Public Health
Volume 161, 2018, Pages 50-58

Developing culturally adapted lifestyle interventions for South Asian migrant populations: a qualitative study of the key success factors and main challenges (Article)

Terragni L.* , Beune E. , Stronks K. , Davidson E. , Qureshi S. , Kumar B. , Diaz E.
  • a Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, Oslo, N-0213, Norway, Institute of Nursing and Health Promotion, Department of Health, OsloMet – Oslo Metropolitan University, Oslo, Norway
  • b Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, AZ 1105, Netherlands
  • c Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Meibergdreef 9, Amsterdam, AZ 1105, Netherlands
  • d Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Old Medical School, Teviot Place, Edinburgh, Scotland EH8 9AG, United Kingdom
  • e Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, Oslo, N-0213, Norway
  • f Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, Oslo, N-0213, Norway, Department of Community Medicine, Institute of Health and Society, University of Oslo, Postboks 4959 Nydalen, Oslo, 0424, Norway
  • g Norwegian Centre for Migration and Minority Health-The Norwegian Institute of Public Health, PO Box 222 Skøyen, Oslo, N-0213, Norway, Department of Global Public Health and Primary Care, University of Bergen, PO. Box 7804 N-5020, Bergen, Norway

Abstract

Objectives: South Asian migrant populations have a high risk of non-communicable diseases, such as type 2 diabetes (T2D). The aim of this study is to provide in-depth insight into key success factors and challenges in developing culturally adapted lifestyle interventions to prevent T2D within South Asian migrant populations. Study design: The study has a qualitative research design. Methods: In-depth interviews, using a semi-structured interview guide, were conducted with eight researchers and project leaders from five studies of culturally adapted lifestyle interventions for South Asian migrant populations. Data were analysed using a grounded theory approach. Results: Four main themes emerged as key factors for success: ‘approaching the community in the right way’ ‘the intervention as a space for social relations’ ‘support from public authorities’ and ‘being reflexive and flexible’. Two themes emerged as challenges: ‘struggling with time’ and ‘overemphasising cultural differences’. Conclusions: Our findings augment existing research by establishing the importance of cooperation at the organisational and institutional levels, of fostering the creation of social networks through interventions and of acknowledging the multiplicity of identities and resources among individuals of the same ethnic origin. © 2018 The Royal Society for Public Health

Author Keywords

Lifestyle interventions Key factors for success Cultural adaptation Qualitative study South Asians Main challenges

Index Keywords

physical activity lifestyle social capital cooperation Life Style health promotion adaptation South Asian health risk non insulin dependent diabetes mellitus Randomized Controlled Trials as Topic randomized controlled trial (topic) Diabetes Mellitus, Type 2 human community middle aged Asia statistics and numerical data ethnic group social network social interaction ethnology cultural competence procedures qualitative research Young Adult Humans migrant psychology noncommunicable disease Adolescent male semi structured interview female Southeast Asia qualitative analysis cultural factor Article organization and management social adaptation program evaluation lifestyle modification adult migration authority Culturally Competent Care transcultural care Transients and Migrants social class public health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048263350&doi=10.1016%2fj.puhe.2018.04.008&partnerID=40&md5=243d5419cd6541b99e57e1fdb2b5c02e
DOI: 10.1016/j.puhe.2018.04.008
ISSN: 00333506
Cited by: 2
Original Language: English