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Table 3 Example 3: Chinese Get Healthy Service (CGHS)

From: A framework for preferred practices in conducting culturally competent health research in a multicultural society

Overview of the research How we conducted the research Outcomes
Effectiveness of the NSW Get Healthy Information and Coaching Service among Chinese communities [41, 42]
This qualitative study explored participant and stakeholder perceptions of the GHS with Chinese (Mandarin and Cantonese speaking) communities in Sydney. This complemented a broader quantitative study of the service
The CGHS is a cultural adaptation of an existing GHS programme. It is a free telephone-based lifestyle programme, provided over a 6-month period by qualified bilingual/ bicultural coaches. The programme offers resources in Simplified and Traditional Chinese and is promoted through Chinese community organizations and networks
Funding source:
NSW Office of Preventative Health
Recruitment and consent: A trained bilingual research assistant (BRA) recruited Mandarin and Cantonese speaking GHS participants who had completed the programme through participant registration lists. Participant information and consent forms were translated into Simplified and Traditional Chinese by a nationally accredited translator. Chinese general practitioners, community workers and health professionals were also recruited by the BRA to participate in stakeholder interviews
Data collection and analysis: Two CGHS participant focus groups (6–8 participants per group) were conducted by the BRA in Cantonese and in Mandarin, with the support of a bilingual scribe. The focus groups were audio recorded, transcribed into Simplified and Traditional Chinese and then translated into English. Transcripts, concepts and translations were checked by the BRA. Thirteen stakeholder interviews were conducted in English by the research team. The interviews were audio recorded and transcribed. Two bilingual coach reports were also obtained and analysed together with the interviews and focus groups. Transcripts were coded according to patterns in the research with research team members and BRA collectively validating the codes
Findings: Programme participants reported they formed positive relationships with bilingual coaches who provided culturally appropriate practical support. Contrary to concerns raised by stakeholders, participants were able to set goals and complete the programme. Participants also reported that GHS assisted them in increasing healthy eating and physical activity; achieving healthy weight; and improving chronic health conditions
Significance and impact: Results of the study informed further refinement of CGHS and provided an evidence base for cultural adaptation of GHS into other language and cultural groups