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Published on: August 1, 2019
Patient education in ethnic minority and migrant patients with heart disease: A scoping review
Ling Zhang1, Gabriela Lima de Melo Ghisi2, Wendan Shi1
1Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, NSW, Australia; Charles Perkins Centre, Faculty of Medicine and Health, University of Sydney, NSW, Australia.
Objective:
to describe the characteristics and synthesise the effectiveness of culturally and linguistically appropriate educational interventions for ethnic minority/migrant patients with heart disease.
Methods:
Five databases were searched (journal inception to August/2023), identifying studies reported on health outcomes and patients' experience of educational interventions specifically designed for individuals from ethnic minority/migrant backgrounds. These outcomes included disease-related knowledge, self-care behaviours, risk factor profiles, hospital admissions, and patient satisfaction.
Results:
Out of 4772 records, 39 full-text manuscripts were screened, resulting in inclusion of five studies. These studies, primarily conducted in the USA and Australia, included a total of 938 participants. The interventions varied in delivery mode, content, and target patient groups. Notably, interventions addressing linguistic and cultural considerations showed potential for enhancing knowledge, self-care behaviours, and risk factor profiles among ethnic minority or migrant patients.
Conclusions:
Although culturally tailored educational interventions show promise, gaps in reporting and adherence persist. Further research is needed to evaluate effectiveness of these interventions and develop implementation frameworks.
Practice Implications:
Healthcare providers should prioritize culturally tailored interventions in cardiac rehabilitation, aiming to reduce health outcome disparities among ethnic minorities/migrants. Additionally, resources should be allocated towards the development of tailored programs that address the unique needs of these communities.
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