Leeds Beckett University, Leeds, UK
School of Health, Leeds Beckett University, Leeds, UK.
BMJ Open. 2024 May 15;14(5):e085200. doi: 10.1136/bmjopen-2024-085200.
The management of type 2 diabetes (T2D) within diverse ethnic populations requires a culturally tailored approach. However, little is known about the experiences of coaches delivering interventions for T2D, such as the National Health Service (NHS) Low Calorie Diet (LCD) programme, to people from diverse ethnic backgrounds.
To explore the experiences of coaches delivering an NHS programme using total diet replacement approaches to individuals from diverse ethnic backgrounds, to inform the effective tailoring and equitable delivery of future interventions.
Qualitative study.
Individuals delivering the NHS LCD programme.
One-to-one semistructured interviews were conducted with seven health coaches delivering the NHS LCD programme. Inclusion criteria included participants delivering the NHS LCD programme either from a minoritised ethnic background or delivering the programme to those from ethnic minority and white British backgrounds.
Qualitative semistructured interviews conducted through different stages of the programme. Reflexive thematic analysis was used to analyse the transcripts.
Key themes highlighted the following experiences of delivering the LCD programme: (1) training and support needs; (2) needing to understand culture and ethnicity; (3) the impact of language; (4) the use of resources in providing dietary advice and (5) experiences of cultural tailoring. The themes highlight the need to prioritise person-centred care, to integrate culturally tailored approaches and for provision of education and training to those delivering health programmes.
These findings describe the experiences of health coaches in tailoring delivery and emphasise the role of cultural competence in ensuring equitable and effective healthcare interventions for diverse populations. This learning can inform future programmes and policies aimed at promoting inclusive healthcare practices.
在不同族裔人群中管理 2 型糖尿病（T2D）需要一种文化定制的方法。然而，对于教练在不同族裔背景下为 T2D 提供干预措施（如国民保健服务（NHS）低卡路里饮食（LCD）计划）的经验知之甚少。
探索教练在为来自不同族裔背景的个人提供 NHS 计划的经验，该计划采用全面饮食替代方法，为未来干预措施的有效定制和公平实施提供信息。
定性研究。
提供 NHS LCD 计划的个人。
对七名提供 NHS LCD 计划的健康教练进行了一对一的半结构化访谈。纳入标准包括来自少数民族背景的参与者或向少数民族和白种英国人背景的参与者提供 NHS LCD 计划的参与者。
在计划的不同阶段进行的定性半结构化访谈。使用反思性主题分析对转录本进行分析。
强调提供 LCD 计划的以下经验的主要主题：（1）培训和支持需求；（2）需要了解文化和种族；（3）语言的影响；（4）在提供饮食建议时使用资源；（5）文化定制的经验。这些主题强调了优先考虑以患者为中心的护理、整合文化定制方法以及为提供健康计划的人员提供教育和培训的必要性。
这些发现描述了健康教练在定制交付方面的经验，并强调了文化能力在确保为不同人群提供公平有效的医疗保健干预措施方面的作用。这些学习可以为旨在促进包容性医疗保健实践的未来计划和政策提供信息。
