Cultural translation of interventions: diabetes care in American Samoa.
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.
DePue
Judith D
JD
Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI 02903, USA. jdepue@lifespan.org
Rosen
Rochelle K
RK
Batts-Turner
Marian
M
Bereolos
Nicole
N
House
Meaghan
M
Held
Rachel Forster
RF
Nu'usolia
Ofeira
O
Tuitele
John
J
Goldstein
Michael G
MG
McGarvey
Stephen T
ST
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