoted less attention to intra-cultural variation—specifically, how the legitimacy of distress may vary according to the context in which it is expressed, social position, and interaction with medical categories of distress. This variation can pose challenges for interventionists seeking to establish culturally acceptable ways of identifying distress and creating relevant resources for recovery. We describe efforts over three years (2014–2016) to identify and adapt a culturally appropriate evidence-based intervention for depressed rural Appalachian women. Though the prevalence of depression among rural women is high, limited services and social barriers restrict treatment access. Formative research revealed varied understandings of distress. Depression was (a) medicalized as a treatable condition, (b) stigmatized as mental illness, (c) accepted as a non-pathological reaction to regional poverty and gendered caregiving responsibilities, (d) rejected as a worthy justification for seeking individual care, and (e) less represented in comparison to other competing forms of distress (i.e., multiple morbidities, family members’ distress). In a small pilot trial, we applied an implementation science perspective to identify and implement appropriate evidence-based programming for the context. We outline how we reached Appalachian women despite these diverse understandings of depression and established a flexible medicalization of depression that enabled us to legitimize care-seeking, work with varied rural healthcare professionals, and engender culturally relevant support. Our adaptation and implementation of the concept of “mental health recovery” enabled the development of programming that furthered non-pathological communicative distress while resisting the normalization that silences women in the context of deep health disparities.

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Jones, Lani V. "Preventing Depression: Culturally Relevant Group Work With Black Women." Research on Social Work Practice 18, no. 6 (November 2008): 626–34. http://dx.doi.org/10.1177/1049731507308982.

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Recent estimates indicate that 10% to 25% of women in the United States report clinically significant depressive symptoms and that Black women are less likely to obtain care for depression and to receive appropriate treatment when they do seek care. Current mental and social health services necessitate a search for strength-based treatment models that affirm the psychosocial and cultural reality of Black women at risk of depression. The emergent psychosocial competence practice model in mental health represents an innovative paradigm with potential relevance and applicability to preventing depression among Black women. This study evaluates the effectiveness of a culturally relevant group intervention with low-income Black women aimed at reducing depression symptoms and enhancing psychosocial competence, including stress reduction, locus of control, and active coping. Directions for the development of future culturally relevant practice interventions with this population are discussed.

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Dong, XinQi, E.-Shien Chang, Esther Wong, and Melissa Simon. "Perceived Effectiveness of Elder Abuse Interventions in Psychological Distress and the Design of Culturally Adapted Interventions: A Qualitative Study in the Chinese Community in Chicago." Journal of Aging Research 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/845425.

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This qualitative study examines US Chinese older adults’ views on the perceived effectiveness, challenges, and cultural adaptations of elder abuse interventions to psychological distress in the Chinese community in Chicago. A community-based participatory research approach was implemented to partner with the Chinese community. A total of 37 community-dwelling Chinese older adults (age 60+) participated in focus group discussions. Data analysis was based on grounded theory framework. Our findings suggest that older adults perceived social support, empowerment, and community-based interventions design as most effective to promote psychological well-being of victims. The perceived preferences were similar between elder abuse victims and non-victims. Strategies to culturally adapt evidence-based interventions were proposed with respect to nurturing filial piety values, familial integrations, and increased independence. Research and educational outreach initiatives were also discussed. This study has wide policy and practice implications for designing and deploying interventions to reduce psychological distress with respect to elder abuse outcome. Cultural relevancy of health interventions is important in the context of the Chinese communities. Collective federal, state, and community efforts are needed to support the culturally appropriate design and implementation of interventions suitable for the needs of the Chinese older adults.

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Feijen-de Jong, Esther I., J. Catja Warmelink, Relinde A. van der Stouwe, Maria Dalmaijer, and Danielle E. M. C. Jansen. "Interventions for vulnerable pregnant women: Factors influencing culturally appropriate implementation according to health professionals: A qualitative study." PLOS ONE 17, no. 8 (August 3, 2022): e0272249. http://dx.doi.org/10.1371/journal.pone.0272249.

