Analytic Framework [PDF - 731 KB] - See Figure 1 on page 72
When starting an effectiveness review, the systematic review team develops an analytic framework. The analytic framework illustrates how the intervention approach is thought to affect public health. It guides the search for evidence and may be used to summarize the evidence collected. The analytic framework often includes intermediate outcomes, potential effect modifiers, potential harms, and potential additional benefits.
Summary Evidence Table [PDF - 30 KB]
Contains evidence from reviews of these interventions to promote health equity through culturally competent health care: Cultural Competency Training for Healthcare Providers; Use of Interpreter Services or Bilingual Providers; Use of Linguistically and Culturally Appropriate Health Education Materials
The number of studies and publications do not always correspond (e.g., a publication may include several studies or one study may be explained in several publications).
Herek GM, Gillis JR, Glunt EK, Lewis J, Welton D, Capitanio JP. Culturally sensitive AIDS educational videos for African American audiences: effects of source, message, receiver, and context. Am J Community Psychol 1998;26:705–43.
Kalichman SC, Kelly JA, Hunter TL, Murphy DA, Tyler R. Culturally tailored HIV-AIDS risk-reduction messages targeted to African American urban women: impact on risk sensitization and risk reduction. J Consult Clin Psychol 1993;61:291–5.
Stevenson HC, Davis G. Impact of culturally sensitive AIDS video education on the AIDS risk knowledge of African-American adolescents. AIDS Educ Prev 1994;6:40–52.
Sussman S, Parker VC, Lopes C, Crippens DL, Elder P, Scholl D. Empirical development of brief smoking prevention videotapes which target African-American adolescents. Int J Addict 1995;30:1141–64.
The following outlines the search strategy used for these reviews of interventions to promote health equity through culturally competent health care: Cultural Competency Training for Healthcare Providers; Culturally Specific Healthcare Settings; Use of Interpreter Services or Bilingual Providers; Use of Linguistically and Culturally Appropriate Health Education Materials; Programs to Recruit and Retain Staff Who Reflect the Community's Cultural Diversity.
We searched 8 databases for studies evaluating interventions to increase cultural competence in healthcare systems: Medline, ERIC, Sociological Abstracts, SciSearch, Dissertation Abstracts, Social Science Abstracts, Mental Health Abstracts, and HealthSTAR. Internet resources were examined, as were reference lists of reviewed articles and referrals from specialists in the field. To be included in the reviews of effectiveness, studies had to:
- Document an evaluation of a healthcare system intervention to increase cultural or linguistic competence
- Be conducted in an Established Market Economy
- Be published in English between 1965 and 2001
- Compare outcomes among groups of people exposed to the intervention with outcomes among groups of people not exposed or less exposed to the intervention (whether the comparison was concurrent between groups or before-and-after within groups)
- Measure outcomes defined by the analytic framework for the intervention