title: Practical Issues in Developing a Culturally Tailored Physical Activity Promotion Program for Chinese and Korean American Midlife Women: A Pilot Study.
abstract: With advances in computer technologies, Web-based interventions are widely accepted and welcomed by health care providers and researchers. Although the benefits of Web-based interventions on physical activity promotion have been documented, the programs have rarely targeted Asian Americans, including Asian American midlife women. Subsequently, culturally competent Web-based physical activity programs for Asian Americans may be necessary.
  
  
  
  The purpose of our study was to explore practical issues in developing and implementing a culturally competent Web-based physical activity promotion program for 2 groups of Asian American women-Chinese American and Korean American midlife women-and to provide implications for future research.
  
  
  
  While conducting the study, the research team members wrote individual memos on issues and their inferences on plausible reasons for the issues. The team had group discussions each week and kept the minutes of the discussions. Then, the memos and minutes were analyzed using a content analysis method.
  
  
  
  We identified practical issues in 4 major idea categories: (1) bilingual translators' language orientations, (2) cultural sensitivity requirement, (3) low response rate, interest, and retention, and (4) issues in implementation logistics.
  
  
  
  Based on the issues, we make several suggestions for the use of bilingual translators, motivational strategies, and implementation logistics.
authors.affiliation: School of Nursing, Duke University, Durham, NC, United States.
authors.forename: Wonshik
authors.identifier: 0000-0002-3942-6557
authors.initials: W
authors.lastname: Chee
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.
authors.forename: Sangmi
authors.identifier: 0000-0002-1761-4696
authors.initials: S
authors.lastname: Kim
authors.affiliation: Department of Nursing, Linkou Chang Gung Memorial Hospital, Tao-Yuan, Taiwan.
authors.forename: Tsung-Lan
authors.identifier: 0000-0003-0204-4974
authors.initials: TL
authors.lastname: Chu
authors.affiliation: Department of Nursing, Linkou Chang Gung Memorial Hospital, Tao-Yuan, Taiwan.|Department of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.|Department of Nursing, Chang Gung University, Taoyuan, Taiwan.
authors.forename: Hsiu-Min
authors.identifier: 0000-0002-9671-7975
authors.initials: HM
authors.lastname: Tsai
authors.affiliation: School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.
authors.forename: Xiaopeng
authors.identifier: 0000-0002-6977-3883
authors.initials: X
authors.lastname: Ji
authors.affiliation: Department of Communication, University of California, Davis, CA, United States.
authors.forename: Jingwen
authors.identifier: 0000-0001-5464-3536
authors.initials: J
authors.lastname: Zhang
authors.affiliation: School of Nursing, Duke University, Durham, NC, United States.
authors.forename: Eunice
authors.identifier: 0000-0002-1954-7909
authors.initials: E
authors.lastname: Chee
authors.affiliation: School of Nursing, Duke University, Durham, NC, United States.
authors.forename: Eun-Ok
authors.identifier: 0000-0002-7253-7996
authors.initials: EO
authors.lastname: Im
mesh_terms: D000328:Adult; D001213:Asian; D002681:China / Q000208:ethnology; D054521:Cultural Competency; D015444:Exercise; D005260:Female; D006293:Health Promotion; D006801:Humans; D020407:Internet; D007723:Korea / Q000208:ethnology; D010865:Pilot Projects
keywords: Asian American women; Chinese American women; Korean American women; Web-based intervention; midlife; physical activity; women