Cultural Adaptation of an mHealth Intervention for Diabetes Self-Management: An Ecological Validity Model Approach.

IF 1.2 4区医学 Q3 NURSING Journal of Transcultural Nursing Pub Date : 2025-03-12 DOI:10.1177/10436596251321466

Anna Nguyen, Valerie Eschiti, Zsolt Nagykaldi, Thanh C Bui, Uyen-Sa Nguyen, Tam Nguyen, Angelina P Nguyen, Joyce Tow, Kathleen Dwyer

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Abstract

Introduction: It is essential to adapt mobile health (mHealth) interventions to cultural contexts of target populations to enhance acceptance and effectiveness. This paper describes the translation and cultural adaptation process of an mHealth intervention to educate and support diabetes self-management among U.S. Vietnamese.

Methodology: Eight essential dimensions of the Ecological Validity Model (EVM) guided the adaptation and emphasized culturally appropriate educational content and social contexts.

Results: By applying the EVM framework, cultural norms, values, and preferences of U.S. Vietnamese were aligned with the intervention.

Discussion: Through a systematic process employing the EVM, it was demonstrated that an mHealth intervention was culturally adapted among U.S. Vietnamese for diabetes self-management. Further research is needed to determine if this process is effective for other chronic conditions or other U.S. Asian groups. The EVM may serve as a valuable framework for transcultural nurses to adapt mHealth interventions for research, practice, and education.

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导言：移动医疗（mHealth）干预措施必须适应目标人群的文化背景，以提高接受度和有效性。本文介绍了一项移动医疗干预措施的翻译和文化适应过程，该干预措施旨在教育和支持美国越南裔糖尿病患者进行自我管理：方法：生态有效性模型（EVM）的八个基本维度指导了改编工作，并强调了与文化相适应的教育内容和社会环境：结果：通过应用生态有效性模型框架，美国越南人的文化规范、价值观和偏好与干预措施相一致：讨论：通过采用EVM的系统过程，证明了一种移动医疗干预措施在美国越南人糖尿病自我管理中的文化适应性。还需要进一步研究，以确定这一过程是否对其他慢性疾病或其他美国亚裔群体有效。EVM 可以作为跨文化护士调整移动医疗干预研究、实践和教育的宝贵框架。

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来源期刊

Journal of Transcultural Nursing 医学-护理

CiteScore

4.60

自引率

4.80%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Transcultural Nursing (TCN) is a peer-reviewed journal that offers nurses, educators, researchers, and practitioners theoretical approaches and current research findings that have direct implications for the delivery of culturally congruent health care and for the preparation of health care professionals who will provide that care. This journal is a member of the Committee on Publication Ethics (COPE).