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Background Proper implementation of interventions by health professionals has a critical effect on their effectiveness and the quality of care provided, especially in the case of vulnerable pregnant women. It is important, therefore, to assess the implementation of interventions in care settings to serve as input to improve implementation. Objective The aim of this study is to identify factors that influence the implementation of interventions for vulnerable pregnant women in the North of the Netherlands from the perspective of health professionals. In this region, an intergenerational transfer of poverty is apparent, leading to many health problems and the transfer of unhealthy lifestyles and the associated diseases to subsequent generations. Methods We used a qualitative research design. Semi-structured interviews with 39 health professionals were conducted between February 2019 and April 2020. To analyse the findings, the MIDI (Measurement Instrument for Determinants of Innovations) was used, an instrument designed to identify what determinants influence the actual use of a new or existing innovation. Results We found two themes that influence the implementation of interventions: 1. The attitude of health professionals towards vulnerable pregnant women: stereotyped remarks and words expressing the homogenization of vulnerable pregnant women. 2. A theme related to the MIDI determinants, under which we added six determinants. Conclusion Our research showed that many factors influence the implementation of interventions for vulnerable pregnant women, making the optimal implementation of interventions very complex. We highlight the need to challenge stereotypical views and attitudes towards specific groups in order to provide relation-centred care, which is extremely important to provide culturally appropriate care. Health professionals need to reflect on their own significant influence on access to and the use of care by vulnerable groups. They hold the key to creating partnerships with women to obtain the best health for mothers and their babies.

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Sharma, Manoj. "Designing Effective Health Education Interventions for Preventing Obesity in South Asian Americans." Californian Journal of Health Promotion 4, no. 1 (March 1, 2006): 119–28. http://dx.doi.org/10.32398/cjhp.v4i1.739.

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South Asian Americans constitute the fastest growing immigrant group in the United States. Overweight (adults: 38% - 57%, children: 18% - 43%) and obesity (24%) rates in Asian Americans are increasing and not even a single health education intervention has been designed for this group in this regard. The purpose of this study was to identify culturally-relevant determinants that influence obesity and overweight among South Asian Americans and develop a set of recommendations for designing culturally-appropriate interventions for this group. The modifiable determinants for overweight and obesity in South Asian Americans were found to be physical inactivity, dietary behaviors (consuming large portion sizes, less consumption of fruits and vegetables, large consumption of sweetened beverages), watching TV for long hours on a sustained basis, acculturation to the US, poor family communication, less social support, less social integration, stress, and longer years of living in the United States. There is need for interventions both for children in school settings utilizing parental involvement and for adults in community settings utilizing local religious organizations. Culturally robust behavioral theories need to be utilized with this subpopulation.

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Prewitt Diaz, Joseph O. "A Case Study of Psychosocial Support: Programs in Response to the 2004 Asia Tsunami." Journal of Tropical Psychology 1, no. 1 (March 1, 2011): 6–8. http://dx.doi.org/10.1375/jtp.1.1.6.

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This case study presents and discusses the psychosocial support program (PSP) that was conducted in the Republic of Maldives following the 2004 Indian Ocean tsunami disaster. The PSP intervention included providing psychological first-aid training to counsellors and teachers, modifying a teacher's manual and training teachers to share its contents with peers, and conducting a training workshop so that professionals could take over the implementation of the PSP. This article also examines the five strategies involved in general PSPs, which include: using a community-based approach; ensuring that interventions are contextually, culturally, and linguistically appropriate; empowerment; community participation; and active involvement. This review found that PSPs were effective during the emergency and reconstruction phases of disasters. It also underscores the importance of community involvement, and ensuring that PSPs are contextually and culturally appropriate.

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Bentley, Margaret E., Susan L. Johnson, Heather Wasser, Hilary Creed‐Kanashiro, Monal Shroff, Sylvia Fernandez Rao, and Melissa Cunningham. "Formative research methods for designing culturally appropriate, integrated child nutrition and development interventions: an overview." Annals of the New York Academy of Sciences 1308, no. 1 (October 31, 2013): 54–67. http://dx.doi.org/10.1111/nyas.12290.

