Cultural Competence in Delivering Multicultural Health Promotion Programs
Keywords:
Adolescent, Resilience, Digital literacy, Community engagement, Health behaviour T1DAbstract
Objective: To explore the role of psychosocial resilience, digital literacy, education, and community engagement in influencing the adherence to health behaviour by adolescents.
Methods: Cross-sectional study with validated questionnaires and multivariate logistic regression for the analysis of the adolescents’ answers.
Results: Level of education, digital literacy, participation in the program and community engagement were significantly predictive of adherence to health behaviour. Higher resilience together with usage of digital tools and participation in community programs increased adherence. The PD model provided a good interpretation and fit. Interaction effects revealed that external supports amplified the relationship between internal resiliency and maintained behaviour.
Novelty: Unlike previous research, the current study establishes internal assets and external resources operating together in a single predictive model with a multiplicative effect that has rarely been estimated in adolescence health promotion research. We have found that previous research has largely focused on resilience and external factors separately, which has produced certain limitations in understanding the health behaviour related to the combined effect on one.
Implications for Research: Findings offer promise for creating multi-level interventions aimed at increasing adolescent adherence to health behaviour. It may provide the structure for digitally-based, educational or community interventions utilising resilience and environmental based supports. Further research must identify mechanisms of causation and test interventions in a range of populations to ensure generalization to various settings worldwide.
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