P. Zeh|Harbinder Sandhu|Ann?Marie Cannaby|Jackie Sturt
The impact of culturally competent diabetes care interventions for improving diabetes?related outcomes in ethnic minority groups: a systematic review
University of Warwick|University Hospitals Coventry and Warwickshire NHS Trust|University of Warwick|University Hospitals Coventry and Warwickshire NHS Trust|University of Warwick|University Hospitals Coventry and Warwickshire NHS Trust
examine evidence culturally competent interventions tailored needs people diabetes ethnic minority groupsmedline nhs evidence cinahl reference lists retrieved papers searched inception september 2011 two national health service specialist libraries also searched google cochrane dare databases interrogated experts consulted studies included reported primary research impact culturally competent interventions outcome measures ethnic minority group diabetes paper selection appraisal conducted independently two reviewers heterogeneity studies required narrative analysis novel culturally competent assessment tool used systematically assess cultural competency interventionthree hundred twenty papers retrieved 11 included study designs varied diverse range service providers interventions 64 found highly culturally competent scoring 90100 36 moderately culturally competent 7089 data collected 2616 participants 22 patientreported outcome measures consistent finding 10 studies structured intervention tailored ethnic minority groups integrating elements culture language religion health literacy skills produced positive impact range patientimportant outcomesbenefits using culturally competent interventions ethnic minority groups diabetes identified majority interventions described culturally competent confirmed assessed using culturally competent assessment tool good quality research required determine effectiveness costeffectiveness culturally competent interventions influence diabetes service commissioners