Fabian Frank

Auf dem Weg zu kultursensitiven Patienteninformationsmaterialien: Ergebnisse einer Fokusgruppenuntersuchung

AIM This study was part of a double-blind randomised controlled trial aimed to evaluate the effects of culture-sensitive patient information materials (PIM) compared with standard translated material. The study aimed to obtain the data for the development of culture sensitive PIM about unipolar depression for the 4 largest migrant groups in Germany (Turkish, Polish, Russian and Italian migration background). METHOD A qualitative study using 4 manual-based focus groups (FG), one for each migrant group, with 29 participants (9 with a Turkish (TüG), 8 with a Polish (PoG), 5 with a Russian (RuG) and 7 with an Italian (ItG) migration background) was conducted. The discussions were recorded, transcribed and analyzed using qualitative content analysis. RESULTS 7 categories were identified. For the (1.) development of a good culture-sensitive PIM an easy language, a clear structure, an assessable extent of information and the avoidance of stereotypes were highlighted cross-culturally in all four FG. RuG and PoG had the largest (2.) lack of information about the German health care system. Concerning the (3.) illness perception RuG named problems with recognizing and understanding depression. PoG, RuG and TüG thematized (4.) feared consequences of the illness and of professional helpseeking. ItG, PoG, RuG had fears concerning (5.) psychotropic drugs as a result from insufficient knowledge about medication. For (6.) doctor-patient relationship cultural specifics were identified in RuG and TüG and for (7.) migration or culture specific reasons for depression in RuG, ItG and TüG. CONCLUSION Although the identified categories were relevant for all or for the majority of migrant groups, for most categories specific cultural aspects were discovered. These findings show the importance of a culture sensitive adaptation of PIM.

Transkulturelle Prävention von Alkoholerkrankungen

BACKGROUND For migrants who are older than 50, alcohol frequently becomes a problem. Simultaneously alcohol-related prevention measures only reach this group insufficiently. Therefore, a transcultural concept for preventing alcohol-related disorders in elderly (≥ 45 years) migrants has been developed. METHOD The transcultural concept, which consisted of a prevention event as well as a cultural and language-sensitive information booklet, was evaluated in a cluster-randomized controlled trial (n = 310 immigrants). As a control condition there was a prevention event with materials from Deutsche Hauptstelle für Suchtfragen (German Centre for Addiction Issues). Data were obtained before and after the event, as well as after 6 months. All materials were available both in German and in Russian, Italian, Spanish and Turkish. RESULTS Directly after the event, as well as 6 months thereafter, the transcultural approach was rated significantly better than the general prevention event. 73.4 % of the participants read the cultural and migration-sensitive booklet, whereas only 21.2 % in the control condition (p = 0.0001). Furthermore, significantly more participants of the transcultural approach reported a reduced alcohol consumption (49.4 vs. 16.7 %; p = 0.004) after 6 months. CONCLUSION The consideration of diversity with respect to cultural, migration-related, socio demographic und linguistic aspects improves the effectiveness of prevention measures.ZusammenfassungHintergrundAlkohol wird bei Personen mit Migrationshintergrund, insbesondere ab dem 50. Lebensjahr, zu einem Problem. Präventionsmaßnahmen erreichen diese Gruppe aber nur unzulänglich. Vor diesem Hintergrund wurde ein transkulturelles Präventionskonzept zur Primärprävention alkoholbezogener Störungen entwickelt und evaluiert.MethodikCluster-randomisierte kontrollierte Studie mit n = 310 älteren (≥ 45 Jahre) Personen mit Migrationshintergrund zur Evaluation eines transkulturellen Präventionskonzepts. Das Präventionskonzept bestand aus einer migrationssensitiven transkulturellen Präventionsveranstaltung sowie aus kultur- und sprachsensitiven Informationsmaterialien. Als Kontrollbedingung diente eine Präventionsveranstaltung mit Materialien der Deutschen Hauptstelle für Suchtfragen und einer deutschen Broschüre. Daten wurden vor und nach der Veranstaltung sowie nach sechs Monaten schriftlich erhoben. Alle Materialien standen sowohl auf Deutsch als auch auf Russisch, Italienisch, Spanisch und Türkisch zur Verfügung.ErgebnisseDas transkulturelle Präventionskonzept wurde sowohl direkt nach der Veranstaltung als auch sechs Monate später signifikant besser bewertet als die allgemeine Präventionsveranstaltung. Während 73,4 % der Teilnehmer die kultur- und migrationssensitive Broschüre vollständig lasen, waren es in der Kontrollbedingung nur 21,2 % (p = 0,0001). Weiterhin gaben die Teilnehmer der transkulturellen Präventionsveranstaltung nach sechs Monaten signifikant häufiger an, ihren Alkoholkonsum reduziert zu haben (49,4 vs. 16,7 %; p = 0,004).DiskussionDie Berücksichtigung der Diversität bezüglich kultureller, migrationsbezogener, soziodemografischer und sprachlicher Faktoren erhöht die Effektivität von Präventionsmaßnahmen.AbstractBackgroundFor migrants who are older than 50, alcohol frequently becomes a problem. Simultaneously alcohol-related prevention measures only reach this group insufficiently. Therefore, a transcultural concept for preventing alcohol-related disorders in elderly (≥ 45 years) migrants has been developed.MethodThe transcultural concept, which consisted of a prevention event as well as a cultural and language-sensitive information booklet, was evaluated in a cluster-randomized controlled trial (n = 310 immigrants). As a control condition there was a prevention event with materials from Deutsche Hauptstelle für Suchtfragen (German Centre for Addiction Issues). Data were obtained before and after the event, as well as after 6 months. All materials were available both in German and in Russian, Italian, Spanish and Turkish.ResultsDirectly after the event, as well as 6 months thereafter, the transcultural approach was rated significantly better than the general prevention event. 73.4 % of the participants read the cultural and migration-sensitive booklet, whereas only 21.2 % in the control condition (p = 0.0001). Furthermore, significantly more participants of the transcultural approach reported a reduced alcohol consumption (49.4 vs. 16.7 %; p = 0.004) after 6 months.ConclusionThe consideration of diversity with respect to cultural, migration-related, socio demographic und linguistic aspects improves the effectiveness of prevention measures.

