culturally sensitive interventions
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Author(s):  
Halimatou Alaofè ◽  
Sarah Yeo ◽  
Abidemi Okechukwu ◽  
Priscilla Magrath ◽  
Waliou Amoussa Hounkpatin ◽  
...  

Background: Type 2 diabetes (T2D) poses a disproportionate burden on Benin, West Africa. However, no diabetes intervention has yet been developed for Benin’s contexts. This study aimed to explore specific cultural beliefs, attitudes, behaviors, and environmental factors to help adapt a diabetes self-management program to patients with T2D from Cotonou, in southern Benin. Methods: Qualitative data were collected through focus group discussions (FDGs) involving 32 patients with T2D, 16 academic partners, and 12 community partners. The FDGs were audio-recorded, transcribed verbatim from French to English, and then analyzed thematically with MAXQDA 2020. Results: Healthy food was challenging to obtain due to costs, seasonality, and distance from markets. Other issues discussed were fruits and vegetables as commodities for the poor, perceptions and stigmas surrounding the disease, and the financial burden of medical equipment and treatment. Information about local food selections and recipes as well as social support, particularly for physical activity, were identified, among other needs. When adapting the curriculum, gender dynamics and spirituality were suggested. Conclusions: The study demonstrates the need for culturally sensitive interventions and a motivation-based approach to health (spiritual and emotional support). It also lays the groundwork for addressing T2D contextually in Benin and similar sub-Saharan African countries.


PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0251161
Author(s):  
Reuben Ng ◽  
Nicole Indran

Caregivers play an indispensable role in society. In 2017, 41 million family caregivers in the United States provided approximately 34 billion hours of care to their aging parents, spouses, partners and friends. The estimated economic value of their unpaid contributions amounted to $470 billion. Despite their invaluable contributions, caregivers often operate in a reality of inadequate social support. Little is known about the factors linked to the societal perceptions of caregivers, and our study seeks to contribute by filling this gap. Importantly, whether society honors or stigmatizes caregivers is critical as it could impact caregiving decisions and either exacerbate or ameliorate caregiver burden. We leveraged an online media database of 10 billion words collated from over 28 million articles, across 20 countries, to analyze societal perceptions of caregivers. Of the 20 countries, 18 evidenced neutral to positive perceptions of caregivers. Bangladesh and Ghana had the most positive perceptions, while Sri Lanka and Tanzania had the most negative perceptions. Aging demographics and culture (individualism, masculinity and uncertainty avoidance) were significantly associated with perceptions of caregivers. Findings suggest that positive perceptions of caregivers can be better cultivated when caring is lauded as a virtuous act that aids in reducing the care deficit. This study is among the first to analyze the societal perceptions of caregivers globally, and lays the groundwork to design culturally sensitive interventions that increase society’s appreciation for caregivers.


2021 ◽  
pp. 002202212110176
Author(s):  
Ashley Acle ◽  
Brian J. Cook ◽  
Nicole Siegfried ◽  
Tammy Beasley

Eating disorders (ED) prevalence is rising among ethnic and racial minority groups, yet disparities persist in treatment seeking, and effectiveness. The purpose of this systematic review was to summarize works that provide theoretically grounded and empirically evidenced clinical recommendations for the inclusion of culture in the treatment of eating disorders in non-white individuals. Thirty one articles revealed the following 11 core recommendation themes for how to effectively address culture in ED treatment: use culturally sensitive interventions; address barriers to treatment; understand patients within their cultural context; explore the impact of culturally contextual factors; assume a collaborative, curious therapeutic stance; understand nuances that impact clinical presentations; explore family/social supports; provide education/psychoeducation; explore ethnic identity, acculturation and acculturative stress; become educated about working with ethnic and racial minorities; and use a culturally flexible diagnostic model. Consolidating these recommendations evidenced from the literature fills a gap relevant to ED treatment and provides empirically derived, culturally-accommodating guidance on how future studies may include ethnic and racial considerations when developing treatment approaches and/or evaluating outcomes.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Sepali Guruge

The purpose of this scoping review is to identify cardiovascular interventions that are designed to address the needs of immigrant women across North America and Europe. The articles retrieved were reviewed independently by both the first author and a trained research assistant. Although the search revealed many articles and resources related to supporting cardiovascular self-management behaviors among individuals, few focused on interventions designed for immigrant women who were diagnosed and living with cardiovascular disease. Also, it was difficult to determine the quality of the literature retrieved, as the main goal of this scoping review was to assess the body of literature and categorize materials by common themes and topics. A more in-depth structured systematic review is needed to determine the quality of evidence being presented and to serve as a rationale for the design and implementation of future culturally sensitive interventions delivered to immigrant women diagnosed with cardiovascular disease.