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Signorelli, R. G., M. Coello, and S. Momartin. "Change and Recovery: Culturally Appropriate Early Childhood Programmes with Refugee Families and Communities." Children Australia 40, no. 3 (August 12, 2015): 195–204. http://dx.doi.org/10.1017/cha.2015.29.

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The STARTTerS Early Childhood Programme at the NSW Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS) has been developed in response to the complex refugee experiences of very young children, their families and communities. This biopsychosocial and systemic model is informed by neuroscience, attachment theory and current knowledge of the nature and impact of refugee-specific trauma on very young children and their families. It addresses the complex interactions between, social, cultural and political factors within the trauma and recovery environments, as they influence the clients’ presentations and the choice of interventions with families in cultural transition (FICT).This paper provides a background to the STARTTerS programme, and reports on the results of a Community Based Participatory Research (CBPR) project with the Karen and Mandaean refugee communities. It explores perceptions and cultural views of signs and symptoms related to early childhood trauma. It also explores help seeking preferences in relation to the recovery, settlement and health needs of families with young children. This research has led to ongoing collaborative and consultative processes with those communities, resulting in the development of services and referral systems, which will build a comprehensive and culturally appropriate early childhood programme.

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Hodge, Felicia S., Tracy Line-Itty, and Rachel H. A. Arbing. "Cancer-Related Symptom Management Intervention for Southwest American Indians." Cancers 14, no. 19 (September 29, 2022): 4771. http://dx.doi.org/10.3390/cancers14194771.

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There is limited literature related to culturally embedded meanings of cancer and related symptoms among American Indians. A culturally appropriate intervention to improve management of cancer-related symptoms, including pain, depression, fatigue and loss of function, was tested. Two-hundred and twenty-two adult American Indians with cancer were recruited from eight Southwest sites for a randomized clinical trial. The intervention group received tailored education, a toolkit with a video, and participated in discussion sessions on cancer symptom management; the control group received information on dental care. Pre- and post-test questionnaires were administered to control and intervention groups. Measures included socio-demographics, cancer-related symptom management knowledge and behavior, and quality of life measures. Male cancer survivors reported poorer self-assessed health status and lower scores on quality-of-life indicators as compared to female cancer survivors. Significant improvement was reported in symptom management knowledge scores following the intervention: management of pain (p = 0.003), depression (p = 0.004), fatigue (p = 0.0001), and loss of function (p = 0.0001). This study is one of the first to demonstrate a change in physical symptom self-management skills, suggesting culturally appropriate education and interventions can successfully enhance cancer-related symptom management knowledge and practice.

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Ogie, Robert, Juan Castilla Rho, Rodney J. Clarke, and Alison Moore. "Disaster Risk Communication in Culturally and Linguistically Diverse Communities: The Role of Technology." Proceedings 2, no. 19 (October 26, 2018): 1256. http://dx.doi.org/10.3390/proceedings2191256.

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Migrants, ethnic minorities and people from culturally and linguistically diverse (CALD) communities are often more vulnerable to natural disasters due to cultural barriers and limited proficiency in the dominant language, which sometimes undermine their ability to access, interpret and respond to warnings. Technology can assist in engendering culturally and linguistically appropriate communication with CALD communities if key challenges are identified. This study contributes by reviewing relevant literature with the aim of ascertaining the most pressing challenges requiring technological interventions. Three broad issues (i.e., trust, message tailoring, and message translation) are identified and discussed, and potential solutions for addressing these issues are recommended.

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Henderson, Saras, Elizabeth Kendall, and Laurenne See. "The effectiveness of culturally appropriate interventions to manage or prevent chronic disease in culturally and linguistically diverse communities: a systematic literature review." Health & Social Care in the Community 19, no. 3 (January 6, 2011): 225–49. http://dx.doi.org/10.1111/j.1365-2524.2010.00972.x.

