Barriers | Strategies |
---|---|
Concerns regarding: Randomisation, i.e., not getting treatment Loss of control (re: allocation) Mistrust | • Ensuring minimal standard of care for control group or minimal intervention for controls [29, 40] or alternatives to randomised controlled trials [27]. |
• Use trusted sources of information (e.g. doctor or family) [87]. | |
• Participant education regarding the benefits of randomisation [73]. | |
• Including peers and locals in intervention delivery [20, 55, 58, 82, 105, 108, 124]. | |
Health intervention not culturally appropriate (with community values and beliefs) | • Community involvement in development, action research method or ‘cultural immersion’ [27, 29, 31, 35, 56, 67, 70, 71],[74, 77, 80, 85, 107, 108, 113, 114],[118, 122]. |
• Culturally tailored programs [19, 29, 52, 58, 68–70, 85, 88, 118]. | |
Distance for delivery of intervention (rural groups) | • Group-delivered (one-on-one) telephone intervention [88]. |
Negative framing of health information, emphasis on disparities | • Positive and progress emphasised in health information [37]*. |