The process of culturally adapting the Healthy Beginnings early obesity prevention program for Arabic and Chinese mothers in Australia.
Childhood obesity
Culture
Ethnicity
Health promotion
Infant
Nutrition
Prevention
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
04 02 2021
04 02 2021
Historique:
received:
28
05
2020
accepted:
19
01
2021
entrez:
5
2
2021
pubmed:
6
2
2021
medline:
15
5
2021
Statut:
epublish
Résumé
Behavioural interventions for the early prevention of childhood obesity mostly focus on English-speaking populations in high-income countries. Cultural adaptation is an emerging strategy for implementing evidence-based interventions among different populations and regions. This paper describes the initial process of culturally adapting Healthy Beginnings, an evidence-based early childhood obesity prevention program, for Arabic and Chinese speaking migrant mothers and infants in Sydney, Australia. The cultural adaptation process followed the Stages of Cultural Adaptation theoretical model and is reported using the Framework for Reporting Adaptations and Modifications-Enhanced. We first established the adaptation rationale, then considered program underpinnings and the core components for effectiveness. To inform adaptations, we reviewed the scientific literature and engaged stakeholders. Consultations included focus groups with 24 Arabic and 22 Chinese speaking migrant mothers and interviews with 20 health professionals. With input from project partners, bi-cultural staff and community organisations, findings informed cultural adaptations to the content and delivery features of the Healthy Beginnings program. Program structure and delivery mode were retained to preserve fidelity (i.e. staged nurse calls with key program messages addressing modifiable obesity-related behaviours: infant feeding, active play, sedentary behaviours and sleep). Qualitative analysis of focus group and interview data resulted in descriptive themes concerning cultural practices and beliefs related to infant obesity-related behaviours and perceptions of child weight among Arabic and Chinese speaking mothers. Based on the literature and local study findings, cultural adaptations were made to recruitment approaches, staffing (bi-cultural nurses and project staff) and program content (modified call scripts and culturally adapted written health promotion materials). This cultural adaptation of Healthy Beginnings followed an established process model and resulted in a program with enhanced relevance and accessibility among Arabic and Chinese speaking migrant mothers. This work will inform the future cultural adaptation stages: testing, refining, and trialling the culturally adapted Healthy Beginnings program to assess acceptability, feasibility and effectiveness.
Sections du résumé
BACKGROUND
Behavioural interventions for the early prevention of childhood obesity mostly focus on English-speaking populations in high-income countries. Cultural adaptation is an emerging strategy for implementing evidence-based interventions among different populations and regions. This paper describes the initial process of culturally adapting Healthy Beginnings, an evidence-based early childhood obesity prevention program, for Arabic and Chinese speaking migrant mothers and infants in Sydney, Australia.
METHODS
The cultural adaptation process followed the Stages of Cultural Adaptation theoretical model and is reported using the Framework for Reporting Adaptations and Modifications-Enhanced. We first established the adaptation rationale, then considered program underpinnings and the core components for effectiveness. To inform adaptations, we reviewed the scientific literature and engaged stakeholders. Consultations included focus groups with 24 Arabic and 22 Chinese speaking migrant mothers and interviews with 20 health professionals. With input from project partners, bi-cultural staff and community organisations, findings informed cultural adaptations to the content and delivery features of the Healthy Beginnings program.
RESULTS
Program structure and delivery mode were retained to preserve fidelity (i.e. staged nurse calls with key program messages addressing modifiable obesity-related behaviours: infant feeding, active play, sedentary behaviours and sleep). Qualitative analysis of focus group and interview data resulted in descriptive themes concerning cultural practices and beliefs related to infant obesity-related behaviours and perceptions of child weight among Arabic and Chinese speaking mothers. Based on the literature and local study findings, cultural adaptations were made to recruitment approaches, staffing (bi-cultural nurses and project staff) and program content (modified call scripts and culturally adapted written health promotion materials).
CONCLUSIONS
This cultural adaptation of Healthy Beginnings followed an established process model and resulted in a program with enhanced relevance and accessibility among Arabic and Chinese speaking migrant mothers. This work will inform the future cultural adaptation stages: testing, refining, and trialling the culturally adapted Healthy Beginnings program to assess acceptability, feasibility and effectiveness.
