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.
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
Kerstin M
KM
Reinschmidt
Nicolette I
NI
Teufel-Shone
Gail
G
Bradford
Rebecca L
RL
Drummond
Emma
E
Torres
Floribella
F
Redondo
Jo Jean
JJ
Elenes
Alicia
A
Sanders
Sylvia
S
Gastelum
Martha
M
Moore-Monroy
Salvador
S
Barajas
Lourdes
L
Fernandez
Rosy
R
Alvidrez
Jill Guernsey
JG
de Zapien
Lisa K
LK
Staten
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