Culturally tailored interventions for ethnic minorities: A scoping review

Abstract

In the United States, diverse ethnic minority groups are growing fast. In 2045, it is projected that 49.3% of the US population will be composed of Hispanic or Latinx, African American, Asian and multiracial populations (Frey, 2018), up from 41.8% in 2019 (United States Census Bureau, 2019). These populations are often underserved by healthcare systems because of economic and language barriers, meaning they frequently experience low-quality care (Torres-Ruiz et al. 2018). One consequence of the combination of increasing minority populations and persistently bad care is that the number of high-risk patients-patients who typically experience high individual healthcare costs and economic losses (Joo & Liu, 2020)-in minority populations is increasing. One promising way to improve healthcare equity and quality for minority populations is by employing culturally tailored interventions (Torres-Ruiz et al. 2018). Culturally tailored interventions have been shown promising care coordination that improving access to healthcare systems and clinical outcomes to ethnic minorities (Joo, 2014;Joo & Liu, 2020;Torres-Ruiz et al. 2018). | BackgroundCultural tailoring of interventions means "the adaptation of the study design, materials and other components of the intervention to reflect cultural needs and preferences at the population level" (Torres-Ruiz

Evaluating the impact of culturally specific patient-centric behavioral intervention package versus usual care for tobacco cessation among patients attending noncommunicable disease clinics in North India: A single-blind trial pilot study protocol

“…A lack of intervention protocol was cited as a barrier to culturally tailored intervention research in many studies. 56 Culturally tailored intervention has immense potential to reduce health care disparities and improvise the quality of life for specific subgroups. Adopting these strategies will help us in achieving Sustainable Development Goals.…”

“…We have integrated these elements into the current intervention package: (1) culturally respectful and patient-centric care (Punjabi culture and PCC-based case vignettes); (2) healthy lifestyle promotion (quitting tobacco use); (3) increased family supports (encourage to bring a family member along during sessions); (4) use of technology (SMS to patients that are disease-specific and stage of change-based); and (5) increased knowledge of disease (disease-specific pamphlets that illustrate how continued tobacco use would impact their current disease). 56 The photographs from the community that will be used in the disease-specific pamphlets would be real-time and culturally relatable. Couplets and adages from local and religious contexts would be incorporated into the intervention package.…”

Burden of allergic disease among ethnic minority groups in high‐income countries

“…81 The use of culturally tailored interventions is increasing in community and healthcare settings, but clear and pragmatic guidelines for (co-)developing, implementing and evaluating these interventions are lacking. 82 In the current context of widening health disparities, strategic focus is required towards adopting culturally relevant programmes and practices to improve quality of care and promote health equity.…”

Exploring the poststroke experiences and unmet needs of South Asian communities in high-income countries: a scoping review protocol

“… 41 Culturally tailored interventions are specifically adapted to meet the cultural needs and preferences of a culture-sharing group. 39 Although data on the effectiveness of culturally appropriate and tailored programmes is limited with South Asian stroke populations, a few culturally tailored programmes demonstrated increased knowledge of stroke. 33 42 Culturally tailored programmes that were not stroke-specific demonstrated the ability to promote healthier lifestyles, including improving well-being and physical activity levels among South Asian participants.…”

“… 40 Evidence from culturally tailored programmes implemented within other ethnic groups suggests that culturally tailored programmes can improve quality of life and family and community support and increase knowledge of the disease. 39 …”