Effectiveness of multicultural health workers in chronic disease prevention and self-management in culturally and linguistically diverse populations: a systematic literature review

Goris, Janny M; Komaric, Nera; Guandalini, Amanda; Francis, Daniel; Hawes, Ellen

doi:10.1071/py11130

Cited by 37 publications

(39 citation statements)

References 51 publications

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“…Table 1 summarizes the eight systematic reviews that met the inclusion criteria for this review (Goris et al, 2013; Hawthorne et al, 2010; Heo & Braun, 2014; Huang & Garcia, 2018; Joo, 2014; McCurley et al, 2017; Renzaho et al, 2010; Zeh et al, 2012). The reviews were conducted in Australia ( n = 2), the United Kingdom ( n = 2), and the United States ( n = 4) and were published between 2010 and 2018.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Culturally Tailored Interventions for Chronic Illnesses among Ethnic Minorities

Joo

Liu

2020

West J Nurs Res

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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.

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Section: Resultsmentioning

confidence: 99%

Effectiveness of Culturally Tailored Interventions for Chronic Illnesses among Ethnic Minorities

Joo

Liu

2020

West J Nurs Res

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“…Although the focus was initially on cervical cancer, the recommendation was to broaden the remit to include breast and bowel cancers. Evidence has shown that Multicultural Health Workers (MHWs) are critical to the success of cancer screening programs targeting CALD communities, 16 accordingly, it was decided that this program needed to be delivered by trained MHWs in culturally sensitive and safe community settings.…”

mentioning

confidence: 99%

Cancer screening education: can it change knowledge and attitudes among culturally and linguistically diverse communities in Queensland, Australia?

Cullerton

Gallegos

Ashley

et al. 2016

Health Prom J of Aust

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Screening for cancer of the cervix, breast and bowel can reduce morbidity and mortality. Low participation rates in cancer screening have been identified among migrant communities internationally. Attempting to improve low rates of cancer screening, the Ethnic Communities Council of Queensland developed a pilot Cancer Screening Education Program for breast, bowel and cervical cancer. This study determines the impact of education sessions on knowledge, attitudes and intentions to participate in screening for culturally and linguistically diverse (CALD) communities living in Brisbane, Queensland. Seven CALD groups (Arabic-speaking, Bosnian, South Asian (including Indian and Bhutanese), Samoan and Pacific Island, Spanish-speaking, Sudanese and Vietnamese) participated in a culturally-tailored cancer screening education pilot program that was developed using the Health Belief Model. A pre- and post-education evaluation session measured changes in knowledge, attitudes and intention related to breast, bowel and cervical cancer and screening. The evaluation focussed on perceived susceptibility, perceived seriousness and the target population's beliefs about reducing risk by cancer screening. There were 159 participants in the three cancer screening education sessions. Overall participants' knowledge increased, some attitudes toward participation in cancer screening became more positive and intent to participate in future screening increased (n=146). These results indicate the importance of developing screening approaches that address the barriers to participation among CALD communities and that a culturally-tailored education program is effective in improving knowledge, attitudes about and intentions to participate in cancer screening. It is important that culturally-tailored programs are developed in conjunction with communities to improve health outcomes.

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“…It incorporated tailored resources developed in partnership with communities around identified topics (healthy eating, physical activity, chronic disease prevention and self‐management, alcohol consumption and smoking cessation). The program was delivered by trained Multicultural Health Workers from each community and utilises a self‐management framework and adult learning principles to facilitate behaviour change, and promote health and well‐being (Goris, Komaric, Guandalini, Francis, & Hawes, ). The LWM‐LMP is an eight‐week program with two follow‐up sessions.…”

Section: Methodsmentioning

confidence: 99%

Differences in cardiometabolic risk markers among ethnic groups in Queensland, Australia

Gallegos

et al. 2019

Health Soc Care Community

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Very little is known about the cardiometabolic risk of migrants who settle in Australia.This study investigated differences in cardiometabolic risk markers among ethnic groups attending a tailored healthy lifestyle program in Queensland, Australia; and differences in these markers between those living in Australia for shorter versus longer periods of time. Baseline data collected between October 2014 and June 2017 from the Living Well Multicultural-Lifestyle Modification Program were used.People living in ethnic communities in Queensland who were ≥18 years old, and not underweight were eligible to participate. Independent variables were ethnicity and length of time in Australia. Outcomes were cardiometabolic risk markers including BMI, waist circumference, weight-to-height ratio (WHtR) and hypertension. Analyses were done separately for each independent variable. Linear and logistic regressions were run for continuous and binary outcomes with differences/Odds ratios reported respectively. Multivariable analyses showed that Burmese/Vietnamese had an average BMI lower than Afghani/Arabic (3.7 points), Somalian/Sudanese (4.7 points) andPacific Islander (11.6 points) (p < 0.001) respectively. Differences in waist circumference between Burmese/Vietnamese with Sri Lankan/Bhutanese, Afghani/Arabic, Somalian/Sudanese and Pacific Islander were 6.3, 8.4, 9.1 and 24.0 cm (p < 0.01) respectively. Although Burmese/Vietnamese also had lower average WHtR compared to the others, the differences were not significant for Somalian/Sudanese. Moreover, Sri Lankan/Bhutanese and Pacific Islander were more likely to be hypertensive compared to Burmese/Vietnamese (p < 0.05). Immigrants living in Australia >5years had on average 1.2 points higher BMI, 2.4cm larger waist circumference, and 0.02 points higher WHtR (p < 0.05) compared to those living for ≤5 years. Long-stay immigrants were also more likely to be hypertensive than short-stay immigrants (p < 0.01). In conclusion, cardiometabolic risk is significantly different among ethnic groups in Queensland with Pacific Islanders having the highest risk. Immigrants living in Australia >5 years had higher risks compared to those living in Australia for shorter periods of time. K E Y W O R D SBMI, cardiometabolic risk, ethnicity, immigrant, waist circumference, weight-to-height ratio e450 |

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Effectiveness of multicultural health workers in chronic disease prevention and self-management in culturally and linguistically diverse populations: a systematic literature review

Cited by 37 publications

References 51 publications

Effectiveness of Culturally Tailored Interventions for Chronic Illnesses among Ethnic Minorities

Effectiveness of Culturally Tailored Interventions for Chronic Illnesses among Ethnic Minorities

Cancer screening education: can it change knowledge and attitudes among culturally and linguistically diverse communities in Queensland, Australia?

Differences in cardiometabolic risk markers among ethnic groups in Queensland, Australia

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