Transkulturelle Prävention von Alkoholerkrankungen@@@Transcultural prevention of alcohol-related disorders: Effekte eines kultur- und migrationssensitiven Ansatzes auf Einstellungen und Verhalten älterer Personen mit Migrationshintergrund – Eine Cluster-randomisierte kontrollierte Studie@@@Effects of a culture- and migration-sensitive approach in elderly migrants with respect to attitudes and behavior: a cluster randomized controlled trial

BACKGROUND For migrants who are older than 50, alcohol frequently becomes a problem. Simultaneously alcohol-related prevention measures only reach this group insufficiently. Therefore, a transcultural concept for preventing alcohol-related disorders in elderly (≥ 45 years) migrants has been developed. METHOD The transcultural concept, which consisted of a prevention event as well as a cultural and language-sensitive information booklet, was evaluated in a cluster-randomized controlled trial (n = 310 immigrants). As a control condition there was a prevention event with materials from Deutsche Hauptstelle für Suchtfragen (German Centre for Addiction Issues). Data were obtained before and after the event, as well as after 6 months. All materials were available both in German and in Russian, Italian, Spanish and Turkish. RESULTS Directly after the event, as well as 6 months thereafter, the transcultural approach was rated significantly better than the general prevention event. 73.4 % of the participants read the cultural and migration-sensitive booklet, whereas only 21.2 % in the control condition (p = 0.0001). Furthermore, significantly more participants of the transcultural approach reported a reduced alcohol consumption (49.4 vs. 16.7 %; p = 0.004) after 6 months. CONCLUSION The consideration of diversity with respect to cultural, migration-related, socio demographic und linguistic aspects improves the effectiveness of prevention measures.ZusammenfassungHintergrundAlkohol wird bei Personen mit Migrationshintergrund, insbesondere ab dem 50. Lebensjahr, zu einem Problem. Präventionsmaßnahmen erreichen diese Gruppe aber nur unzulänglich. Vor diesem Hintergrund wurde ein transkulturelles Präventionskonzept zur Primärprävention alkoholbezogener Störungen entwickelt und evaluiert.MethodikCluster-randomisierte kontrollierte Studie mit n = 310 älteren (≥ 45 Jahre) Personen mit Migrationshintergrund zur Evaluation eines transkulturellen Präventionskonzepts. Das Präventionskonzept bestand aus einer migrationssensitiven transkulturellen Präventionsveranstaltung sowie aus kultur- und sprachsensitiven Informationsmaterialien. Als Kontrollbedingung diente eine Präventionsveranstaltung mit Materialien der Deutschen Hauptstelle für Suchtfragen und einer deutschen Broschüre. Daten wurden vor und nach der Veranstaltung sowie nach sechs Monaten schriftlich erhoben. Alle Materialien standen sowohl auf Deutsch als auch auf Russisch, Italienisch, Spanisch und Türkisch zur Verfügung.ErgebnisseDas transkulturelle Präventionskonzept wurde sowohl direkt nach der Veranstaltung als auch sechs Monate später signifikant besser bewertet als die allgemeine Präventionsveranstaltung. Während 73,4 % der Teilnehmer die kultur- und migrationssensitive Broschüre vollständig lasen, waren es in der Kontrollbedingung nur 21,2 % (p = 0,0001). Weiterhin gaben die Teilnehmer der transkulturellen Präventionsveranstaltung nach sechs Monaten signifikant häufiger an, ihren Alkoholkonsum reduziert zu haben (49,4 vs. 16,7 %; p = 0,004).DiskussionDie Berücksichtigung der Diversität bezüglich kultureller, migrationsbezogener, soziodemografischer und sprachlicher Faktoren erhöht die Effektivität von Präventionsmaßnahmen.AbstractBackgroundFor migrants who are older than 50, alcohol frequently becomes a problem. Simultaneously alcohol-related prevention measures only reach this group insufficiently. Therefore, a transcultural concept for preventing alcohol-related disorders in elderly (≥ 45 years) migrants has been developed.MethodThe transcultural concept, which consisted of a prevention event as well as a cultural and language-sensitive information booklet, was evaluated in a cluster-randomized controlled trial (n = 310 immigrants). As a control condition there was a prevention event with materials from Deutsche Hauptstelle für Suchtfragen (German Centre for Addiction Issues). Data were obtained before and after the event, as well as after 6 months. All materials were available both in German and in Russian, Italian, Spanish and Turkish.ResultsDirectly after the event, as well as 6 months thereafter, the transcultural approach was rated significantly better than the general prevention event. 73.4 % of the participants read the cultural and migration-sensitive booklet, whereas only 21.2 % in the control condition (p = 0.0001). Furthermore, significantly more participants of the transcultural approach reported a reduced alcohol consumption (49.4 vs. 16.7 %; p = 0.004) after 6 months.ConclusionThe consideration of diversity with respect to cultural, migration-related, socio demographic und linguistic aspects improves the effectiveness of prevention measures.