2021 ◽  
Author(s):  
Suzanne Fredericks ◽  
Sepali Guruge

The purpose of this scoping review is to identify cardiovascular interventions that are designed to address the needs of immigrant women across North America and Europe. The articles retrieved were reviewed independently by both the first author and a trained research assistant. Although the search revealed many articles and resources related to supporting cardiovascular self-management behaviors among individuals, few focused on interventions designed for immigrant women who were diagnosed and living with cardiovascular disease. Also, it was difficult to determine the quality of the literature retrieved, as the main goal of this scoping review was to assess the body of literature and categorize materials by common themes and topics. A more in-depth structured systematic review is needed to determine the quality of evidence being presented and to serve as a rationale for the design and implementation of future culturally sensitive interventions delivered to immigrant women diagnosed with cardiovascular disease.


2021 ◽  
pp. 104365962110055
Author(s):  
Chunmei Luo ◽  
Lei Lei ◽  
Yao Yu ◽  
Yu Luo

Introduction Withholding the malignant bone tumors disclosure from patients is common in China. The purpose of the study was to explore the perceptions of patients, families, doctors, and nurses regarding the disclosure of malignant bone tumors in China. Method Semistructured interviews were conducted with 25 cases, consisting of 69 participants (14 patients, 25 family members, 17 doctors, and 13 nurses), and the transcripts were analysed using Colaizzi’s (1978) descriptive phenomenological analysis process. Results Five themes were identified: (1) doctors preferred to inform the family members first, (2) family members’ decisions depended on different situations, (3) the patients agreed that disclosure should be different for each person/personally, (4) care from nurses reduced the overreaction of patients, and (5) key points improve the informing quality. Discussion Family participatory cancer disclosure and multidisciplinary teams could improve the quality of cancer disclosure. Culturally congruent health care and culturally sensitive interventions in cancer disclosure are suggested.


2021 ◽  
Author(s):  
M. Elizabeth Lewis Hall ◽  
Grace Eun Lee ◽  
Crystal L. Park

Objectives: Research has established religion and spirituality as important resources for Black people in the US coping with adversity. Most research has been from an etic perspective, examining religious variables that are valid across multiple religions. In the present study, we asked what emic aspects of the Black church’s practices and theological emphases women with cancer drew on in constructing meaning-making narratives from their cancer experience. Methods: In this consensual qualitative research study, we interviewed 30 Black women with cancer histories with an average age of 64.5. Results: The religious practice of testimony emerged as the predominant theme. Testimony (a) provided a meaningful purpose to the cancer experience; (b) had a specific content of describing what God had done in their lives as well as some common theological emphases; (c) had dual desired outcomes of helping others and bringing glory to God; and (d) had an associated practice of giving testimony. Conclusions: We discuss testimony as a narrative structure and highlight its importance in informing culturally-sensitive interventions aimed at supporting Black women with cancer.


2021 ◽  
Vol 9 (2) ◽  
pp. 25-31
Author(s):  
Ubaid Rehman ◽  
Alamgeer Khan ◽  
Muhammad Jawad ◽  
Saima Sarir ◽  
Seema Zubair

Purpose of the study: A systematic review of studies on factors in the suicide of South Asians in the UK was reviewed to enhance understanding by aggregating those factors contributing to suicide in this diverse group. Methodology: Digital databases PsycArticles, PsycINFO, PubMed, JSTOR, Science Direct, Web of sciences, and Google Scholar, were searched from 1990 to 2018 and, six studies were included for the review. Main Findings: Factors like cultural conflict, mental health issues, family relationships, and religious & other social aspects influence suicide in South Asians in the UK. Also, better family contact, culturally sensitive interventions & services, and educational pamphlets could support preventive strategies. Applications of this study: Future research needs to concentrate on the reasons behind high rates of suicide in social class 1 and disaggregation of factors in sub-groups of South Asians in the UK to support the development of sound preventive strategies. Novelty/Originality of this study: First study ever to aggregate factors in the suicide of South Asians in the UK.  


