A Scoping Review to Contribute to Knowledge About Culturally Adapting Interventions for Latino Family Caregivers of Persons Living With Dementia.
Daria B Neidre, Roxana E Delgado, Kimberly S Peacock and 2 others
PMID 38828565WHAT IT FOUND
For Latino family caregivers, adapting interventions means more than translating into Spanish.
Programs used family-centered values, personal connection, trusted community partners, bilingual staff, and dementia education, with reported better engagement and caregiver outcomes.
Key findings
01Spanish translation was described as necessary but insufficient for cultural adaptation.
02Adaptation often involved teams with Latino caregivers and service providers, and delivery methods such as storytelling or proverbs.
03Included studies reported improved caregiver knowledge and decreased stress, depression, anxiety and burden, but the review says these conclusions are limited by weak designs.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The search was limited to English-language studies, so relevant Spanish-language work may have been missed. The review did not appraise study quality, so the strength of the included studies is not judged. Many included studies were pilots or descriptive designs, and the review says conclusions about outcomes are limited by weak designs. There is insufficient evidence to say whether culturally adapted interventions work better than non-adapted interventions. Latino subgroups may differ, but analyses by subgroup were not possible because of missing information or small numbers. Some studies did not report an adaptation framework, so it is unclear how systematically the adaptations were done.
Declared interests
The authors declared no potential conflicts of interest. The work was funded by the Retirement Research Foundation, grant number #2021318, also named the RRF Foundation for Aging.
The easy way to misread this
Do not conclude that culturally adapted interventions work better than standard programs. The review included many pilot studies, did not appraise quality, and says there is insufficient evidence to comment on the added benefit of a culturally adapted intervention versus a non-adapted one.