Taking a broad approach to public health program adaptation: adapting a family-based diabetes education program.
Diabetes health disparities among Hispanic populations have been countered with federally funded health promotion and disease prevention programs. Dissemination has focused on program adaptation to local cultural contexts for greater acceptability and sustainability. Taking a broader approach and drawing on our experience in Mexican American communities at the U.S.-Mexico Border, we demonstrate how interventions are adapted at the intersection of multiple cultural contexts: the populations targeted, the community- and university-based entities designing and implementing interventions, and the field team delivering the materials. Program adaptation involves negotiations between representatives of all contexts and is imperative in promoting local ownership and program sustainability.
Reinschmidt
Kerstin M
KM
Canyon Ranch Center for Prevention and Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Avenue, Room A210, P.O. Box 245209, Tucson, AZ 85724-5209, USA. kerstin@u.arizona.edu
Teufel-Shone
Nicolette I
NI
Bradford
Gail
G
Drummond
Rebecca L
RL
Torres
Emma
E
Redondo
Floribella
F
Elenes
Jo Jean
JJ
Sanders
Alicia
A
Gastelum
Sylvia
S
Moore-Monroy
Martha
M
Barajas
Salvador
S
Fernandez
Lourdes
L
Alvidrez
Rosy
R
de Zapien
Jill Guernsey
JG
Staten
Lisa K
LK
D001130:Arizona / Q000453:epidemiology; D003159:Community-Institutional Relations; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000517:prevention & control*; D005192:Family Health / Q000208:ethnology; D006266:Health Education / Q000379:methods / Q000458:organization & administration*; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D054624:Health Status Disparities; D006801:Humans; D017058:Mexican Americans; D016730:Program Development / Q000379:methods; D015397:Program Evaluation; D036301:Qualitative Research