Journal of Addiction Research & Therapy
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The term culturally sensitive is often used to describe interventions adapted for minority ethnic communities. However,
understanding of strategies for adapting behavioral interventions for such communities is limited. The questions addressed
in this paper are: What are the main strategies for adapting interventions to reduce coronary heart disease (CHD) for minority
ethnic communities Why have interventions been adapted in these ways A systematic review was carried out to investigate
interventions for preventing CHD, including promoting physical activity, smoking cessation and healthier diets in Pakistani,
Chinese and Indian communities in countries where these groups are minorities. International databases and key websites
were searched, and 23,477 titles and abstracts were initially identified. Seventeen papers met inclusion and quality criteria. A
meta-ethnographic approach to data synthesis was employed to identify underlying principles for adapting interventions.
The rationale underpinning adaptations are not made explicit in individual studies, limiting generalizability. Five principles
for adapting behavioral interventions for minority ethnic communities were identified: (i) use community resources to
publicize the intervention and increase accessibility; (ii) identify and address barriers to access and participation; (iii) develop
communication strategies which are sensitive to language use and information requirements; (iv) work with cultural or religious
values that either promote or hinder behavioral change; and (v) accommodate varying degrees of cultural identification.
While the principles require further testing and verification, they have been generated through a systematic approach to study
identification, quality appraisal and data synthesis. This represents significant progress in advancing understanding of adapted
behavioral interventions for minority ethnic communities
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