title: Anatomy of culturally sensitive interventions promoting nutrition and exercise in hispanics: a critical examination of existing literature.
abstract: Compared with non-Hispanic Whites, Hispanics experience a disproportionate burden of chronic diseases. Understanding the factors influencing the success of health programs in Hispanics requires a clearer examination of the principles and components of tailored interventions. This research comprises a comprehensive literature review of randomized controlled trials testing nutrition and exercise interventions tailored for Hispanics and an examination of how these interventions were constructed. The review of 18 interventions meeting study criteria suggests that most tailored programs promoting nutrition and exercise in Hispanics are theory driven and are informed by formative research. Also, the findings indicate that salient culturally sensitive intervention components are (a) bilingual and bicultural facilitators and materials, (b) family-based activities, (c) literacy-appropriate materials, and (d) social support. A clear understanding of Hispanic cultural values is also required. Further empirical examination is warranted to determine the factors mediating or predicting the efficacy of culturally sensitive health programs for Hispanics.
authors.affiliation: Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M Health Science Center, McAllen, Texas 78503, USA. nmier@srph.tamhsc.edu
authors.forename: Nelda
authors.initials: N
authors.lastname: Mier
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
authors.forename: Alvaro A
authors.initials: AA
authors.lastname: Medina
mesh_terms: D054521:Cultural Competency; D015444:Exercise; D005247:Feeding Behavior / Q000208:ethnology*; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans