dc.contributor.author | Davidson, Emma M. | |
dc.contributor.author | Krasuska, Marta | |
dc.contributor.author | Jenum, Anne Karen | |
dc.contributor.author | Gill, Jason | |
dc.contributor.author | Beune, Erik | |
dc.contributor.author | Stronks, Karien | |
dc.contributor.author | van Valkengoed, Irene G. M. | |
dc.contributor.author | Perez, Esperanza Diaz | |
dc.contributor.author | Sheikh, Aziz | |
dc.date.accessioned | 2022-02-04T08:34:20Z | |
dc.date.available | 2022-02-04T08:34:20Z | |
dc.date.created | 2021-11-18T14:06:02Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 0742-3071 | |
dc.identifier.uri | https://hdl.handle.net/11250/2977052 | |
dc.description.abstract | Aims
Selected lifestyle interventions proven effective for White-European populations have been culturally adapted for South Asian populations living in Europe, who are at higher risk of type 2 diabetes. However, a limited theoretical basis underpins how cultural adaptations are believed to augment intervention effectiveness. We undertook a realist review to synthesise existing literature on culturally adapted type 2 diabetes prevention interventions, to develop a framework that shows ‘how’ cultural adaptation works, for ‘whom’ and in ‘what contexts’.
Methods
We followed the stepped methodological approach of realist review. Our work concluded a European-wide project (EuroDHYAN), and core studies were identified from the preceding EuroDHYAN reviews. Data were extracted, coded into themes and synthesised to create ‘Context–Mechanism–Outcome’ configurations and to generate a refined explanatory framework.
Results
We identified eight core intervention papers. From this evidence, and supporting literature, we examined the ‘Team’ domain of cultural adaptation and identified a mechanism of shared cultural identity which we theorised as contributing to strong team-participant relationships. We also identified four key contexts which influenced intervention outcomes: ‘research setting’ and ‘heterogeneous populations’ (intrinsic to the intervention) and ‘broader environment’ and ‘socio-cultural stress’ (extrinsic barriers).
Conclusions
This work instigates research into the mechanisms of cultural adaptation which, if pursued, will allow a more nuanced understanding of how to apply adaptations, and for whom. In practice we recommend greater consideration of heterogeneous and intersecting population characteristics; how intervention design can safeguard sustainability; and how the four key contexts identified influence how, and whether, these interventions work. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Wiley | en_US |
dc.rights | Navngivelse-Ikkekommersiell 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/deed.no | * |
dc.title | Developing a realist informed framework for cultural adaptation of lifestyle interventions for the prevention of type 2 diabetes in South Asian populations in Europe | en_US |
dc.type | Journal article | en_US |
dc.type | Peer reviewed | en_US |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2021 The Authors | en_US |
dc.source.articlenumber | e14584 | en_US |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.doi | 10.1111/dme.14584 | |
dc.identifier.cristin | 1956012 | |
dc.source.journal | Diabetic Medicine | en_US |
dc.identifier.citation | Diabetic Medicine. 2021, 38 (11), e14584. | en_US |
dc.source.volume | 38 | en_US |
dc.source.issue | 11 | en_US |