Methods for the cultural adaptation of a diabetes lifestyle intervention for Latinas: an illustrative project.
Because Latinas experience a high prevalence of type 2 diabetes and its complications, there is an urgent need to reach them with interventions that promote healthful lifestyles. This article illustrates a sequential approach that took an effective multiple-risk-factor behavior-change program and adapted it for Latinas with type 2 diabetes. Adaptation stages include (a) information gathering from literature and focus groups, (b) preliminary adaptation design, and (c) preliminary adaptation test. In this third stage, a pilot study finds that participants were highly satisfied with the intervention and showed improvement across diverse outcomes. Key implications for applications include the importance of a model for guiding cultural adaptations, and the value of procedures for obtaining continuous feedback from staff and participants during the preliminary adaptation test.
Osuna
Diego
D
Kaiser Permanente, Denver, Colorado 80237-8066, USA. diego.osuna@kp.org
Barrera
Manuel
M
Strycker
Lisa A
LA
Toobert
Deborah J
DJ
Glasgow
Russell E
RE
Geno
Cristy R
CR
Almeida
Fabio
F
Perdomo
Malena
M
King
Diane
D
Doty
Alyssa Tinley
AT
D054521:Cultural Competency; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D038441:Diet, Mediterranean; D055317:Evidence-Based Practice; D005260:Female; D017144:Focus Groups; D015438:Health Behavior / Q000208:ethnology*; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D008019:Life Style / Q000208:ethnology*; D010865:Pilot Projects; D012944:Social Support