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ToolsKatangwe-Chigamba, Thando, Kantilal, Kumud, Hartley-Palmer, Joseph, Salisu-Olatunji, Shukrat O., Seeley, Carys, Naughton, Felix and Chester, Rachel (2025) Diet and physical activity interventions for people from minority ethnic backgrounds in the UK: A scoping review exploring barriers, enablers and cultural adaptations. Journal of Racial and Ethnic Health Disparities, 12 (5). 3024–3068. ISSN 2196-8837
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Abstract
Background: Type 2 diabetes (T2D) and cardiovascular disease (CVD) are a global pandemic, driven by obesity, poor diet and physical inactivity. In the UK, the prevalence of T2D and CVD is higher in minority ethnic groups. Lifestyle prevention interventions can be effective but uptake amongst minority ethnic groups in the UK is low and the extent of cultural adaptations to increase engagement unknown. Aim: To explore barriers, enablers and culturally adapted lifestyle interventions in UK minority ethnic groups. Methods: Four electronic databases were searched from to January 2013–2023. Two independent reviewers carried out manuscript selection and data extraction. Barriers and enablers were mapped to the Capability + Opportunity + Motivation = Behaviour (COM-B) theoretical model. Intervention adaptations were linked to behaviour change strategies and reported within a Cultural Adaptation framework. Results: Twenty-three studies were included, reporting barriers/enablers, culturally adapted interventions or both. Barriers and enablers mostly mapped to social and physical opportunity, and reflective motivation. Common adaptation strategies considered behavioural influences related to culture, values, religious beliefs and/or traditions. Most impactful strategies were associated with using credible sources of information and reorganising social and environmental contexts. Discussion and conclusions: The current umbrella approach to preventative intervention delivery is unlikely to promote sustained participation in behaviour change amongst UK ethnic minorities. Engagement strategies for this population should consider key determinants such as social contexts, beliefs and cultural norms. Important research gaps include interventions investigating tailored interventions for Black populations, and the impact of negative social experiences (e.g., racism) on engagement.
| Item Type: | Article |
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| Additional Information: | Funding: This work was supported by Research Capability Funding from NHS Norfolk and Waveney Integrated Care Board (Grant numbers NWICB RCF2022/23) awarded to TKC and RC. The views expressed in this article are those of the authors and do not necessarily reflect those of the Norfolk and Waveney Intergrated Care Board. |
| Uncontrolled Keywords: | ethnic minority · diabetes prevention; cultural adaptations · tailored interventions · lifestyle interventions,lifestyle interventions,ethnic minority,tailored interventions,diabetes prevention; cultural adaptations,health(social science),public health, environmental and occupational health,anthropology,health policy,sociology and political science,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/3300/3306 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Social Sciences > School of Education and Lifelong Learning |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Social Sciences > Research Groups > Developmental Science Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging Faculty of Medicine and Health Sciences > Research Groups > Behavioural and Implementation Science Faculty of Medicine and Health Sciences > Research Groups > Health Promotion Faculty of Medicine and Health Sciences > Research Centres > Mental Health and Social Care (fka Lifespan Health) Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Centres > Population Health (former - to 2025) Faculty of Medicine and Health Sciences > Research Centres > Public Health |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 20 Aug 2024 12:30 |
| Last Modified: | 15 Oct 2025 00:10 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/96280 |
| DOI: | 10.1007/s40615-024-02112-y |
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