A framework to evaluate the cultural appropriateness of intervention research.

Journal Article (Journal Article)

Marked racial disparities exist in the prevalence, mortality, and treatment of asthma, between African American and White children and adolescents, despite increases in intervention trials to improve asthma outcomes. Yet, interventions to improve African American children's health must be culturally appropriate. To date, limited frameworks are available to decide whether an intervention tested with a targeted minority population employs a culturally appropriate design. In this article, we applied Bernal, Bonilla, and Bellido's ecological validity model to examine the cultural appropriateness of 12 randomized controlled trials of asthma self-management interventions published from 2000 to 2010. Most frequently met criteria were culturally appropriate methods of development and/or adaptation of interventions and inclusion of theoretical models. Least often met criteria were incorporating metaphors pertinent to participants and application of the language dimension. Based on this analysis, it is clear that an overarching framework is needed to guide the development of culturally targeted interventions.

Full Text

Duke Authors

Cited Authors

  • Crowder, SJ; Broome, ME

Published Date

  • December 2012

Published In

Volume / Issue

  • 34 / 8

Start / End Page

  • 1002 - 1022

PubMed ID

  • 22815180

Electronic International Standard Serial Number (EISSN)

  • 1552-8456

International Standard Serial Number (ISSN)

  • 0193-9459

Digital Object Identifier (DOI)

  • 10.1177/0193945912451656


  • eng