Achieving Cultural Appropriateness in Health Promotion Programs: Targeted and Tailored Approaches

Health Education and Behavior - Tập 30 Số 2 - Trang 133-146 - 2003
Matthew W. Kreuter1, Susan N. Lukwago2, Dawn C. Bucholtz2, Eddie M. Clark3, Vetta L. Sanders Thompson4
1Health Communication Research Laboratory, Department of Community Health, School of Public Health, Saint Louis University, St Louis, MO 63104, USA. [email protected]
2Health Communication Research Lab, Dept of Community Health, School of Public Health, St Louis U, St. Louis, MO, US
3Dept of Psychology, St Louis U, St. Louis, MO, US
4Dept of Psychology, U Missouri, St. Louis, MO, US

Tóm tắt

It is a truism of health education that programs and interventions will be more effective when they are culturally appropriate for the populations they serve. In practice, however, the strategies used to achieve cultural appropriateness vary widely. This article briefly describes five strategies commonly used to target programs to culturally defined groups. It then explains how a sixth approach, cultural tailoring, might extend these strategies and enhance our ability to develop effective programs for cultural groups. The authors illustrate this new approach with an example of cultural tailoring for cancer prevention in a population of lower income urban African American women.

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Tài liệu tham khảo

10.1007/BF00942243

2. Orlandi MA, Landers C, Weston R, Haley N: Diffusion of health promotion innovations, in Glanz K, Lewis FM, Rimer BK (eds.): Health Behavior and Health Education: Theory, Research, and Practice. San Francisco: Jossey-Bass, 1990.

10.1037/0003-066X.48.6.629

10.1177/0022002184015002002

5. Herkovits M: Man and His Works. New York: Knopf, 1948.

6. Triandis H, Lambert W, Berry J, et al: Handbook of Cross-Cultural Psychology. Boston: Allyn & Bacon, 1980.

10.1177/109019819602301S11

8. Gurak D, Rogler L: New York’s new immigrants: Who and where they are. The Hispanics. New York University Education Quarterly 11: 20-24, 1980.

10.2105/AJPH.84.12.1985

10. Huerta E, Macario E: Communicating health risk to ethnic groups: Reaching Hispanics as a case study. J Natl Cancer Inst Monogr 25: 23-26, 1999.

11. Marin G, Van Oss Marin B, Perez-Stable EJ, Sabogal F, Otero-Sabogal EJ: Changes in information as a function of a culturally appropriate smoking cessation community interventions for Hispanics. Am J Community Psychol 17: 847-864, 1990.

10.1002/cncr.2820741317

13. Marin G, Burhansstipanov L, Connell CM, et al: A research agenda for health education among underserved populations. Health Educ Q 22: 343-363, 1995.

10.1177/109019819602301S10

15. Petty R, Cacioppo J: Attitudes and Persuasion: Classic and Contemporary Approaches. Dubuque, IA: W.C. Brown, 1981.

16. Bechtel G, Davidhizar R: Integrating cultural diversity in patient education. Semin Nurse Manag 7: 193-197, 2000.

17. Schiffman C: Ethnovisual and sociovisual elements of design: Visual dialect as a basis for creativity in public service graphic design. Journal of Visual Literacy 14: 23-39, 1995.

18. Moriarty S: Visual communication as primary system. Journal of Visual Literacy 14: 11-21, 1995.

10.1207/s15427625tcq0501_2

20. Resnicow K, Baranowski T, Ahluwalia J, Braithwaite R: Cultural sensitivity in public health: Defined and demystified. Ethnicity and Disease 9: 10-21, 1999.

21. Weinstein N: The precaution adoption process. Health Psychol 7: 4, 1988.

10.1037/0278-6133.11.3.170

10.1037/0003-066X.42.6.565

10.1177/109019819702400401

25. Thomas J, Eng E, Clark M, Robinson J, Blumenthal C: Lay health advisors: Sexually transmitted disease prevention through community involvement. Am J Pub Health 88: 1252-53, 1998.

10.1177/109019819902600408

27. Green L, Kreuter M: Health Promotion Planning: An Educational and Ecological Approach (3rd ed.). Mountain View, CA: Mayfield, 1999, p. 621.

28. Rimal R, Adkins D: Using Computers to Narrowcast Health Messages: The Role of Audience Segmentation, Targeting, and Tailoring in Health Promotion. Paper presented at the American Public Health Association annual meeting, Atlanta, GA, 2001, p. 100.

