Department of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, University of Ulm, Ulm, Germany
Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, Albert-Ludwigs-Universitat Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany.
BMJ Open. 2020 Nov 9;10(11):e037698. doi: 10.1136/bmjopen-2020-037698.
High rates of immigration pose challenges for the healthcare systems of many countries to offer high-quality care to diverse populations. Advancing health interventions with incorporating the cultural background of diverse populations can be helpful to overcome this challenge. First studies suggest that culturally diverse populations might benefit from culturally adapted internet-based and mobile-based interventions (IMI) to promote health behaviours. However, the effectiveness of culturally adapted IMIs for health promotion interventions has not been evaluated systematically. Therefore, the aim of this review is to assess the effectiveness of culturally adapted IMIs regarding health promotion. Additionally, the cultural adaptation features of these interventions will be outlined.
Randomised controlled trials (RCTs) investigating the effectiveness of culturally adapted IMIs to promote health behaviours in the field of healthy eating, smoking cessation, alcohol consumption, physical activity and sexual health behaviour will be identified via a systematic search of the databases MEDLINE, Embase, PsycINFO, CENTRAL. The preliminary search has been conducted on the 26 August 2019 and will be updated in the process. Data will be pooled meta-analytically in case of at least three included studies reporting on the same outcome. Moreover, a narrative synthesis of the included studies will be conducted. The risk of bias will be assessed using the Cochrane Collaboration's tool for the Quality Assessment of RCTs V. 2.0. Publication bias will be assessed using funnel plots.
Ethical approval is not required for this study. The results of this study will be published in a peer-reviewed international journal.
PROSPERO; CRD42020152939.
高移民率给许多国家的医疗保健系统带来了挑战，使其难以向多元化人口提供高质量的医疗服务。通过纳入多元化人口的文化背景来推进卫生干预措施，有助于克服这一挑战。最初的研究表明，文化多元化的人群可能受益于基于文化适应性的互联网和移动干预措施（IMI），以促进健康行为。然而，针对健康促进干预措施的文化适应性 IMI 的有效性尚未得到系统评估。因此，本综述的目的是评估文化适应性 IMI 对健康促进的有效性。此外，还将概述这些干预措施的文化适应特征。
通过系统检索 MEDLINE、Embase、PsycINFO、CENTRAL 数据库，确定了旨在促进健康饮食、戒烟、饮酒、体育锻炼和性行为等领域健康行为的文化适应性 IMI 有效性的随机对照试验（RCT）。初步搜索已于 2019 年 8 月 26 日进行，并将在过程中进行更新。如果至少有 3 项研究报告了相同的结果，则将对数据进行合并进行荟萃分析。此外，还将对纳入的研究进行叙述性综合。使用 Cochrane 协作对 RCT 质量评估工具 V.2.0 评估偏倚风险。使用漏斗图评估发表偏倚。
本研究不需要伦理批准。该研究的结果将发表在同行评议的国际期刊上。
PROSPERO 注册号：PROSPERO；CRD42020152939。
