Adapting an Effective Health-Promoting Intervention-Choose to Move-for Chinese Older Adults in Canada.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-10-14 Print Date: 2024-04-01 DOI:10.1123/japa.2023-0064

Venessa Wong, Thea Franke, Heather McKay, Catherine Tong, Heather Macdonald, Joanie Sims-Gould

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Abstract

Evidence is sparse on how community-based health-promoting programs can be culturally adapted for racially minoritized, immigrant older adult populations. Choose to Move (CTM) is an evidence-based health-promoting program that enhances physical activity and mobility and diminished social isolation and loneliness in older adults in British Columbia, Canada. However, racially minoritized older adults were not reached in initial offerings. We purposively sampled CTM delivery staff (n = 8) from three not-for-profit organizations, in Metro Vancouver, British Columbia, that serve Chinese older adults. We used semistructured interviews, ethnographic observations, and meeting minutes to understand delivery staff's perspectives on factors that influence CTM adaptations for Chinese older adults. Deductive framework analysis guided by an adaptation framework, Framework for Reporting Adaptations and Modifications-Enhanced, found three dominant cultural- and immigration-related factors influenced CTM adaptations for Chinese older adults: (a) prioritizations, (b) familiarity, and (c) literacy. Findings may influence future program development and delivery to meet the needs of racially minoritized older adult populations.

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适应有效的健康促进干预选择为加拿大的中国老年人搬家。

关于社区健康促进计划如何在文化上适应种族少数化、移民老年人口的证据很少。Choose to Move（CTM）是一项基于证据的健康促进计划，旨在增强加拿大不列颠哥伦比亚省老年人的身体活动和行动能力，减少社交孤立和孤独感。然而，在最初的发行中，没有接触到种族少数的老年人。我们有针对性地从不列颠哥伦比亚省温哥华市的三个非营利组织抽取了CTM配送人员（n=8），这些组织为中国老年人提供服务。我们使用半结构化访谈、民族志观察和会议记录来了解快递员对影响中国老年人CTM适应的因素的看法。在适应框架“报告适应和修改增强框架”的指导下，演绎框架分析发现，三个主要的文化和移民相关因素影响了中国老年人的CTM适应：（a）优先权，（b）熟悉度和（c）识字率。研究结果可能会影响未来的项目开发和实施，以满足种族少数化的老年人的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.