Nittas Vasileios, Daniore Paola, Chavez Sarah J, Wray Tyler B
Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 South Main Street, 02912, Providence, RI, USA.
Institute for Implementation Science in Health Care, University of Zurich Faculty of Medicine, Universitaetstrasse 84, 8006, Zurich, Switzerland.
Commun Med (Lond). 2024 Jan 5;4(1):7. doi: 10.1038/s43856-023-00426-2.
Differences in the access and use of digital health interventions are driven by culture, in addition to economic and physical factors. To avoid the systematic exclusion of traditionally underserved cultural groups, creating inclusive digital health interventions is essential. One way to achieve this is through cultural adaptations, defined as the systematic modification of an existing intervention that aligns with a target audience's cultural norms, beliefs, and values. In theory, cultural adaptations can potentially increase the reach and engagement of digital health interventions. However, the evidence of whether and how that is achieved is limited. Justifying, planning, and implementing an adaptation comes with various challenges and takes time and money. This perspective provides a critical overview of the field's current state and emphasizes the need for technology-specific frameworks that address when and how to culturally adapt digital health interventions.
除经济和身体因素外，文化也推动了数字健康干预措施在获取和使用方面的差异。为避免传统上服务不足的文化群体被系统性排斥，创建包容性的数字健康干预措施至关重要。实现这一目标的一种方法是通过文化适应，即对现有干预措施进行系统性修改，使其与目标受众的文化规范、信仰和价值观相一致。理论上，文化适应可能会增加数字健康干预措施的覆盖面和参与度。然而，关于是否以及如何实现这一点的证据有限。进行适应的论证、规划和实施面临各种挑战，需要时间和资金。这一观点对该领域的当前状况进行了批判性概述，并强调需要有针对特定技术的框架，以解决何时以及如何对数字健康干预措施进行文化适应的问题。
