Well, it has just hit the presses and we (the rather dubious bunch of authors listed - interest declared - feel that this might be a useful way of summarising an awful lot of debates and silly statements about 'we don't know what to do' etc.) Evidence based....
Behavior Change Interventions to Improve the Health of Racial and Ethnic Minority Populations: A Tool Kit of Adaptation Approaches (by EMMA DAVIDSON, JING JING LIU, RAJ BHOPAL, MARTIN WHITE, MARK R.D. JOHNSON, GINA NETTO, CECILE WABNITZ, and AZIZ SHEIKH
The Milbank Quarterly, Vol. 91, No. 4, 2013 (pp. 811–851)
Adapting behavior change interventions to meet the needs of racial and ethnic minority populations has the potential to enhance their effectiveness in the target populations. But because there is little guidance on how best to undertake these adaptations, work in this field has proceeded without any firm foundations. In this article, we present our Tool Kit of Adaptation Approaches as a framework for policymakers, practitioners, and researchers interested in delivering behavior change interventions to ethnically diverse, underserved populations in the United Kingdom.
Methods: We undertook a mixed-method program of research on interventions for smoking cessation, increasing physical activity, and promoting healthy eating that had been adapted to improve salience and acceptability for African-, Chinese-, and SouthAsian–origin minority populations. This program included a systematic review (reported using PRISMA criteria), qualitative interviews, and a realist synthesis of data.
On the basis of these data, we developed our Tool Kit of Adaptation Approaches, which contains (1) a fortysix- item Typology of Adaptation Approaches; (2) a Pathway to Adaptation, which shows how to use the Typology to create a generic behavior change intervention; and (3) RESET, a decision tool that provides practical guidance on which adaptations to use in different contexts.
http://onlinelibrary.wiley.com/doi/10.1111/1468-0009.12034/abstract
Mark R D Johnson
Professor of Diversity in Health & Social Care
Mary Seacole Research Centre / CEEHD
De Montfort University Leicester LE1 9BH
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