title: Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity.
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.
authors: Department of Family Medicine & Public Health, UC San Diego, San Diego, CA, USA. Kate.Murray@qut.edu.au.|School of Psychology and Counselling, Queensland University of Technology, QUT-Kelvin Grove Campus, GPO, Box 2434, Brisbane, Queensland, 4001, Australia. Kate.Murray@qut.edu.au.
authors: Kate E
authors: KE
authors: Murray
authors: The Health Management Academy, Alexandria, VA, USA.
authors: Azieb
authors: A
authors: Ermias
authors: Clinton Health Access Initiative, Boston, MA, USA.
authors: Amber
authors: A
authors: Lung
authors: Department of Pediatrics, UC San Diego, San Diego, CA, USA.
authors: Amina Sheik
authors: AS
authors: Mohamed
authors: Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
authors: B Heidi
authors: BH
authors: Ellis
authors: Department of Family Medicine & Public Health, UC San Diego, San Diego, CA, USA.
authors: Sarah
authors: S
authors: Linke
authors: Department of Family Medicine & Public Health, UC San Diego, San Diego, CA, USA.
authors: Jacqueline
authors: J
authors: Kerr
authors: School of Public Health, University of Washington, Seattle, WA, USA.
authors: Deborah J
authors: DJ
authors: Bowen
authors: Department of Family Medicine & Public Health, UC San Diego, San Diego, CA, USA.
authors: Bess H
authors: BH
authors: Marcus
mesh_terms: D000328:Adult; D054521:Cultural Competency / Q000193:education*; D018864:Cultural Diversity; D065246:Culturally Competent Care; D019317:Evidence-Based Medicine / Q000379:methods*; D015444:Exercise / Q000523:psychology*; D005260:Female; D000069576:Health Equity; D006293:Health Promotion / Q000379:methods*; D054625:Healthcare Disparities; D006801:Humans; D008875:Middle Aged; D012998:Somalia / Q000453:epidemiology
keywords: Cross-cultural research; Cultural adaptation; Health disparities; Physical activity interventions; Refugee research; Translational research