Key result
Community panel successfully adapts the ACCESS cardiometabolic self-management intervention for Punjabi, Tamil, and Caribbean groups.
Why the study?
The ACCESS SMES intervention reduced cardiovascular hospitalizations in White, English-speaking adults, but adaptation was needed to equitably reach and culturally engage diverse groups.
Community-engaged cultural adaptation of cardiometabolic self-management education is a promising approach to promote engagement among diverse ethnocultural communities.
May enhance relevance of cardiometabolic self-management for diverse groups; leaves open whether adaptations reduce hospitalizations.
Introduction and Objective: The ACCESS* SMES intervention used advertising principles to reduce cardiovascular hospitalizations by 36% in White, English-speaking adults in Alberta, Canada. We adapted ACCESS to equitably reach and culturally appropriately engage diverse groups in Ontario. Methods: Using the Framework for Reporting Adaptations and Modifications, we formed a Community Advisory Panel to conduct pre-implementation, planned content adaptation of ACCESS for Punjabi, Tamil, and Caribbean people aged ≥40 years with (1) type 2 diabetes, coronary artery disease, stroke, chronic kidney disease, or heart failure; or (2) ≥2 of: smoking, hypertension, dyslipidemia. We used a participatory approach to develop (1) adaptations for each cultural group, while maintaining the original structure and intent; and (2) translations (Punjabi, Tamil only). Results: We included 8 participants (5 women, 3 men; mean age 63.0 [11.4] years). Each cultural group developed unique adaptations (Table) to match recipient context (e.g. socio-cultural norms, traditions, values, attitudes, language, health literacy, food practices, medication beliefs and misinformation, financial barriers, immigration history, and mistrust) and organizational context (e.g. provincial supports). Conclusion: Community-engaged cultural adaptation of cardiometabolic SMES is a promising approach to promoting uptake and engagement by ethnoculturally diverse communities. Disclosure A. Thandi: None. V. Ranjit: None. T. Kanagalingam: None. S. Sharif: None. P. Suthanthirarajan: None. D. Budhram: None. D.J. Campbell: Research Support; Current; Siemens. Speaker's Bureau; Ended; Siemens. F.M. Ali: None. V. Malik: None. H. Sivakumar: None. L. Lipscombe: None. K.M. Smith: None. R. Pannu: None. C. Ke: None. Funding Canadian Institutes of Health Research (PCS-197176)
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THANDI et al. (2026) studied Cardiometabolic disease (n=8). Culturally adapted ACCESS SMES intervention was evaluated on Development of cultural adaptations for each group. A community advisory panel of 8 participants successfully developed unique cultural adaptations of the ACCESS cardiometabolic self-management intervention for Punjabi, Tamil, and Caribbean groups.
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