The effect of culturally-adapted health education interventions among culturally and linguistically diverse (CALD) patients with a chronic illness: A meta-analysis and descriptive systematic review

Culturally adapting internet- and mobile-based health promotion interventions might not be worth the effort: a systematic review and meta-analysis

“…Heterogeneity among the included studies was moderate to substantial, I 2 ranged from 0.36 to 0.66. Prior research points to differential effects on culturally adapted health promotion interventions in terms of different populations (age and ethnicity 51 ), different intervention features (professional vs. non-professional provider) 32 , intervention duration and follow-up times in culturally adapted face-to-face interventions 52 , interventions focusing on general population groups 53 , different methodological decisions (RCT methodology use, different control groups, e.g. tailored website, no-treatment controls 53 ) and cultural adaptation contents (inclusion of social support and/or family members 51 , integrating cultural beliefs and values 54 ).…”

“…Cultural adaptation could be adopted on surface structure modifications (pairing materials and messages to apparent features of the target population such as language) or deep structure modifications (concerning intersecting effects of social, cultural, and historical variables on the target behavior) 28,29 . Culturally adapted face-to-face interventions are shown to be effective in smoking cessation 30,31 , health education, and healthy eating 32 . Moreover, IMI developed for ethnic minorities and underserved populations are also shown to be accepted and effective in the promotion of various health behaviors such as physical activity 33 and healthy eating 16 .…”

Chronic Illness Management in Culturally and Linguistically Diverse Patients: Exploring the Needs, Access, and Understanding of Information

“…This places physicians in a gatekeeper role with substantial responsibility to ensure that CALD patients have all the required information. In a recent meta-analysis of health education interventions for CALD patients, reviewed interventions were most efficacious in increasing CALD patients’ knowledge when they were delivered by HCPs in comparison with lay providers ( Lambert et al, 2021 ).…”

“…A recent qualitative study among caregivers of CALD patients also found that family plays a central role in brokering health information ( Schaffler et al, 2019 ). Similarly, a recent meta-analysis suggested that lay providers might be particularly effective in providing culturally adapted lifestyle advice that produces measurable changes in disease markers ( Lambert et al, 2021 ). The preference for different sources of information according to the type of information sought points to a need for alternate models of care, where there might be a partnership between HCPs and potentially community-based bilingual navigators to assist patients in accessing and understanding the information they need (without necessarily having to translate the information).…”

Knowledge and perceptions around self‐management of type 2 diabetes among a Sudanese community in Australia: A qualitative study

“…Recognising the unique characteristics associated with each cultural group, it is important to note that there is no “one‐size‐fits‐all” model. Clinical advice and health education targeting CALD communities should be cognisant of cultural elements 13,14 . Therefore, understanding the unique perspectives on the enablers and barriers to uptake of self‐management strategies within a specific cultural group is important in allowing health professionals to deliver culturally tailored and specific information.…”