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Ng’oma, Mwawi, Najia Atif, Samantha Meltzer-Brody, Robert C. Stewart, and Ellen Chirwa. "Exploring the cultural appropriateness of a psychosocial intervention, the Thinking Healthy Programme-Peer delivered (THPP), for perinatal depression in Lilongwe, Malawi." Malawi Medical Journal 34, no. 2 (July 1, 2022): 87–94. http://dx.doi.org/10.4314/mmj.v34i2.3.

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BackgroundPerinatal depression is a common and disabling mental health problem in Malawi and other Low- and middle-income countries. There is evidence for effective psychosocial interventions for perinatal depression, but no such intervention has been developed for use in Malawi. The broad aim of this study was to explore the cultural appropriateness of a psychosocial intervention for perinatal depression called the Thinking Healthy Programme-Peer delivered for adaptation and use in Lilongwe, Malawi. MethodsA qualitative exploratory design was used. Data were collected through conducting five Focus Group Discussions, involving thirty-eight purposefully selected participants including pregnant women, community volunteers and their supervisors, the Health Surveillance Assistants and maternal health care workers at implementation and policy level following observations of video recorded role plays of the Thinking Healthy Programme-Peer delivered sessions in theatre testing. A content analysis approach was used to analyse data.ResultsSix main themes were generated regarding the appropriateness of the content and delivery of the Thinking Healthy Programme-Peer delivered intervention, including: 1) Focus of the intervention; 2) Cultural appropriateness of the content; 3) Language used; 4) Context; 5) Provider of the intervention; and 6) Flexibility in the delivery of the intervention. The Thinking Healthy Programme-Peer delivered intervention was deemed appropriate for the target population, though with recommendations to: review illustrations to enhance clarity, use culturally appropriate stories and idioms, use daily spoken language, and adapt the number and duration of sessions to meet the needs of individual clients.ConclusionsThese findings highlight important areas to inform adaptation of the Thinking Healthy Programme-Peer delivered and add to the growing evidence of cultural adaptation of psychosocial interventions for perinatal depression.

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Watson, Albert L. "African Americans and Alcohol Abuse: Considerations for Rehabilitation Counselor." Journal of Applied Rehabilitation Counseling 21, no. 3 (September 1, 1990): 55–58. http://dx.doi.org/10.1891/0047-2220.21.3.55.

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Alcohol abuse among African Americans poses a unique professional challenge for rehabilitation counselors. The incidence of alcohol abuse among African Americans, as well as other Americans, is high, thereby increasing the likelihood that rehabilitation counselors will encounter African American alcohol abusers among their caseloads. The experience of blacks in America is unique. Therefore discussions of alcohol treatment and counseling approaches must consider the context of the “minority culture” including its history, strengths, values, attitudes in an effort to formulate culturally appropriate interventions. Culturally sensitive interventions are described, thereby providing rehabilitation counselors additional resources to serve this population.

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Perez, G. Adriana, and Liming Huang. "A Culturally Adapted Timed-Activity RCT for Latinos With ADRD and Caregivers: Feasibility, Acceptability, and Effects." Innovation in Aging 5, Supplement_1 (December 1, 2021): 544. http://dx.doi.org/10.1093/geroni/igab046.2092.

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Abstract Latinos are twice as likely to develop Alzheimer’s disease (AD) compared to non-Latino whites, yet, account for <2% of clinical trial participants in AD research. This randomized controlled trial examined the feasibility, acceptability and effects of a culturally-adapted timed-activity intervention designed to promote quality of life (QOL) and reduce behavioral symptoms in older Latinos with AD and their caregivers. Healthy Patterns [Pautas Saludables] was implemented among 40 Spanish-speaking dyads. Measures assessed at baseline and 4 weeks post-intervention, indicate improvements in sleep efficiency (p=.06) and QOL (p=.01) among intervention participants. Pautas Saludables was found to be feasible and acceptable. Intervention attendance rate was >90% with low attrition (n=0); no adverse events. Most (74%) rated timed-activity sessions as helpful and appropriate; 58% recommended refreshers. Results provide evidence that Latinos with AD will participate in clinical trials and can improve on key health outcomes, when interventions are adapted to meet their cultural needs.

