Souraya Sidani1, Sarah Ibrahim2, Jana Lok3, Lifeng Fan4, Mary Fox5. 1. 1 School of Nursing, Ryerson University, Toronto, Ontario, Canada. 2. 2 School of Nursing, University of Western Ontario, London, Ontario, Canada. 3. 3 Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. 4. 4 Toronto Chronic Diseases Centre, Toronto, Ontario, Canada. 5. 5 School of Nursing, York University, Toronto, Ontario, Canada.
Abstract
BACKGROUND: Persons' cultural beliefs about a health problem can affect their perceived acceptability of evidence-based interventions, undermining evidence-based interventions' adherence, and uptake to manage the problem. Cultural adaptation has the potential to enhance the acceptability, uptake, and adherence to evidence-based interventions. PURPOSE: To illustrate the implementation of the first two phases of the integrated strategy for cultural adaptation by examining Chinese Canadians' perceptions of chronic insomnia and evidence-based behavioral therapies for insomnia. METHODS: Chinese Canadians ( n = 14) with chronic insomnia attended a group session during which they completed established instruments measuring beliefs about sleep and insomnia, and their perceptions of factors that contribute to chronic insomnia. Participants rated the acceptability of evidence-based behavioral therapies and discussed their cultural perspectives regarding chronic insomnia and its treatment. RESULTS: Participants actively engaged in the activities planned for the first two phases of the integrated strategy and identified the most significant factor contributing to chronic insomnia and the evidence-based intervention most acceptable for their cultural group. CONCLUSIONS: The protocol for implementing the two phases of the integrated strategy for cultural adaptation of evidence-based interventions was feasible, acceptable, and useful in identifying culturally relevant evidence-based interventions.
BACKGROUND:Persons' cultural beliefs about a health problem can affect their perceived acceptability of evidence-based interventions, undermining evidence-based interventions' adherence, and uptake to manage the problem. Cultural adaptation has the potential to enhance the acceptability, uptake, and adherence to evidence-based interventions. PURPOSE: To illustrate the implementation of the first two phases of the integrated strategy for cultural adaptation by examining Chinese Canadians' perceptions of chronic insomnia and evidence-based behavioral therapies for insomnia. METHODS: Chinese Canadians ( n = 14) with chronic insomnia attended a group session during which they completed established instruments measuring beliefs about sleep and insomnia, and their perceptions of factors that contribute to chronic insomnia. Participants rated the acceptability of evidence-based behavioral therapies and discussed their cultural perspectives regarding chronic insomnia and its treatment. RESULTS:Participants actively engaged in the activities planned for the first two phases of the integrated strategy and identified the most significant factor contributing to chronic insomnia and the evidence-based intervention most acceptable for their cultural group. CONCLUSIONS: The protocol for implementing the two phases of the integrated strategy for cultural adaptation of evidence-based interventions was feasible, acceptable, and useful in identifying culturally relevant evidence-based interventions.
Entities:
Keywords:
Chinese Canadians; Chronic insomnia; behavioral therapy; cultural adaptation; evidence-based interventions
Authors: Mirëlinda Shala; Naser Morina; Sebastian Burchert; Arlinda Cerga-Pashoja; Christine Knaevelsrud; Andreas Maercker; Eva Heim Journal: Internet Interv Date: 2020-08-27