title: Cultural translation of interventions: diabetes care in American Samoa.
abstract: Translation of research advances into clinical practice for at-risk communities is important to eliminate disease disparities. Adult type 2 diabetes prevalence in the US territory of American Samoa is 21.5%, but little intervention research has been carried out there. We discuss our experience with cultural translation, drawing on an emerging implementation science, which aims to build a knowledge base on adapting interventions to real-world settings. We offer examples from our behavioral intervention study, Diabetes Care in American Samoa, which was adapted from Project Sugar 2, a nurse and community health worker intervention to support diabetes self-management among urban African Americans. The challenges we experienced and solutions we used may inform adaptations of interventions in other settings.
authors.affiliation: Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI 02903, USA. jdepue@lifespan.org
authors.forename: Judith D
authors.initials: JD
authors.lastname: DePue
authors.forename: Rochelle K
authors.initials: RK
authors.lastname: Rosen
authors.forename: Marian
authors.initials: M
authors.lastname: Batts-Turner
authors.forename: Nicole
authors.initials: N
authors.lastname: Bereolos
authors.forename: Meaghan
authors.initials: M
authors.lastname: House
authors.forename: Rachel Forster
authors.initials: RF
authors.lastname: Held
authors.forename: Ofeira
authors.initials: O
authors.lastname: Nu'usolia
authors.forename: John
authors.initials: J
authors.lastname: Tuitele
authors.forename: Michael G
authors.initials: MG
authors.lastname: Goldstein
authors.forename: Stephen T
authors.initials: ST
authors.lastname: McGarvey
mesh_terms: D018948:American Samoa / Q000453:epidemiology / Q000208:ethnology; D003153:Community Health Services / Q000458:organization & administration; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000208:ethnology* / Q000517:prevention & control / Q000628:therapy; D055317:Evidence-Based Practice; D054624:Health Status Disparities; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods; D016032:Randomized Controlled Trials as Topic / Q000379:methods