10.1093/her/15.1.1

10.1177/109019819602301S05

31. Glanz K, Lewis F, Rimer B: Health Behavior and Health Education. San Francisco: Jossey-Bass, 1997, p. 496.

10.1007/BF02895026

33. Kreuter M, Farrell D, Olevitch L, Brennan L: Tailoring Health Messages: Customizing Communication With Computer Technology. Mahwah, NJ: Lawrence Erlbaum, 1999.

10.1353/hpu.2010.0245

35. Kreuter M, Skinner C, Haire-Joshu D, Clark E: Cultural Tailoring for Cancer Prevention in Black Women, Health Communication Research Laboratory (ed.) (National Cancer Institute Funded Grant #CA 81872), St. Louis, Missouri, 1998.

10.1177/00957984960224002

10.1177/00957984950212003

38. Nobles WW: African philosophy: Foundations for Black psychology, in Jones RL (ed.): Black Psychology. 3rd ed. Berkeley, CA: Cobb & Henry, 1991.

39. Jackson JS, Gurin G: National Survey of Black Americans, 1979-1980. Ann Arbor, MI: Interuniversity Consortium for Political and Social Research, 1987.

40. Haire-Joshu D, Auslander W, Houston C, Williams J: Religiosity in urban African-American women in St Louis—Pilot data. Personal communication, 1998.

41. Klonoff EA, Landrine H: Belief in the healing power of prayer: Prevalence and health correlates for African Americans. Western Journal of Black Studies 20: 207-210, 1996.

42. Brown D, Gary L: Stressful life events, social support networks, and the physical and mental health of urban Black adults. Journal of Human Stress Winter: 167-174, 1987.

10.1016/0277-9536(94)90151-1

44. Campbell M, Bernhardt J, Waldmiller M, et al: Varying the message source in computer tailored nutrition education. Patient Education and Counseling 36: 159-167, 1999.

10.1097/00003727-200110000-00008

46. White J, Parham T: The Psychology of Blacks: An African-American Perspective. 2nd ed. Englewood Cliffs, NJ: Prentice Hall, 1990.

10.1177/00957984950212004

48. Baldwin JA, Hopkins R: African-American and European-American cultural differences as assessed by the worldviews paradigm: An empirical analysis. Western Journal of Black Studies 14: 38-52, 1990.

49. Parker KD, Calhoun T: Predictors of life satisfaction among Black Americans. Western Journal of Black Studies 20: 134-139, 1996.

50. Landrine H, Klonoff E: Traditional African American family practices: Prevalence and correlates. Western Journal of Black Studies 20: 59-62, 1997.

51. Boyd-Franklin N: Black Families in Therapy. New York: Guilford, 1989.

10.2307/351096

53. Lozoff B, Wolf A, Davis N: Cosleeping in urban families with young children in the United States. Pediatrics 74: 171-182, 1984.

54. Mandansky D, Edlebrock C: Cosleeping in a community sample of 2- and 3-year old children. Pediatrics 86: 197-203, 1990.

10.1177/00957984960221007

56. Asante M: Afrocentricity: The Theory of Social Change. Buffalo, NY: Amulefi, 1980.

57. Thompson VLS: African American race consciousness and racial identification. Western Journal of Black Studies 15: 154-158, 1991.

10.1177/00957984940201006

10.1177/00957984940202002

60. Klonoff EA, Landrine H, Scott J: Double jeopardy: Ethnicity and women’s health, in Landrine H (ed.): Bringing Cultural Diversity to Feminist Psychology: Theory, Research, Practice. Washington, DC: American Psychological Association, 1995, pp. 335-360.

10.1086/208823

62. Cottle T: Perceiving Time: A Psychological Investigation With Men and Women. New York: John Wiley, 1976.

10.1086/208558

64. Harwood A: Ethnicity and Medical Care. Cambridge, MA: Harvard University Press, 1981.

10.1037/h0056306

66. Akbar Ni: The evolution of human psychology for African Americans, in Jones RL (ed.): Black Psychology. 3rd ed. Berkeley, CA: Cobb and Henry, 1991.

10.2307/2137262

10.1177/1077558700057001S09

69. Pasick R: Socioeconomic and cultural factors in the development and use of theory, in Glanz K, Lewis F, Rimer B (eds.): Health Behavior & Health Education: Theory, Research & Practice. San Francisco: Jossey-Bass, 1997.

70. U.S. Department of Health & Human Services: Healthy People 2010 Objectives. Washington, DC: Government Printing Office, 2000.