Planning and evaluation of cross‐cultural health education activities

Nolde, Tania; Smillie, Carol

doi:10.1111/j.1365-2648.1987.tb01316.x

Cited by 13 publications

(7 citation statements)

References 2 publications

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“…Professionals cite communication and cultural barriers, lack of understanding of the system and unrealistic demands by patients, resulting in inappropriate use (Hawthorne et al ., 2003). In planning cross-cultural health education, the need for prior systematic cultural assessment has been stressed in order to ensure its relevance and acceptability, and increase the likelihood of positive outcomes (Nolde and Smillie, 1987). Even where culturally tailored health education programmes are introduced, if there has not been evaluation of the target community, the outcomes can be mixed, with poor attendance and marginal effects on health status (Griffiths et al ., 2005).…”

Section: Introductionmentioning

confidence: 99%

Understanding family, social and health experience patterns in British Bangladeshi families: are people as diverse as they seem?

Hawthorne

Pill

Chowdhury

et al. 2007

PHC

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Aim: An exploratory study of the Cardiff Bangladeshi community in a primary care setting, prior to the development of culturally appropriate diabetes health education. Background: British Bangladeshis are one of the most economically deprived communities in Britain, with high morbidity and mortality rates from chronic illness. Access and use of their services is perceived by Primary Health Care Teams (PHCTs) to be difficult, due to communication and cultural barriers. Methods: One-to-one taperecorded interviews were held in Sylheti, Bengali or English with an age-stratified sample from the community registered with a practice in central Cardiff. The N*DIST package was used to analyse data, with ongoing discussion of emerging themes. The topics explored in these interviews were family structure and decision making within families, meal patterns, health beliefs, experiences of primary care and barriers to engaging with the outside world. Findings: Family structure and social patterns had many similarities with those of the local community, and dietary and health beliefs also followed 'Western' concepts. People were anxious to be healthy, but often did not know about core primary care services. The community places value on the opinion and support of primary care professionals. However, a major cross-cutting theme was difficulty in accessing health care (especially for women), and reasons for this are discussed in the paper. With this information, the PHCT can now consider adapting itself to improve access and communication. We suggest that our methodological approach is both relevant and achievable for those working in primary care settings in our increasingly multi-cultural, ethnically mixed communities, and is not purely the province of sociologists or academics (important learning points have been identified and highlighted).

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Section: Introductionmentioning

confidence: 99%

Understanding family, social and health experience patterns in British Bangladeshi families: are people as diverse as they seem?

Hawthorne

Pill

Chowdhury

et al. 2007

PHC

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“…This is, to our knowledge, the first study that explores multimorbidity in the British Pakistani population by adopting the Biographical Narrative Interpretive Method. The researcher's professional role within general practice opened avenues for recruitment within local primary care networks from a population known to be hard to reach (Nolde & Smillie, 1987). There were interviews where participants described going against the advice of their clinical teams.…”

Section: Discussionmentioning

confidence: 99%

Self-Management in Older Pakistanis Living With Multimorbidity in East London

Sultan

Swinglehurst

2021

Qual Health Res

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In this article, we explore how older British Pakistani people experience multimorbidity (defined as the coexistence of two or more medical conditions) and engage with self-management within the context of their life histories and relationships. We conducted biographical narrative interviews in Urdu and/or English with 15 first-generation Pakistani migrants living with multimorbidity, at their homes in East London. Our analysis showed that the triadic construct of family, faith, and health was central to how participants made sense of their lives, constituting notions of “managing” in the context of multimorbidity. For Pakistani patients, the lived experience of health was inseparable from a situated context of family and faith. Our findings have implications for existing public health strategies of self-management, underpinned by neoliberal discourses that focus on individual responsibility and agency. Health care provision needs to better integrate the importance of relationships between family, faith, and health when developing services for these patients.

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“…Nolde and Smillie (1987) stress the need for cultural assessment prior to planning in order to ensure relevancy, acceptance and positive program outcomes. This…”

Section: Cultural Considerations Lead To Culturally Competent Communimentioning

confidence: 99%

Communicating (Birth Defects) Prevention Information to a Hmong Population in Wisconsin: A Study of Cultural Relevance

Viste¹

2007

Substance Use & Misuse

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Compelling research from the early 1990s indicated a strong correlation between the consumption of the B-vitamin folic acid and the prevention of a serious birth defect (neural tube defect) in infants. This article examines numerous challenges the author faced when attempting to produce a culturally relevant folic acid brochure for Hmong women of childbearing age in LaCrosse, Wisconsin, part of a broad folic acid education program. An immediate challenge arose from the traditional Hmong belief that birth defects can be either a curse or a gift, "preassigned" in a former life and therefore not preventable. Other challenges that were addressed included language, acculturation and nutrition, literacy, attitudes toward Western health care practices, and attitudes toward taking medications, including a daily multivitamin. In order for public health communicators to reach increasingly diverse ethnic and cultural identities with important health messages, it is essential that project planning start from the target group's cultural context. It is hoped that the lessons learned through this project can be applied to other communications efforts with other cultural groups.

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Planning and evaluation of cross‐cultural health education activities

Cited by 13 publications

References 2 publications

Understanding family, social and health experience patterns in British Bangladeshi families: are people as diverse as they seem?

Understanding family, social and health experience patterns in British Bangladeshi families: are people as diverse as they seem?

Self-Management in Older Pakistanis Living With Multimorbidity in East London

Communicating (Birth Defects) Prevention Information to a Hmong Population in Wisconsin: A Study of Cultural Relevance

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