CULTURAL ADAPTATION OF A VALIDATED INTERVENTION FOR CHINESE AND KOREAN AMERICAN DEMENTIA CAREGIVERS - research paper summary

Sep 29, 2026

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Culturally adapted interventions are essential for dementia caregiving as the U.S. population becomes more diverse, yet East Asian–tailored approaches remain limited. Using an ongoing randomized controlled trial of the New York University Caregiver Intervention—Enhanced Support (NYUCI-ES), the study identifies adaptation strategies for Chinese and Korean cultures. It organizes changes into five elements: content, context, fidelity to core elements, engagement, and cultural competence, supporting future evidence-based adaptations to improve physical and emotional health.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages2

Reading Time5 min

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Abstract

Adaptation framework

Content adaptations

Context and fidelity

Engagement and cultural competence

Implications for future research

126 Innovation in Aging, 2025, Vol. 9, No. S2 Abstract citation ID: igaf122.419 CULTURAL ADAPTATION OF A VALIDATED INTERVENTION FOR CHINESE AND KOREAN AMERICAN DEMENTIA CAREGIVERS Eunjung Ko1, Bei Wu2, Yaolin Pei3, Xiang Qi1, I tek Leong1, Weiyu Mao4, Jing Wang5, and Mary Mittelman6, 1. New York University, New York, New York, United States, 2. NYU Shanghai, Shanghai, China (People’s Republic), 3. The University of Texas at Austin, Austin, Texas, United States, 4. University of Nevada, Reno, Reno, Nevada, United States, 5. University of New Hampshire, Durham, New Hampshire, United States, 6. New York University Grossman School of Medicine, New York, New York, United States With the growing diversity of the U.S. population, culturally adapted interventions are essential in dementia caregiving. However, approaches tailored for East Asian cultures remain limited. Based on our ongoing randomized controlled trial of the,“New York University Caregiver Intervention—Enhanced Support (NYUCI-ES),” we identified adaptation strategies for Chinese and Korean cultures and categorized them into five elements: content, context, relationship fidelity to core elements, engagement, and cultural competence. Content adaptations included translating materials into multiple languages, and incorporating culturally relevant terminology, questionnaires, community resources, and social media support groups. For context, we delivered the counseling sessions either in person or online, arranged culturally matched staff, trained staff to provide culturally tailored counseling, and established strong partnerships with Korean and Chinese organizations. Fidelity to the original intervention was maintained through the original developers’active involvement in regular meetings that also include experts in East Asian culture, and the detailed explanation about the NYUCI-ES in participants’ languages. Engagement strategies included step-by-step efforts at involving prospective participants, rapport through explanation of staff roles, multiple communications, and participant compensation. For cultural competence, we used a culturally tailored counseling approach, respecting cultural beliefs on counseling, illness, and family, used euphemistic language about dementia, and provided culturally appealing refreshments. Within the NYUCI’s structured Innovation in Aging, 2025, Vol. 9, No. S2 127 framework, we adapted content to East Asian culture. These strategies address research gaps and can guide future cultural adaptations of evidence-based interventions to the preferences and needs of members of East Asian communities to improve their physical and emotional health.

FAQs

What intervention and trial source does the document use to develop cultural adaptations?

It is based on an ongoing randomized controlled trial of the New York University Caregiver Intervention—Enhanced Support (NYUCI-ES).

How many elements does the adaptation strategy framework include, and what are they?

The strategies are categorized into five elements: content, context, relationship fidelity to core elements, engagement, and cultural competence.

What specific changes were made under the content and engagement elements?

Content adaptations included translating materials and adding culturally relevant terminology, questionnaires, resources, and social media support groups. Engagement strategies used step-by-step recruitment, staff role rapport, multiple communications, and participant compensation.

Sep 29, 2026

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