Registered report announcement: Effect of cultural adaptation of a smartphone-based self-help programme on its acceptability and efficacy

Heim, Eva; Burchert, Sebastian; Shala, Mirëlinda; Kaufmann, Marco; Pashoja, Arlinda Cerga; Morina, Naser; Schaub, Michael P; Knaevelsrud, Christine; Maercker, Andreas

doi:10.32872/cpe.v2i3.4281

Cited by 5 publications

(3 citation statements)

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“…Although gaps remain in methodological approaches to create such messages, recent interest from the Dietary Guideline for Americans in encouraging culturally appropriate healthy diets should pave the way for more and better designed deep-structure dietary programs and interventions, especially for underserved ethnic groups. Such endeavors are starting to emerge and should be emulated, including the deep-structure modifications made to the culturally adapted version of the “Coping with Stress Course” (into the Resilient in spite of Stressful Events) for Black adolescents in a low-income urban community, and the self-help program “Step-by-Step” for psychological distress for Albanian-speaking immigrants in Switzerland and Germany ( 45 , 46 ).…”

Section: Discussionmentioning

confidence: 99%

Lessons learned by adapting and implementing LUCHA: a deep-structure culturally tailored healthy eating randomized pilot intervention for ethnic-diverse Latinos

Mattei,

Caballero-González,

Maafs-Rodríguez

et al. 2024

Front. Public Health

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ObjectivesTo report the adaptation and implementation of LUCHA (Latinos United for a Culturally Healthy Alimentation), a pilot intervention to improve dietary quality and behaviors (primary outcomes) of Latinos in Massachusetts, US, and the lessons learned during the process, including disruptions during the COVID-19 pandemic, to help shape future programs.MethodsThe cultural adaptation process was pre-planned using a framework, grounded in the Theory of Reasoned Action/Planned Behavior, and informed by formative mixed-methods research. A projected 75 self-identifying Latino adults (25–65y) were recruited with community-wide strategies and randomized to receive, in parallel, daily healthy eating text messages for 2 months, reinforced for 2 subsequent months, to either control (i.e., surface-level messages based on USDA MyPlate in Spanish), or intervention (i.e., deep-structure messages). The intervention messages were ethnically tailored to Caribbean or non-Caribbean heritages specifically, grounded in entrenched cultural attitudes, norms, and preferences. Trained research assistants administered questionnaires and clinical measurements at baseline, 2-months, and 4-months, in person (pre-pandemic) or via online video calls (at-pandemic). Clinicaltrials.gov registration #NCT04724382.ResultsLUCHA faced challenges and opportunities that conveyed lessons for future cultural adaptation and implementation of healthy eating programs. Recommendations are provided to improve digital programs for diverse ethnicities, such as widening language capabilities in texting services, using familiar video call applications, and instructing participants to measure their own clinical metrics at home using guided standardized protocols.ConclusionTailoring nutrition programs with deep-structure cultural messages is essential when promoting healthy eating in diverse Latino heritages. LUCHA can inform programs for similar ethnic groups.

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Section: Discussionmentioning

confidence: 99%

Lessons learned by adapting and implementing LUCHA: a deep-structure culturally tailored healthy eating randomized pilot intervention for ethnic-diverse Latinos

Mattei,

Caballero-González,

Maafs-Rodríguez

et al. 2024

Front. Public Health

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“…Based on these requirements a mockup was created using Microsoft Powerpoint. Additionally, we considered best practices reported in literature [11][12][13][14][15][16]. Required images were selected from Freepik [5].…”

Section: Methodsmentioning

confidence: 99%

Digital Health Intervention to Support Refugees in Switzerland

Romao

Neuenschwander

Denecke

et al. 2021

Navigating Healthcare Through Challenging Times

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Experiences of war and persecution often lead to mental health problems, resulting in post-traumatic stress disorders. In this work, we design a digital platform that aims at helping refugees coming to Switzerland by providing exercises for their mental health and information about daily life in Switzerland. In collaboration with the Swiss Red Cross (SRC), we collected requirements and developed a concept for information provision through in this platform. The architecture of a progressive web application (PWA) was identified as to best fulfill the given requirements. Based on the collected requirements mockups were created. In user interviews, we received feedback regarding the future system. We learned that the platform should include an avatar, which guides the user through the entire platform and asks questions. All texts should be accessible by a read-aloud function and exercises should be provided as videos. In summary, we learned that it is essential to involve the future user group in the development process since it is characterized by cultural diversity that has to be considered in the development and design. Enriched by this input, the next step is to realize the application in terms of a prototype.

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“…Diese sorgfältige Anpassung sollte mit einer oberflächlichen Anpassung derselben Intervention vergli chen werden. Allerdings war die Dropout Rate über 80 %, wobei sich die Abbruchrate in den beiden Gruppen nicht unterschied [23]. Mögliche Gründe hierfür wurden in einer qualitativen Studie untersucht [24].…”

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Wie praktikabel ist digitale Kultursensitivität? Herausforderungen bei der Entwicklung und Erforschung kulturell adaptierter digitaler Interventionen

Spanhel,

Heim

2024

Psychother Psychosom Med Psychol

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Registered report announcement: Effect of cultural adaptation of a smartphone-based self-help programme on its acceptability and efficacy

Cited by 5 publications

References 1 publication

Lessons learned by adapting and implementing LUCHA: a deep-structure culturally tailored healthy eating randomized pilot intervention for ethnic-diverse Latinos

Lessons learned by adapting and implementing LUCHA: a deep-structure culturally tailored healthy eating randomized pilot intervention for ethnic-diverse Latinos

Digital Health Intervention to Support Refugees in Switzerland

Wie praktikabel ist digitale Kultursensitivität? Herausforderungen bei der Entwicklung und Erforschung kulturell adaptierter digitaler Interventionen

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