Social Work ◽  
2021 ◽  
Author(s):  
Westy Egmont ◽  
David Takeuchi ◽  
Erin McBrady ◽  
Ngozi V. Enelamah

Diversity is a common feature of Western societies, especially in urban areas, and particularly because as immigration continues to transform nations, integration grows as an area of practice and research. Conventional “assimilation” perspectives, which center on a linear path that immigrants travel to become part of the host society, have been challenged by scholarship that finds immigration to be a dynamic and synergistic process. “Immigrant integration” is not a static or narrowly defined term but rather an inclusive description of the dynamic three-way process of change for the migrant, the sending country, and the receiving community. The increase of immigrants, especially beyond the traditional gateway cities, and responses to newcomers have led to the development of new social constructs, contesting older ones, to capture the complex patterns of inclusion and exclusion of distinct immigrant ethnic groups residing in varied settings across the United States. “Integration” as a term is suggestive not of all becoming part of a single culture but rather a process of affirming cultures that combine within the diverse and enriched nation that results. Oscar Handlin wrote in The Uprooted (1951:3) that “Once I thought to write a history of the immigrants in America. Then I discovered that the immigrants were American history.” No single academic disciplinary lens provides a complete grasp of immigration, and it is the confluence of disparate theories and methods that sharpens knowledge and insights about the “who, what, and why” of the immigration process and its consequences. The stresses on contemporary society created by significant demographic changes have led to a quest for a more nuanced understanding about the patterns of settlement, the cultural reactions stimulated by these population shifts, and the impact immigration has on education, health, the marketplace, and the democratic institutions of the state. Selected works in this article express the vast array of issues and approaches to understanding the dynamic processes impacting the more than forty-four million residents of America who are foreign born. In recognition of social work as a primary career serving newcomers, this article displays the breath of the theory, methods, issues, implications, and culturally sensitive interventions related to migration. Social workers, educators, and religious leaders are first responders, and presenting these professionals with evidence-based analysis equips both providers and policymakers with the knowledge to facilitate the full social, civic, and economic integration of foreign-born residents. A few comparative works that both acknowledge the unique history of the United States and the global nature of migration are included. There is a complementary body of work in immigration law outside this article, and there are an increasing number of law schools partnering with social work schools to integrate practice. The subject of the “second generation” has not been included, although they warrant a distinct entry. Current political debates and continuing issues of oppression and prejudice also merit an article in themselves. No list can do justice to the wealth of scholarship available, nor even the various experts and emerging scholars, but this effort is offered to ground pursuits in the breadth of approaches and subjects relevant to the field.


Author(s):  
Madison B. Sharp ◽  
Janine Kara ◽  
Salma Almidani ◽  
Mamoun Ahram ◽  
Refqi Mahmoud ◽  
...  

Background: Nearly 700 000 Syrian refugees currently reside in Jordan. Chronic disease and neuropsychiatric conditions are leading contributors of morbidity among refugee and host communities. The bidirectional relationship between depression and chronic disease is not well studied among displaced Syrian or Jordanian women. Aims: This qualitative study explores the bidirectional relationship between chronic illness and comorbid depression, as well as related themes, among Jordanian and Syrian women with known chronic disease—populations that receive medical care through distinct and evolving health care structures—to assist providers and policy makers in creating culturally sensitive interventions. Methods: Forty Jordanian women and Syrian refugees with chronic disease were interviewed at four clinical settings in Amman, Jordan. Data collection occurred from June–August 2017. Content analysis was completed with Dedoose, a qualitative coding software. Results: The majority of Syrian women endorsed a relationship between their chronic disease and depression. Some women felt too depressed to take medication for chronic conditions, while others felt depression contributed to chronic illnesses. Syrian women reported less perceived social support than Jordanian women. Although some Syrians were unable to afford medications, they reported fewer negative health care experiences than Jordanians. Both populations endorsed female-specific hardships impacting their mental health, including the demands of motherhood, household duties, and marital strife. Conclusion: This study explores the intersection of depression and chronic disease among Syrian and Jordanian women. By documenting stressors and experiences accessing health care, mental health and chronic disease interventions can be integrated and tailored to these populations.


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