Cultural and Linguistic Adaptation of the iSupport for Dementia Program: Perspectives From Vietnamese Carers in Australia

Abstract

The World Health Organization’s iSupport for Dementia program provides an online platform for carer education, yet its suitability for culturally and linguistically diverse communities remains under explored. This study evaluated the cultural and linguistic appropriateness of the adapted Vietnamese iSupport program for carers in Australia and identified factors influencing the future implementation of an iSupport Virtual Assistant (iSupport VA). A qualitative descriptive study was conducted using five focus group discussions with 30 participants, including 18 family carers and 12 formal carers from Vietnamese communities in Australia. Thematic analysis, guided by a deductive-then-inductive approach, was applied to analyse the data. Discussions were conducted in Vietnamese, recorded, transcribed, translated, and systematically coded for recurring themes. The findings showed that participants emphasized the need for culturally sensitive language and visual representation in the adapted iSupport program, stressing the necessity for translations that align with context, incorporate relatable examples, and feature realistic video content. They expressed a strong preference for accessible multimedia formats, favouring video content with voice-over and interactive features over text-heavy materials, particularly for those with limited literacy. The importance of culturally tailored caregiving scenarios was highlighted, with a preference for real actors over animated characters to enhance emotional authenticity. Despite recognising the program’s value in improving caregiving skills, carers cited time constraints, competing responsibilities, and digital literacy challenges as barriers to engagement, emphasising the need for a clear value proposition and targeted support mechanisms, including introductory tutorials and peer-based community interaction. Adapting iSupport to align with cultural and linguistic needs enhances its relevance and accessibility for Vietnamese carers in Australia. Refining translations, incorporating culturally familiar multimedia elements, and addressing usability concerns are crucial to optimising engagement and effectiveness.