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Arnold, Michelle L., Alexandra Reichard, Kalene Gutman, Laura Westermann, and Victoria Sanchez. "Cross-Cultural Adaptation of Hearing Loss Self-Management Patient Education Materials: Development of the Caja de Instrumentos de Pérdida Auditiva." American Journal of Audiology 29, no. 4 (December 9, 2020): 691–700. http://dx.doi.org/10.1044/2020_aja-19-00120.

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Purpose The lack of culturally and linguistically appropriate interventions contributes to unsatisfactory hearing health care service delivery and outcomes for Spanish-speaking persons from Hispanic/Latino background. To address this issue, our objective was to cross-culturally adapt a “Hearing Loss Toolkit for Self-Management” for use with Spanish-speaking adults seen in a clinical setting. In this clinical focus article, we describe a process for translation and cross-cultural adaptation of patient education materials based on current best practices guidelines. Method We utilized guidelines from the International Society for Pharmoeconomics Outcomes Research Task Force for Translation and Cultural Adaptation, the World Health Organization, and the International Collegium of Rehabilitative Audiology to complete a comprehensive, systematic, cross-cultural adaptation process of the source materials. The adaptation stages included forward translation and reconciliation, back translation and review, field testing with representative end users from the target population, and finalization. Results We successfully cross-culturally adapted the source materials following best practice guidelines. The Spanish-language adaptation was deemed understandable, actionable, aesthetically pleasing, and culturally appropriate by a group of native Spanish speakers. Conclusions There is an unmet need for the development of hearing loss self-management materials that incorporate cultural and linguistic competence with best health literacy practices. High-quality cross-cultural adaptations that consider the intersection of culture, language, and health literacy are a positive step toward reducing barriers to hearing health care related to language access for U.S. Hispanic/Latino adults with hearing loss.

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Bava, Laura, Alexis Johns, David R. Freyer, and Kathleen Ruccione. "Development of a Culturally Competent Service to Improve Academic Functioning for Latino Survivors of Acute Lymphoblastic Leukemia: Methodological Considerations." Journal of Pediatric Oncology Nursing 34, no. 3 (November 26, 2016): 222–29. http://dx.doi.org/10.1177/1043454216676837.

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Many survivors of childhood acute lymphoblastic leukemia (ALL) develop neurocognitive deficits that compromise academic functioning, especially in the presence of sociodemographic risk factors. The extent to which these risk factors coexist for Latino ALL survivors is not well described, but with shifts in U.S. demographics and improved survival in ALL, culturally competent interventions are needed. The Achieving Best Cognitive Successes after Cancer service was designed and implemented by a team representing nursing, medicine, psychology, and social work. Service components include neurocognitve assessment and individualized intervention for treatment-related risks and improving academic success for school-aged ALL survivors. Interventions are child-focused and parent-directed, recognizing that parents are major sources of support and advocates for their children within school systems. The service was designed to be culturally appropriate for the predominantly Latino patient population at our center, based on (1) linguistic competency of children and parents; (2) multicultural and ecological considerations for urban, low socioeconomic status, and migrant populations; (3) literacy barriers; and (4) contextual factors. This report describes methodological considerations and practice implications relevant to the design and implementation of similar culturally competent services for Latino pediatric cancer survivors.

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G K, Kannan. "Evidence based interventions in ASD : Bridging the gap between research and evidence." Indian Journal of Mental Health and Neurosciences 2, no. 1 (February 28, 2019): 1–2. http://dx.doi.org/10.32746/ijmhns.2019.v2.i1.17.

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Autism is a major pervasive developmental disorder with lifelong impact on an individual. Early intervention plays an improtant role in ameliorating and reversing the course and outcome of the disorder. There is a huge gap between the need for providing effective culturally appropriate evidence based practices in the community and actual provision of care.

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Perez, Adriana G. "CULTURALLY ADAPTING A TIMED ACTIVITY INTERVENTION FOR OLDER LATINOS WITH DEMENTIA AND THEIR CAREGIVERS." Innovation in Aging 3, Supplement_1 (November 2019): S28. http://dx.doi.org/10.1093/geroni/igz038.108.

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Abstract The number of Latinos living with Alzheimer’s Disease (AD) is expected to grow from 379,000 in 2012 to 3.5 million in 2060. The purpose of this study was to generate recommendations for meaningful approaches to culturally adapt a timed-activity intervention, Healthy Patterns, to promote quality of life in this population. Consistent with a descriptive qualitative approach, community-based focus groups were conducted among a purposive sample of older Latinos with AD and their caregivers. Seventeen dyads participated. Surface structure issues included: need for linguistically appropriate intervention sessions; partnerships with local, trusted community organizations. Deep structure themes, included: 1) embedding social support through group sessions; 2) culturally relevant activities; and 3) building individual and caregiver motivation for participation. This study gives “voice” to older Latinos and caregivers in adapting a timed-activity intervention. Results may inform the design and implementation of AD interventions, including recruitment and retention of older Latinos in clinical trials.

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Chaudhary, Neera, and Nancy Kreiger. "Nutrition and Physical Activity Interventions For Low-Income Populations." Canadian Journal of Dietetic Practice and Research 68, no. 4 (December 2007): 201–6. http://dx.doi.org/10.3148/68.4.2007.201.

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A systematic review was conducted of community-based nutrition and physical activity strategies for chronic disease prevention targeting low-income populations. A computer search of the relevant published literature from 1996 to 2004 was done using Medline, EMBASE, ERIC, CINAHL, PubMed, and HealthSTAR databases. The primary objective was to develop an inventory of intervention strategies. The interventions ranged in approach from traditional group sessions taught by allied health professionals, peer-led workshops, one-on-one counselling print material, and home-based telephone and mail interventions to multimedia strategies and experiential activities such as food demonstrations and group exercise. The results suggest that nutrition and physical activity interventions aimed at low-income audiences tend to be delivered in an interactive visual format, to be culturally appropriate, to be administered in accessible primary care settings, and to provide incentives.

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Duan, Suqian, Haoran Wang, Amanda Wilson, Jiexi Qiu, Guanmei Chen, Yuqiong He, Yuanyuan Wang, Jianjun Ou, and Runsen Chen. "Developing a Text Messaging Intervention to Reduce Deliberate Self-Harm in Chinese Adolescents: Qualitative Study." JMIR mHealth and uHealth 8, no. 6 (June 11, 2020): e16963. http://dx.doi.org/10.2196/16963.

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Background Deliberate self-harm is common during adolescence and can have detrimental consequences for the well-being of adolescents. Although it is sometimes difficult to engage adolescents in traditional psychotherapies for deliberate self-harm, SMS text messaging has been shown to be promising for cost-effective and low-intensity interventions. Objective This study aimed to investigate the views of Chinese adolescents with deliberate self-harm about SMS text messaging interventions in order to develop an acceptable and culturally competent intervention for adolescents with deliberate self-harm. Methods Semistructured interviews were conducted with 23 adolescents who had experience with deliberate self-harm. The transcripts of the interviews were analyzed using thematic analysis. Results Four themes were identified: beneficial perception of receiving messages, short frequency and duration of messages, caring content in messages, and specific times for sending messages. Most of the participants perceived SMS text messaging interventions to be beneficial. The key factors that emerged for the content of the intervention included encouragement and company, feeling like a virtual friend, providing coping strategies, and individualized messages. In addition, the preferred frequency and duration of the SMS text messaging intervention were identified. Conclusions Our study will help in the development of a culturally appropriate SMS text messaging intervention for adolescents with deliberate self-harm. It has the potential to decrease deliberate self-harm instances by providing acceptable support for adolescents with deliberate self-harm who may be reluctant to seek face-to-face psychotherapies.

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Loya, Julio C. "Systematic Review of Physical Activity Interventions in Hispanic Adults." Hispanic Health Care International 16, no. 4 (November 25, 2018): 174–88. http://dx.doi.org/10.1177/1540415318809427.

