Culturally adapt shared decision-making interventions by attending to language, communication style, relationship-building, fear, and visual design — beyond direct translation¶

Strategy · All strategies
Evidence · 1 claim (1 mixed) · 1 study (1 qualitative), q2 · 0 of 1 report an effect size · 1 claim rests on one study

Description¶

The article recommends that culturally adapted shared decision-making interventions "attend not only to language but also to communication style and relationship-building." Concretely, this means plain-language explanations of eligibility, benefits, and harms; warm, respectful, nonjudgmental delivery; balanced risk messaging that minimizes fear and fatalism; and educational materials with culturally relevant colors, realistic imagery, and Hispanic representation. The authors state these findings provide practical guidance for adapting LCS decision-support and navigation interventions for Hispanic populations.

Design Implications¶

Context¶

Requirements¶

• Educational interventions should address both knowledge deficits regarding LCS eligibility and purpose and communication preferences that influence trust and engagement

Constraints¶

• Findings come from participants at a single academic center in New Jersey and may not generalize to Hispanic populations in other regions and healthcare settings

Target Learners¶

• Hispanic adults aged 50–77 with a 20+ pack-year smoking history

Target Learning Goals¶

• Understanding screening eligibility, benefits, and harms for informed screening decisions

Affordances¶

• Cultural Appropriateness Framework Four Domains

Claims¶

• Hispanic adults in LCS focus groups reported limited awareness and understanding of lung cancer screening, including eligibility, benefits, and harms [~W]

Related Strategies¶

• Adapt practice activities to learners' age, cultural background, and aptitudes

Examples¶

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Key Sources¶

• Arana-Chicas E, Reyes AV, Chavez-Iniguez A, Macenat M, Ferrante J, Capurro C, Kinney AY. (2026). Informing the cultural adaptation of a lung cancer screening shared decision-making and navigation intervention for Hispanic adults: a qualitative study. Cancer Causes & Control. https://doi.org/10.1007/s10552-026-02257-7