Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity

Transl Behav Med. 2017 Mar;7(1):6-15. doi: 10.1007/s13142-016-0436-2.

Abstract

There is pressing need for innovation in clinical research to more effectively recruit, engage, retain, and promote health among diverse populations overburdened by health disparities. The purpose of this study is to provide a detailed illustration of the cultural adaptation of an evidence-based intervention to bolster translational research with currently underserved communities. The cultural adaptation heuristic framework described by Barrera and colleagues is applied to the adaptation of a physical activity evidence-based intervention with adult Somali women. Widespread changes were required to ensure program feasibility and acceptability, including the reduction of assessment protocols and changes discordant with current trends in physical activity research. The cultural adaptation of evidence-based interventions offers an important mechanism for reducing health disparities. Improved reporting standards, assessment of features relevant to underserved communities, and greater funding requirements to ensure better representation are needed to promote more widespread access for all people.

Keywords: Cross-cultural research; Cultural adaptation; Health disparities; Physical activity interventions; Refugee research; Translational research.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Cultural Competency / education*
  • Cultural Diversity
  • Culturally Competent Care
  • Evidence-Based Medicine / methods*
  • Exercise / psychology*
  • Female
  • Health Equity*
  • Health Promotion / methods*
  • Healthcare Disparities
  • Humans
  • Middle Aged
  • Somalia / epidemiology