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Introduction: Physical activity (PA) has demonstrated substantial physical and psychological benefits. However, Hispanics engage in less leisure-time PA when compared with other groups, putting them at higher risk for diseases associated with obesity, such as diabetes mellitus type 2. This literature review was conducted to identify best practices with regard to interventions designed to increase PA among Hispanic adults. Methods: Extensive searching located 21 randomized controlled studies conducted in the United States. Results: Common conceptual frameworks were the transtheoretical model and social cognitive theory. Most interventions used educational sessions with a variety of topics and many used promotoras to increase PA. Outcomes were predominantly examined using self-report PA measures. Walking was the most commonly reported PA behavior. Studies with significant results were those that measured moderate-to-vigorous PA and used theory to guide interventions. Male and older participants were underrepresented. Conclusions: Effective culturally appropriate PA interventions for Hispanics adults are needed. Particular attention to intervention tailoring based on country of origin could enhance intervention effectiveness.

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Pfadenhauer, Lisa, and Eva Rehfuess. "Towards Effective and Socio-Culturally Appropriate Sanitation and Hygiene Interventions in the Philippines: A Mixed Method Approach." International Journal of Environmental Research and Public Health 12, no. 2 (February 5, 2015): 1902–27. http://dx.doi.org/10.3390/ijerph120201902.

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Hernandez, Amy M., William A. Zule, Rhonda S. Karg, Felicia A. Browne, and Wendee M. Wechsberg. "Factors That Influence HIV Risk among Hispanic Female Immigrants and Their Implications for HIV Prevention Interventions." International Journal of Family Medicine 2012 (February 8, 2012): 1–11. http://dx.doi.org/10.1155/2012/876381.

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Hispanics are the fastest growing minority group in North Carolina with increasing incidence of HIV infection. Gender roles, cultural expectations, and acculturation of women may explain some of Hispanic women’s risks. The perspectives of Hispanic female immigrants and community-based providers were sought to identify services they offer, understand HIV risk factors, and support the adaptation of a best-evidence HIV behavioural intervention for Hispanic women. Two sets of focus groups were conducted to explicate risks and the opportunities to reach women or couples and the feasibility to conduct HIV prevention in an acceptable manner. Salient findings were that Hispanic female immigrants lacked accurate HIV/AIDS and STI knowledge and that traditional gender roles shaped issues surrounding sexual behaviour and HIV risks, as well as condom use, partner communication, and multiple sexual partnerships. Intervention implications are discussed such as developing and adapting culturally appropriate HIV prevention interventions for Hispanics that address gender roles and partner communication.

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Cook, Natalie. "SKIP: emotional well-being intervention." BJPsych International 17, no. 2 (February 17, 2020): 47–48. http://dx.doi.org/10.1192/bji.2020.7.

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SKIP (Students for Kids International Projects) is a student-led global health charity; each university branch partners with a local non-governmental organisation in their branch country, where they run interventions identified by the local community. Research in these countries has identified an educational need for interventions around emotional well-being. In this article, we reflect on the process of creating culturally appropriate educational resources for children and young people in low- and middle-income countries, to be delivered by non-professionals. SKIP has a Research Ethics Policy. No external ethics approval was required.

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Nikparvar, Fatemeh, and Sandra M. Stith. "Therapists' Experiences of Working With Iranian-Immigrant Intimate Partner Violence Clients in the United States." Partner Abuse 12, no. 3 (July 1, 2021): 361–83. http://dx.doi.org/10.1891/pa-2021-0003.