Identifiants
pubmed: 33541310
doi: 10.1186/s12889-021-10270-5
pii: 10.1186/s12889-021-10270-5
pmc: PMC7863271
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
284Subventions
Organisme : New South Wales Health Translational Research Grant Scheme 2016
ID : TRG 2000
Organisme : Sydney Local Health District
ID : Not applicable
Organisme : Cross-cultural Public Health Research Award through the University of Sydney and the University of Western Sydney
ID : Not applicable
Organisme : The National Health and Medical Research Council Centre of Research Excellence in The Early Prevention of Obesity in Childhood
ID : GNT1101675
Références
Women Birth. 2010 Mar;23(1):22-8
pubmed: 19443285
Br J Nutr. 2018 Feb;119(4):464-471
pubmed: 29498346
Obesity (Silver Spring). 2014 Jul;22(7):1723-30
pubmed: 24415528
Prev Sci. 2017 Aug;18(6):681-688
pubmed: 28573426
Pediatr Obes. 2020 Nov;15(11):e12679
pubmed: 32543054
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD001871
pubmed: 22161367
Women Birth. 2019 Dec;32(6):533-542
pubmed: 30580993
Women Birth. 2020 Jun 26;:
pubmed: 32600988
Appetite. 2019 Jan 1;132:91-96
pubmed: 30308224
BMC Public Health. 2007 May 10;7:76
pubmed: 17490492
Acta Paediatr. 2015 Dec;104(467):114-34
pubmed: 26183031
BMC Public Health. 2017 Jan 14;17(1):79
pubmed: 28088203
BMC Med Res Methodol. 2013 Sep 18;13:117
pubmed: 24047204
BMC Public Health. 2008 Mar 31;8:103
pubmed: 18373877
Implement Sci. 2019 Dec 17;14(1):105
pubmed: 31847920
Obes Rev. 2012 Mar;13 Suppl 1:106-17
pubmed: 22309069
Annu Rev Clin Psychol. 2010;6:213-39
pubmed: 20192800
BMC Public Health. 2011 Dec 19;11:942
pubmed: 22182309
Matern Child Nutr. 2013 Jan;9(1):41-56
pubmed: 22909247
Nat Rev Endocrinol. 2019 Aug;15(8):456-478
pubmed: 31270440
BMC Public Health. 2010 Apr 08;10:182
pubmed: 20374663
Ann Behav Med. 2013 Aug;46(1):81-95
pubmed: 23512568
Child Youth Serv Rev. 2015 Jun 1;53:113-120
pubmed: 25960585
Eval Health Prof. 2008 Jun;31(2):226-39
pubmed: 18448857
Calif J Health Promot. 2011 Sep;9(2):40
pubmed: 24159268
J Adv Nurs. 2019 Nov;75(11):2855-2866
pubmed: 31225668
Implement Sci. 2009 Aug 07;4:50
pubmed: 19664226
Prev Sci. 2004 Mar;5(1):41-5
pubmed: 15058911
Implement Sci. 2019 Jun 6;14(1):58
pubmed: 31171014
Am J Prev Med. 2016 May;50(5):584-592
pubmed: 26572093
J Consult Clin Psychol. 2013 Apr;81(2):196-205
pubmed: 22289132
Child Obes. 2012 Feb;8(1):23-7
pubmed: 22799474
Am J Prev Med. 2016 Jun;50(6):780-789
pubmed: 26916260
J Adolesc Health. 2010 Apr;46(4):309-23
pubmed: 20307819
Health Educ Behav. 2003 Apr;30(2):133-46
pubmed: 12693519
Healthcare (Basel). 2020 Mar 16;8(1):
pubmed: 32188139
Am J Prev Med. 2016 Jun;50(6):761-779
pubmed: 26916261
BMC Pediatr. 2018 Jun 28;18(1):209
pubmed: 29954351
BMC Public Health. 2016 Mar 01;16:211
pubmed: 26931491
Arch Pediatr Adolesc Med. 2011 Aug;165(8):701-7
pubmed: 21810633
Implement Sci. 2013 Jun 10;8:65
pubmed: 23758995
Health Res Policy Syst. 2019 Mar 28;17(1):33
pubmed: 30922339
Aust N Z J Public Health. 2010 Aug;34(4):412-21
pubmed: 20649783
Women Birth. 2020 Jul;33(4):e391-e399
pubmed: 31353232
Women Birth. 2020 Mar 20;:
pubmed: 32205077
Int J Behav Nutr Phys Act. 2020 Apr 21;17(1):52
pubmed: 32316983
Nutr Metab Cardiovasc Dis. 2012 Oct;22(10):793-8
pubmed: 22809855
J Pediatr Health Care. 2019 Jan;33(1):80-91
pubmed: 30131199
Breastfeed Rev. 2002 Jul;10(2):27-32
pubmed: 12227561
Int J Nurs Stud. 2019 Feb;90:31-45
pubmed: 30583266
JAMA Pediatr. 2020 Jul 1;174(7):657-664
pubmed: 32282034
Nat Rev Endocrinol. 2018 Dec;15(1):5-6
pubmed: 30446743
Adv Nutr. 2012 Jan;3(1):73-82
pubmed: 22332105
Health Technol Assess. 2012;16(44):1-469
pubmed: 23158845
Pediatr Obes. 2020 Jun;15(6):e12618
pubmed: 32026653
BMC Public Health. 2009 Oct 14;9:387
pubmed: 19825193
J Transcult Nurs. 2020 Jan;31(1):87-99
pubmed: 31423926
Int J Obes (Lond). 2019 Jan;43(1):116-124
pubmed: 29980760
ANS Adv Nurs Sci. 2001 Jun;23(4):1-15
pubmed: 11393246
Ethn Dis. 1999 Winter;9(1):10-21
pubmed: 10355471
Int J Behav Nutr Phys Act. 2017 Aug 24;14(1):113
pubmed: 28836983
Obes Rev. 2013 Jan;14(1):29-51
pubmed: 23057473
BMC Public Health. 2014 Aug 01;14:779
pubmed: 25084804
J Abnorm Child Psychol. 1995 Feb;23(1):67-82
pubmed: 7759675
Ethn Health. 2005 Feb;10(1):33-56
pubmed: 15841586
Int J Environ Res Public Health. 2017 Dec 23;15(1):
pubmed: 29295487
Obes Rev. 2019 Dec;20(12):1691-1707
pubmed: 31478333
Appetite. 2016 Oct 1;105:375-84
pubmed: 27298085
Physiol Behav. 2008 Apr 22;94(1):61-70
pubmed: 18158165