While cultural differences provide a number of challenges to mental health policy and practice they also provide a number of opportunities to work in unique and effective ways towards positive mental health. Ethno-specific approaches to mental health that incorporate traditional and community-based systems can provide new avenues for working with culturally diverse populations.
Objective: To report the processes and outcomes of a case study on digital technology, diabetes and culturally and linguistically diverse (CALD) communities. Design: The qualitative study was based on a literature review, consultations and testing of a framework through workshops and an interactive information session. Setting: Consultations, workshops and an information session conducted in western regions of Melbourne, Victoria, Australia. Method: A framework was designed to address the needs of CALD community members to self-manage chronic conditions using innovative digital technology strategies. This was based on the literature review and 20 consultations held with representatives from health service providers and community organizations. The framework was tested with the assistance of the Quang Minh Buddhist Temple through consultations, workshops and an interactive information session about diabetes, YouTube and digital video cameras, in which 38 elderly women from the Vietnamese community participated. A descriptive and thematic analysis of participant feedback was conducted to determine lessons for future practice. Results: Participant feedback indicated that the information session achieved its goal of raising awareness of ways to use and access diabetes information using digital technology. However, participants noted areas for enhancement and improvement, including more focused and targeted engagement with peer-led techniques, the digital proficiency of participants and digital technology preferences based on age and cultural background. Conclusion: Digital technology was used to improve diabetes awareness information with elderly Vietnamese women, demonstrating the potential for application with others from CALD communities. However, there are continuing challenges in this approach, indicating the need for nuanced community engagement strategies that consider cultural context and familiarity with different kinds of digital technology.
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