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Mental health practitioners have a responsibility to provide effective interventions to all their clients, accounting for each client's cultural context and values relevant to their well-being. In this study, eight therapists who have worked with Iranian-immigrant intimate partner violence (IPV) clients were interviewed to answer two questions: (a) What have therapists who work in the United States learned about challenges of working with Iranian IPV clients living in the United States? and (b) What suggestions do these thera-pists have for improving services to Iranian IPV clients living in the United States? In response to this question, six main themes were found: (a) Clients' lack of knowledge, (b) cultural acceptance that men are not accountable for their behaviors/gender norms in patriarchal culture, (c) women's sense of disempowerment (victim's role), (d) clients do not disclose IPV due to a sense of obligation, (e) clients' fear of consequences of disclosing, and (f) clients' difficulty trusting therapists and the mental health field. In response to the second question, that is, what suggestions do these therapists have for improving the services to Iranian IPV clients living in the United States? three main themes emerged: (a) clients need for knowledge and psychoeducation, (b) the services for Iranian-immigrant clients are not culturally appropriate, (c) therapists need to have a broad perspective of clients. Results add to the understanding of IPV grounded in the Iranian immigrant culture and ultimately contribute to a culturally based conceptualization of IPV among Iranian immigrants to sensitize therapists regarding culturally appropriate interventions that reflect the concerns of the Iranian living in the United States.

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Banda, D. R., M. Mete, and S. M. Swain. "A clinical trial with culturally appropriate video to increase participation of African Americans in cancer clinical trials." Journal of Clinical Oncology 29, no. 27_suppl (September 20, 2011): 159. http://dx.doi.org/10.1200/jco.2011.29.27_suppl.159.

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159 Background: There is a need to develop patient-level interventions to change attitudes and increase African American (AA) participation in breast cancer clinical trials (CT). This pilot study tested the efficacy of a 15 minute narrative-based video which we created in the first such intervention in AA patients. Methods: This single group study enrolled 88 breast cancer patients in active treatment at a large urban cancer institute. Eligible patients were self-identified AA, ≥ 21 years, and never participated in a CT. The primary outcome was self-reported likelihood to enroll in a therapeutic CT. Participants were interviewed at baseline using an instrument developed specifically to assess attitudes on six trial barriers. An immediate post-test was administered following the video. McNemar’s test for matched pairs was used to assess the change in likelihood to enroll in a CT. Stuart-Maxwell marginal homogeneity test for matched pairs with multi-category outcomes was used to evaluate which attitudes were impacted by the intervention. Results: Patients enrolled October 2010- February 2011 (n =108), 75% female. Age from 31-87 years, mean 61 (SD=12). Patients' likelihood of enrolling in a CT significantly increased post video [OR 19.5, 95% CI: 5.05 – 166.7, McNemar’s χ2 = 33.39, P <0.001]. Stuart-Maxwell tests showed significant changes in 28 of 30 attitudinal questions post video. Specifically, the video impacted attitudes associated with a concern about the ethical conduct of investigators; the fear of loss of autonomy after signing an informed consent form; worry about being treated poorly as a poor or minority patient; loss of privacy; and the lack of knowledge and awareness of clinical trials. Conclusions: These data demonstrate the overall efficacy of our video and can be extrapolated to a single disease focus. This should have particular benefit for large cooperative group studies including breast cancer trials.

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Kuo, Hui-Chen, Hsiao-Hsien Pan, Debra K. Creedy, and Ying Tsao. "Distraction-Based Interventions for Children Undergoing Venipuncture Procedures: A Randomized Controlled Study." Clinical Nursing Research 27, no. 4 (December 30, 2016): 467–82. http://dx.doi.org/10.1177/1054773816686262.

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Little is known about the effects of distraction techniques when undertaking medical procedures with hospitalized pediatric patients in Asian countries. This study examined the effects of distraction interventions on behavioral distress related to venipuncture procedures in Taiwanese children aged 3 to 7 years. Using concealed randomization, eligible children were allocated to receive a picture book ( n = 92), or animated cartoon ( n = 92) compared with routine oral instructions ( n = 92), when being injected with an intravenous cannula. Two trained observers independently scored the responses of each child using the Observational Scale of Behavioral Distress–Revised before, during, and after the procedure. All children experienced distress during needle insertion, but distress was less in the distraction-based intervention groups. Moreover, distraction interventions were more effective for children aged 4 to 5 years. Our culturally tailored intervention engaged child participants, was age-appropriate, and could be adapted for use in other Chinese cultures.

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Journal articles on the topic 'Culturally appropriate interventions'

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