Cargando…

Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Vincze, Lisa, Barnes, Katelyn, Somerville, Mari, Littlewood, Robyn, Atkins, Heidi, Rogany, Ayala, Williams, Lauren T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140502/
https://www.ncbi.nlm.nih.gov/pubmed/34022886
http://dx.doi.org/10.1186/s12939-021-01462-x
_version_ 1783696200359215104
author Vincze, Lisa
Barnes, Katelyn
Somerville, Mari
Littlewood, Robyn
Atkins, Heidi
Rogany, Ayala
Williams, Lauren T.
author_facet Vincze, Lisa
Barnes, Katelyn
Somerville, Mari
Littlewood, Robyn
Atkins, Heidi
Rogany, Ayala
Williams, Lauren T.
author_sort Vincze, Lisa
collection PubMed
description 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-021-01462-x.
format Online
Article
Text
id pubmed-8140502
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-81405022021-05-25 Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review Vincze, Lisa Barnes, Katelyn Somerville, Mari Littlewood, Robyn Atkins, Heidi Rogany, Ayala Williams, Lauren T. Int J Equity Health Systematic Review 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12939-021-01462-x. BioMed Central 2021-05-22 /pmc/articles/PMC8140502/ /pubmed/34022886 http://dx.doi.org/10.1186/s12939-021-01462-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Systematic Review
Vincze, Lisa
Barnes, Katelyn
Somerville, Mari
Littlewood, Robyn
Atkins, Heidi
Rogany, Ayala
Williams, Lauren T.
Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
title Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
title_full Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
title_fullStr Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
title_full_unstemmed Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
title_short Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review
title_sort cultural adaptation of health interventions including a nutrition component in indigenous peoples: a systematic scoping review
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140502/
https://www.ncbi.nlm.nih.gov/pubmed/34022886
http://dx.doi.org/10.1186/s12939-021-01462-x
work_keys_str_mv AT vinczelisa culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview
AT barneskatelyn culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview
AT somervillemari culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview
AT littlewoodrobyn culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview
AT atkinsheidi culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview
AT roganyayala culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview
AT williamslaurent culturaladaptationofhealthinterventionsincludinganutritioncomponentinindigenouspeoplesasystematicscopingreview