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What to Consider in a Culturally Tailored Technology-Based Intervention?
Eun-Ok Im1, Wonshik Chee, Yun Hu
1Author Affiliations: School of Nursing, Duke University (Drs Im, W. Chee, Hu, Kim, and Choi and Ms Hamajima), Durham, NC; Shanghai Jiao Tong University (Dr Hu), Shanghai, China; and School of Engineering, North Carolina State University (Ms Chee), Raleigh.
Implementing culturally tailored technology interventions for Asian American breast cancer survivors faces challenges in technology literacy, language, cultural values, staff competence, security, and logistics. Addressing these practical issues is crucial for future minority health research.
Area of Science:
- Health disparities research
- Digital health interventions
- Oncology patient support
Background:
- Culturally tailored interventions are vital for addressing health disparities in cancer care.
- Technology-based interventions offer scalable solutions but require careful implementation.
- Asian American breast cancer survivors face unique challenges in accessing and utilizing health resources.
Purpose of the Study:
- To identify practical challenges encountered during the implementation of a culturally tailored, technology-based intervention for Asian American breast cancer survivors.
- To provide insights into overcoming barriers for future research in minority health.
Main Methods:
- Analysis of research team memos and diaries from a large-scale technology-based breast cancer intervention study.
- Qualitative content analysis of documented implementation issues and their underlying reasons.
Main Results:
- Key implementation issues identified include technology literacy and preferences, language barriers, cultural attitudes/beliefs/values, staff competence, data security/confidentiality concerns, and time/geographical constraints.
- These practical issues highlight the need for culturally sensitive approaches in digital health delivery.
Conclusions:
- Future research utilizing culturally tailored technology-based interventions among racial and ethnic minorities must proactively address identified practical challenges.
- Recommendations are proposed to enhance the effectiveness and accessibility of digital health tools for diverse cancer survivor populations.
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