How Cultural Alignment and the Use of Incentives Can Promote a Culture of Health: Stakeholder Perspectives

Abstract

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions.The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest.RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.Support RAND Make a tax-deductible charitable contribution at www.rand.org/giving/contribute www.rand.org For more information on this publication, visit www.rand.org/t/RR1889 Library of Congress Cataloging-in-Publication Data is available for this publication.

Implementation characteristics that promote sustainability of a rural physical activity initiative: Examination of Play Streets through the lens of community implementers

“…Implementers noted that Play Streets were more successful when they were in alignment with the culture values of the community. This is supported by research, showing that culturally grounded programs are more sustainable, and this can be fostered by developing partnerships with local leaders and community members (38-40), ensuring implementers share cultural values and language with local community members (33,41), including local adaptations through iterative processes (39,40,42), and grounding programming efforts in concepts of health equity (33). The CFIR states that the implementing organization's culture must be compatible with that of the local community to increase program sustainability (25,43).…”

“…De ned as "understanding how culture and addressing cultural differences in programs and policies promote health and well-being." 33 Similar to political support code, but more related to cultural climate and acceptance of Play Streets; internal and external cultural environment which in uences program funding, participation, success/sustainability, and acceptance.…”

Person-Centered Models for Cardiovascular Care: A Review of the Evidence: A Scientific Statement From the American Heart Association

“…Furthermore, the focus is on promoting collaboration across health care settings and integration of health services to ultimately create healthier, more equitable communities. 210…”

“…Furthermore, the focus is on promoting collaboration across health care settings and integration of health services to ultimately create healthier, more equitable communities. 210 Future care delivery models must be developed with a holistic approach to create this type of culture change. 211 Consistent with the American Heart Association's strategic goals, 212 this framework reinforces the need for greater multidisciplinary involvement, community partnerships, and alternative financing strategies to support new configurations in health services delivery beyond what has traditionally been available or reimbursed in different settings.…”

Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?

“…Culture also plays a central role in how incentives are perceived; while they can be very effective if tailored to the target culture, a lack of cultural alignment can hinder success ( Martin et al, 2017 ). For example, some research suggests smaller compensation amounts may be more effective for people from lower socioeconomic backgrounds ( Vlaev et al, 2019 ).…”