Access to health care related information can be vital and should be easily accessible. However, immigrants often have difficulties to obtain the relevant information due to language barriers and cultural differences. In the KRISTINA project, we address those difficulties by creating a socially competent multimodal dialogue system that can assist immigrants in getting information about health care related questions. Dialogue management, as core component responsible for the system behaviour, has a significant impact on the successful reception of such a system. Hence, this work presents the specific challenges of the KRISTINA project to adaptive dialogue management, namely the handling of a large dialogue domain and the cultural adaptability required by the envisioned dialogue system, and our approach to handling them
