Table 2. Culturally Relevant e-Health Design Components for Latinos.

Cultural Concept	Definition	Implications on Intervention Design
Acculturation Status	A complex and dynamic process by which an immigrant culture adopts the beliefs and practices of a host culture.	More acculturated participants may prefer less tailored interventions
Personalismo	A tendency to value and trust the person-to-person connection highly in information gathering and decision-making.	Involvement of primary care physician or a trusted medical expert in the introduction and maintenance of the intervention
Fatalismo	A belief that individuals are powerless to change a pre­ordained future. It may be associated with religious and spiritual beliefs.	Emphasis on changes in disease outcomes based on one's behavior and the self as locus of control
Susto	A belief that disease can be caused by a sudden frightening or traumatic experience.	Education on biological etiology of disease
Familismo	Cultural emphasis on strong bonds (responsibility, loyalty, reciprocity, and solidarity) with nuclear and extended family members throughout the life span resulting in a high level of perceived family support. Decisions by the individual are seen in light of the well-being of the family.	Involvement of family members to also participate in disease management and decisions
Religion		Group education classes held within church setting/religious community context; consideration of religious beliefs about disease and physical health
Simpatía	An emphasis on personal connection with others	Emphasize personal connection with healthcare providers, their family and community in disease management interventions