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

International Journal for Equity in Health

Heidi Atkins¹  Ayala Rogany²  Katelyn Barnes³  Robyn Littlewood⁴  Lauren T. Williams⁵  Lisa Vincze⁵  Mari Somerville⁵ 

[1] Queensland Child and Youth Clinical Network, Clinical Excellence Queensland, Queensland Government, Brisbane, Queensland, Australia;Queensland Children’s Hospital, Children’s Health Queensland Hospital and Health Service, Queensland Government, Brisbane, Queensland, Australia;School of Health Sciences and Social Work, Griffith University, Parklands Drive, 4222, Gold Coast, Queensland, Australia;Academic Unit of General Practice, Medical School, College of Health & Medicine, The Australian National University, 2601, Canberra, Australian Capital Territory, Australia;School of Health Sciences and Social Work, Griffith University, Parklands Drive, 4222, Gold Coast, Queensland, Australia;Health & Wellbeing Queensland, Queensland Government, Brisbane, Queensland, Australia;School of Health Sciences and Social Work, Griffith University, Parklands Drive, 4222, Gold Coast, Queensland, Australia;Menzies Health Institute Queensland, Griffith Health Centre, G40_8.86, 4222, Gold Coast, Queensland, Australia;

关键词: Aboriginal;    Adult;    Child;    Co-design;    Cultural safety;    Community;    Indigenous;    First nations;   

DOI  :  10.1186/s12939-021-01462-x

来源: Springer

【 摘 要 】

BackgroundIndigenous 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.MethodsFive 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).ResultsOf 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).ConclusionThis 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.

【 授权许可】

CC BY