'Definitely she used the word poison, I liked that'. Elderly Sikh immigrants' experience of a culturally adapted preventative health intervention
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Bhatti, K. (2016) 'Definitely she used the word poison, I liked that'. Elderly Sikh immigrants' experience of a culturally adapted preventative health intervention, no. 160.
Aims: Punjabi Sikh immigrants are more likely to develop and live with lifestyle related illnesses than the host population. Identifying factors that influence these health inequalities is challenging. Various socio-cultural factors have shown to pose barriers for this sub-group to access mainstream preventative health services. The current study aimed to explore how elderly Punjabi Sikhs made sense of taking part in a culturally adapted health promoting intervention (CAHPI), to facilitate physical activity and healthy eating behaviours. A newly developed behaviour change model: COM-B underpinned the intervention design and contents. Method: Semi-structured interviews were conducted with a purposeful sample of 7 Sikh immigrants who had taken part in a CAHPI. The resulting data was analysed using Interpretative Phenomenological Analysis, focusing on the participants lived experience of the CAHPI. Results: The following themes were revealed: 1) “for our good health, we are getting some help with our health”, 2) “It was in our Gurdwara”, 3) “We all got together, the time passed nicely”, 4) “We are in a different stage in our lives now, we are not the same people we were 10 years ago, and 5) “You can’t learn all the things in one day, we need some more”. Discussion: The in-depth analysis allowed this generally ‘unheard’ population, to voice their views of taking part in the CAHPI. The findings showed that by incorporating meaningful components relating to the design and delivery of such interventions, wider engagement of the target population can be achieved. The IPA approach helped capture the complexities that exist between individuals within these specific populations, and the meanings they attach to the phenomenon being explored. Conclusion and implications: The current findings show the importance of drawing on a range of disciplines and guidance from the newly developed COM-B model to help identify and understand the mechanisms that facilitate behaviour change in this context. Consequently, meaningful collaboration between health care professionals and local communities can help identify strategies for addressing some of the health inequalities that exist within this marginalised community. In particular, the utility of places of worship and fear appeal approaches for delivering such initiatives, have shown to be invaluable.