Culturally-tailored interventions for chronic disease self-management among Chinese Americans: a systematic review

Abstract

Culturally-tailored interventions that incorporate surface and deep structural elements of culture are sensitive and generally effective for Chinese Americans to improve access to health care, disease awareness, social environment, and participants' ability to practice self-management skills.

Effectiveness of Culturally Tailored Interventions for Chronic Illnesses among Ethnic Minorities

“…Most of the culturally tailored interventions were conducted in community based settings with experienced bilingual nurses, bilingual community health care providers, or trained multicultural community health workers (Goris et al, 2013). One review reported that interventions were delivered by hired interpreters to aid communication between health care providers and ethnic minority participants (Huang & Garcia, 2018). The aims of interventions were congruent to enhance ethnic minorities’ improvement of care.…”

“…Seven reviews reported on disease knowledge as a primary outcome of culturally tailored interventions with ethnic minority participants (Goris et al, 2013; Hawthorne et al, 2010; Heo & Braun, 2014; Huang & Garcia, 2018; Joo, 2014; Renzaho et al, 2010; Zeh et al, 2012). This outcome was measured for cancers, HTN, diabetes, or prediabetes.…”

“…However, three studies reported mixed results with respect to interventions’ effects on HbA1c levels (Goris et al, 2013; Huang & Garcia, 2018; Zeh et al, 2102). Goris et al (2013) demonstrated statistically significant reductions in HbA1c with IGs over CGs (three studies, 403 participants), modest but not significant reductions (one study, 542 participants), and no differences between groups at all (one study, 131 participants).…”

“…Three reviews reported the impact of culturally tailored interventions on BP (Heo & Braun, 2014; Huang & Garcia, 2018; Joo, 2014). In Heo and Braun (2014), four studies evaluated systolic and diastolic BP changes before and after intervention with ethnic minority participants diagnosed with HTN, and all reported a reduction in BP between groups (1,130 participants).…”

Self-management and blood pressure control in China: a community-based multicentre cross-sectional study

“…Many studies of hypertension self-management have improved BP outcomes in the Western societies,15 21 22 however, the evidence for hypertension self-management is absent in the Chinese population. A recent systematic review identified only two quasi-experimental studies focusing on hypertension self-management in a population of American Chinese23; much of the evidence was derived from a single urban site so is not representative of individuals living in community settings 24 25…”