Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
| Autor: | Robyn Littlewood, Lisa Vincze, Heidi Atkins, Mari Somerville, Lauren T. Williams, Katelyn Barnes, Ayala Rogany |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Adult medicine.medical_specialty Canada Cultural safety Population Psychological intervention Community Indigenous 03 medical and health sciences 0302 clinical medicine Population Groups medicine Co-design Humans 030212 general & internal medicine education Child Indigenous Peoples Aboriginal Health policy education.field_of_study 030505 public health Health Policy Public health Public Health Environmental and Occupational Health Health services research First nations Culturally Competent Care Health equity Diabetes Mellitus Type 2 Female Systematic Review Public aspects of medicine RA1-1270 0305 other medical science Psychology Delivery of Health Care |
| Zdroj: | International Journal for Equity in Health International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-13 (2021) |
| ISSN: | 1475-9276 |
| Popis: | Background Indigenous populations throughout the world experience poorer health outcomes than non-indigenous people. The reasons for the health disparities are complex and due in part to historical treatment of Indigenous groups through colonisation. Evidence-based interventions aimed at improving health in this population need to be culturally safe. However, the extent to which cultural adaptation strategies are incorporated into the design and implementation of nutrition interventions designed for Indigenous peoples is unknown. The aim of this scoping review was to explore the cultural adaptation strategies used in the delivery of nutrition interventions for Indigenous populations worldwide. Methods Five health and medical databases were searched to January 2020. Interventions that included a nutrition component aimed at improving health outcomes among Indigenous populations that described strategies to enhance cultural relevance were included. The level of each cultural adaptation was categorised as evidential, visual, linguistic, constituent involving and/or socio-cultural with further classification related to cultural sensitivity (surface or deep). Results Of the 1745 unique records screened, 98 articles describing 66 unique interventions met the inclusion criteria, and were included in the synthesis. The majority of articles reported on interventions conducted in the USA, Canada and Australia, were conducted in the previous 10 years (n = 36) and focused on type 2 diabetes prevention (n = 19) or management (n = 7). Of the 66 interventions, the majority included more than one strategy to culturally tailor the intervention, combining surface and deep level adaptation approaches (n = 51), however, less than half involved Indigenous constituents at a deep level (n = 31). Visual adaptation strategies were the most commonly reported (n = 57). Conclusion This paper is the first to characterise cultural adaptation strategies used in health interventions with a nutrition component for Indigenous peoples. While the majority used multiple cultural adaptation strategies, few focused on involving Indigenous constituents at a deep level. Future research should evaluate the effectiveness of cultural adaptation strategies for specific health outcomes. This could be used to inform co-design planning and implementation, ensuring more culturally appropriate methods are employed. |
| Databáze: | OpenAIRE |
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