Culturally tailored interventions for ethnic minorities: A scoping review.
Jee Young Joo, Megan F Liu
PMID 34388862WHAT IT FOUND
Culturally tailored interventions for ethnic minority patients and caregivers were reported as patient-centred and knowledge-building, but common weaknesses were low attendance, missing process measurement and unclear guidelines.
This maps gaps, not proof of effectiveness.
Key findings
01The review included 58 studies targeting African American, Hispanic or Latinx, and Asian American or Asian immigrant populations.
02Reported weaknesses were unclear guidelines, low attention and retention, failure to measure processes, and inadequate cultural competency training.
03Reported strengths were culturally respectful patient-centred care, healthy lifestyle promotion, increased family and community supports, technology use, and increased disease knowledge.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a scoping review, not a trial or meta-analysis, so it maps reported themes but does not show whether culturally tailored interventions improve patient outcomes. No quality assessment of the included studies was done, so weak and strong studies were treated together when themes were grouped. Only English-language studies conducted in the United States were included, and government or policy papers, books and dissertations were excluded. The review did not separate results by age group, specific disease or specific ethnic minority group, so it is hard to apply to one patient population. The included studies varied widely in design, population and intervention, and some included nurses or healthcare practitioners as participants rather than patients. The review did not calculate effect sizes or compare interventions directly.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read this as proof that culturally tailored interventions improve patient outcomes. It is a scoping review that reported themes from studies of mixed quality and did not check study quality or measure intervention effects.