Article Text

Protocol for a systematic review and meta-analysis of culturally adapted internet- and mobile-based health promotion interventions
  1. Sumeyye Balci1,
  2. Kerstin Spanhel2,
  3. Lasse Sander2,
  4. Harald Baumeister1
  1. 1Department of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, University of Ulm, Ulm, Germany
  2. 2Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, Albert-Ludwigs-Universitat Freiburg, Freiburg im Breisgau, Baden-Württemberg, Germany
  1. Correspondence to Sumeyye Balci; sumeyye.balci{at}


Introduction High rates of immigration pose challenges for the healthcare systems of many countries to offer high-quality care to diverse populations. Advancing health interventions with incorporating the cultural background of diverse populations can be helpful to overcome this challenge. First studies suggest that culturally diverse populations might benefit from culturally adapted internet-based and mobile-based interventions (IMI) to promote health behaviours. However, the effectiveness of culturally adapted IMIs for health promotion interventions has not been evaluated systematically. Therefore, the aim of this review is to assess the effectiveness of culturally adapted IMIs regarding health promotion. Additionally, the cultural adaptation features of these interventions will be outlined.

Methods and analysis Randomised controlled trials (RCTs) investigating the effectiveness of culturally adapted IMIs to promote health behaviours in the field of healthy eating, smoking cessation, alcohol consumption, physical activity and sexual health behaviour will be identified via a systematic search of the databases MEDLINE, Embase, PsycINFO, CENTRAL. The preliminary search has been conducted on the 26 August 2019 and will be updated in the process. Data will be pooled meta-analytically in case of at least three included studies reporting on the same outcome. Moreover, a narrative synthesis of the included studies will be conducted. The risk of bias will be assessed using the Cochrane Collaboration’s tool for the Quality Assessment of RCTs V. 2.0. Publication bias will be assessed using funnel plots.

Ethics and dissemination Ethical approval is not required for this study. The results of this study will be published in a peer-reviewed international journal.

PROSPERO registration number PROSPERO; CRD42020152939

  • public health
  • psychiatry
  • social medicine

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  • Twitter @BosseSander

  • Contributors SB, KS, HB and LS conceived the study design. SB, KS and LS developed the search strategy. SB wrote the draft of the manuscript. All authors read, provided feedback and approved the final version. The guarantor of the review is SB.

  • Funding This research has been funded by the SB’s Ph.D. scholarship, which is granted by the Ministry of Education in Turkey.

  • Disclaimer The funder had no involvement in this study and manuscript.

  • Competing interests HB received consultancy fees, reimbursement of congress attendance and travel costs as well as payments for lectures from Psychotherapy and Psychiatry Associations as well as Psychotherapy Training Institutes in the context of E-Mental-Health topics. He has been the beneficiary of study support (third-party funding) from several public funding organisations. LS reported receiving personal fees from Psychotherapy Training Institutes and clinics in the context of e-mental-health and supervision outside the submitted work.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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