通过适应和实施LUCHA所吸取的经验教训:一个深层结构的文化定制的健康饮食随机试点干预,针对多元种族的拉丁裔
Josiemer Mattei1, Areli Caballero-González1, Ana Maafs-Rodríguez1,2
1Department of Nutrition, Harvard TH Chan School of Public Health, Boston, MA, United States.
Frontiers in public health
|March 6, 2024
概括
文化定制的短信改善了拉丁人的饮食习惯. LUCHA (拉丁人团结为文化健康饮食) 的干预调整了针对不同拉丁裔遗产的信息,为未来的数字健康计划提供了教训.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 健康 行为 健康行为
背景情况:
- 饮食质量和行为对拉丁裔健康至关重要.
- 需要文化定制的干预措施来解决不同拉丁裔社区的特定需求.
- 以前的干预措施可能无法充分解决各种拉丁裔子群体的文化细微差别.
研究的目的:
- 适应和实施LUCHA (拉丁人团结为文化健康饮食),一个试点干预.
- 改善马萨诸塞州拉丁裔的饮食质量和行为.
- 确定未来文化定制数字健康计划的经验教训,特别是在COVID-19大流行期间.
主要方法:
- 基于理性行动/计划行为理论的文化适应框架被使用.
- 75名拉丁裔成年人被随机分配,接受四个月的控制 (表面层面) 或干预 (深层结构,种族定制) 短信.
- 通过问卷和临床测量在基线,2个月和4个月收集数据,因COVID-19而适应了面对面和虚拟方法.
主要成果:
- 卢卡的干预为适应和实施健康饮食计划提供了宝贵的教训.
- 确定了挑战和机遇,为未来的数字健康倡议提供了建议.
- 具体建议包括增强语言能力,并利用各种族群熟悉的沟通平台.
结论:
- 针对不同拉丁裔人口的有效营养计划,深度结构的文化信息是必不可少的.
- 卢卡的干预提供了一个模型,可以为其他族群制定类似计划.
- 文化适应是改善少数民族健康倡议中的饮食质量和行为的关键.
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