Tools
Tools
Katangwe-Chigamba, Thando, Kantilal, Kumud, Hartley-Palmer, Joseph, Salisu-Olatunji, Shukrat, Seeley, Carys, Naughton, Felix and Chester, Rachel 
ORCID: https://orcid.org/0000-0003-1979-0682
(2024)
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.
ISSN 2196-8837
Preview |
PDF (s40615-024-02112-y)
- Published Version
Available under License Creative Commons Attribution. Download (1MB) | Preview |
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.
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |