SEARCHSYSTEMATIC_REVIEWcardiology, endocrinology

systematic_review·cardiology, endocrinology, epidemiology, public health, systematic review·PMC10645635

Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings

Journal of Racial and Ethnic Health Disparities · 6 authors, 7 centres

AI SUMMARY

FIDELITY 100%

This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.

AGENT 01 · STRUCTURED SUMMARY

TRACE TO SOURCE

“

TL;DR

The review found that these programs may have beneficial outcomes, but were often limited by small sample sizes.

Full summary

551 CHARS

The methods involved a structured search of three databases and analysis using Kreuter and colleagues' framework for cultural tailoring. Cultural tailoring strategies included peripheral, constituent-involving, evidential, linguistic, and sociocultural approaches. A key limitation noted was that the small sample size of included studies limited the findings. The implications are that the identified cultural tailoring strategies can inform future program design, which should aim for clearer descriptions of community involvement and broader reach.

STUDY TYPE

systematic_review

SPECIALTY

cardiology

SUMMARISED BY

AI pipeline

FIDELITY CHECK

100% · A

ORIGINAL PAPER

PMC10645635

Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings

Journal of Racial and Ethnic Health Disparities

READ THE FULL PAPER

ABSTRACT

Abstract Background Community-based culturally tailored education (CBCTE) programs for chronic diseases may reduce health disparities; however, a synthesis across chronic diseases is lacking. We explored (1) the characteristics and outcomes of CBCTE programs and (2) which strategies for culturally appropriate interventions have been used in CBCTE programs, and how they have been implemented. Methods A systematic review was conducted by searching three databases to identify empirical full-text literature on CBCTE programs for Black communities with cardiovascular disease, hypertension, diabetes, or stroke. Studies were screened in duplicate, then data regarding study characteristics, participants, intervention, and outcomes were extracted and analyzed. Cultural tailoring strategies within programs were categorized using Kreuter and colleagues’ framework. Results Of the 74 studies, most were conducted in the USA (97%) and delivered in one site (53%; e.g., church/home). CBCTE programs targeted diabetes (65%), hypertension (30%), diabetes and hypertension (1%), cardiovascular disease (3%), and stroke (1%). Reported program benefits included physiological, medication-related, physical activity, and literacy. Cultural tailoring strategies included peripheral (targeted Black communities), constituent-involving (e.g., community informed), evidential (e.g., integrated community resources), linguistic (e.g., delivered in community’s dialect/accent), and sociocultural (e.g., integrated community members’ religious practices). Conclusions CBCTE programs may have beneficial outcomes, but a small sample size limited several. The strategies identified can be adopted by programs seeking to culturally tailor. Future interventions should clearly describe community members’ roles/involvement and deliver programs in multiple locations to broaden reach. Trial Registration PROSPERO CRD42021245772. Supplementary Information The online version contains supplementary material available at 10.1007/s40615-022-01474-5. Keywords: Culturally tailored, Community-based, Systematic review, Health equity

CITATION EXPORT

Hardeep Singh, Joseph Fulton, Sofia Mirzazada et al.. Community-Based Culturally Tailored Education Programs for Black Communities with Cardiovascular Disease, Diabetes, Hypertension, and Stroke: Systematic Review Findings. Journal of Racial and Ethnic Health Disparities. (2022). https://doi.org/10.1007/s40615-022-01474-5

AUTHORS

6 · 7 CENTRES

Hardeep Singh, Joseph Fulton, Sofia Mirzazada, Marianne Saragosa, Elizabeth M Uleryk, Michelle L A Nelson

1Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, 500 University Avenue Toronto, Toronto, ON M5G 1V7 Canada
2KITE, Toronto Rehabilitation Institute, University Health Network, 520 Sutherland Drive, Toronto, ON Canada
3Temerty Faculty of Medicine, Rehabilitation Science Institute, University of Toronto, 500 University Avenue Toronto, Toronto, ON M5G 1V7 Canada
4Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON Canada
5March of Dimes Canada, 10 Overlea Blvd, Toronto, ON Canada
6Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, 1 Bridgepoint Drive, Toronto, ON Canada
7E. M. Uleryk Consulting, Toronto, ON Canada