What to Consider in a Culturally Tailored Technology-Based Intervention?

Chee, Wonshik; Hu, Yun; Kim, Sangmi; Choi, Hanna; Hamajima, Yuko; Chee, Eunice

doi:10.1097/cin.0000000000000450

Cited by 16 publications

(18 citation statements)

References 42 publications

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“…“We suggest developing a protocol for standardized interventions that includes regular training of staff members, through which intervention quality could be maintained despite varying competencies among intervention staff” (Im et al 2018 , p. 432)…”

Section: Methodsmentioning

confidence: 99%

“…Studies gave several reasons for low attendance and high attrition rates of participants. Most participants came from underserved populations with low incomes and had limited access to transportation, inhibiting their ability to attend intervention sites (Burkart et al, 2017;Im et al 2018). Bernard-Davila et al, 2015) and Burkart et al (2017) demonstrated that sustained interventions created a burden on participants who had to work for their living.…”

Section: Low Attention and Retention Ratesmentioning

confidence: 99%

“…Ogbolu et al (2018) pointed out that it is difficult to apply the standard guidelines to everyday nursing practices, especially in acute clinical care Aycinena et al (2017). noted that clear published guidelines for culturally competent care, especially dietary interventions for ethnic food and norms, were lacking Im et al (2018). observed that standardized protocols of culturally tailored interventions are needed to ensure intervention quality.…”

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confidence: 99%

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Culturally tailored interventions for ethnic minorities: A scoping review

Joo

Liu

2020

Nursing Open

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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

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Section: Methodsmentioning

confidence: 99%

Section: Low Attention and Retention Ratesmentioning

confidence: 99%

mentioning

confidence: 99%

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Culturally tailored interventions for ethnic minorities: A scoping review

Joo

Liu

2020

Nursing Open

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“…In this study, a randomized repeated measures control group design was adopted. This was a part of a larger ongoing study that examines the efficacy of a culturally tailored technology-based information and coaching/support program on survivorship experience of Asian American breast cancer survivors (Im et al, 2018(Im et al, , 2019Im, Kim, Yang, & Chee, 2020;Im et al, 2017). The study was approved by the Institutional Review Board of the authors' institution.…”

Section: Methodsmentioning

confidence: 99%

“…Again, all the intervention components were accessed through computers, mobile devices, and tablets. More detailed information on the intervention is available elsewhere (Im et al, 2018(Im et al, , 2019Im, Kim, Xu et al, 2020;Im et al, 2017).…”

Section: The Technology-based Programmentioning

confidence: 99%

A technology‐based information and coaching/support program and self‐efficacy of Asian American breast cancer survivors

Kim

Chee

2020

Research in Nursing & Health

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Women's self‐efficacy for coping with breast cancer is one of the key factors that lead to successful breast cancer survivorship. Due to the cultural stigma linked to breast cancer (e.g., breast cancer is a genetic disease), Asian Americans are known as a high‐risk group within breast cancer survivors. However, healthcare providers are challenged to promote women's self‐efficacy while considering their cultural beliefs and attitudes. In this study, the efficacy of a technology‐based information and coaching/support program was examined in improving self‐efficacy for coping with breast cancer among Asian American survivors. A randomized repeated measures control group study was conducted with 67 Asian American breast cancer survivors. The questions on background characteristics, the Personal Resource Questionnaire, the Perceived Isolation Scale, the Supportive Care Needs Survey Short Form 34, and the Cancer Behavior Inventory were used. The data were analyzed using repeated measurement analyses, χ2 tests, and decision tree analyses. There were significant increases in the self‐efficacy scores of both control and intervention groups over time (p = .017). However, the increase in the control group's self‐efficacy scores was only up to post 1 month, and there was a decrease in the scores by post 3 months. When the participants were divided into high and low‐change groups based on the changes in their self‐efficacy scores for 3 months, the intervention group had more participants who belonged to the high‐change group (p = .036). The technology‐based intervention was effective in improving self‐efficacy for coping with breast cancer among Asian American breast cancer survivors.

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Perceived feasibility and usefulness of mHealth interventions for psychoeducational support among Nigerian women receiving chemotherapy for breast cancer: a focus group study

Akingbade

Adediran

Somoye

et al. 2022

Support Care Cancer

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Background Women diagnosed with breast cancer (BC) receiving chemotherapy have reported various side effects, which adversely affect their psychological state. Evidence suggests that psychoeducational interventions (PEIs) delivered through mobile phones might effectively provide psychoeducational support for this population. However, there is a lack of evidence on Nigerian women’s perception of mobile health (mHealth) PEI, which prompted this study. Method A qualitative study was conducted among women with BC who had completed chemotherapy at two tertiary hospitals in Nigeria. Face-to-face focus group discussions were conducted at the oncology clinics. Data were collected using focus groups until data saturation was reached. Data were analyzed using thematic analysis. Results In total, 32 women were recruited, with seven focus group discussions conducted. The participants were between 22 and 75 years old and mostly diagnosed with Stage III BC. Four main themes emerged from the data analysis, including experiences of BC diagnosis and treatment phase, patients’ needs during chemotherapy, coping with chemotherapy, and perception of mHealth intervention for psychoeducational support. BC diagnosis was devastating, and psychological disturbances were experienced while receiving chemotherapy, but the participants indicated that mHealth intervention was acceptable as it could provide psychological and informational support. The suggested contents include information on chemotherapy, how to deal with the fear of chemotherapy, nutritious diet locally available, and information on exercise. Conclusion This study has shown that the participants perceived a mHealth PEI is feasible and acceptable in providing psychoeducational support for Nigerian women diagnosed with BC receiving chemotherapy. It is hoped that the unmet needs of this population will be addressed while receiving chemotherapy.

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What to Consider in a Culturally Tailored Technology-Based Intervention?

Cited by 16 publications

References 42 publications

Culturally tailored interventions for ethnic minorities: A scoping review

Culturally tailored interventions for ethnic minorities: A scoping review

A technology‐based information and coaching/support program and self‐efficacy of Asian American breast cancer survivors

Perceived feasibility and usefulness of mHealth interventions for psychoeducational support among Nigerian women receiving chemotherapy for breast cancer: a focus group study

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