dc.date.accessioned | 2022-02-17T18:12:33Z | |
dc.date.available | 2022-02-17T18:12:33Z | |
dc.date.created | 2021-11-18T14:06:02Z | |
dc.date.issued | 2021 | |
dc.identifier.citation | Davidson, Emma M. Krasuska, Marta Jenum, Anne Karen Gill, Jason Beune, Erik Stronks, Karien van Valkengoed, Irene G. M. Perez, Esperanza Diaz Sheikh, Aziz . Developing a realist informed framework for cultural adaptation of lifestyle interventions for the prevention of type 2 diabetes in South Asian populations in Europe. Diabetic Medicine. 2021, 38:e145484(11), 1-12 | |
dc.identifier.uri | http://hdl.handle.net/10852/91048 | |
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. | |
dc.language | EN | |
dc.rights | Attribution-NonCommercial 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | |
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 | |
dc.type | Journal article | |
dc.creator.author | Davidson, Emma M. | |
dc.creator.author | Krasuska, Marta | |
dc.creator.author | Jenum, Anne Karen | |
dc.creator.author | Gill, Jason | |
dc.creator.author | Beune, Erik | |
dc.creator.author | Stronks, Karien | |
dc.creator.author | van Valkengoed, Irene G. M. | |
dc.creator.author | Perez, Esperanza Diaz | |
dc.creator.author | Sheikh, Aziz | |
cristin.unitcode | 185,52,15,0 | |
cristin.unitname | Avdeling for allmennmedisin | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1956012 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Diabetic Medicine&rft.volume=38:e145484&rft.spage=1&rft.date=2021 | |
dc.identifier.jtitle | Diabetic Medicine | |
dc.identifier.volume | 38 | |
dc.identifier.issue | 11 | |
dc.identifier.startpage | 1 | |
dc.identifier.endpage | 12 | |
dc.identifier.doi | https://doi.org/10.1111/dme.14584 | |
dc.identifier.urn | URN:NBN:no-93677 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 0742-3071 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/91048/1/Diabetic%2BMedicine%2B-%2B2021%2B-%2BDavidson%2B-%2BDeveloping%2Ba%2Brealist%2Binformed%2Bframework%2Bfor%2Bcultural%2Badaptation%2Bof%2Blifestyle.pdf | |
dc.type.version | PublishedVersion | |