title: Health is wealth: methods to improve attendance in a lifestyle intervention for a largely immigrant Filipino-American sample.
abstract: Diabetes prevention requires lifestyle changes, and traditional educational programs for lifestyle changes have had low attendance rates in ethnic populations. This article describes the development and implementation of an educational program, emphasizing retention strategies, cultural tailoring and community participation. Community-based participatory research approaches were used to adapt and test the feasibility of a culturally tailored lifestyle intervention (named Health is Wealth) for Filipino-American adults at risk for diabetes (n = 40) in order to increase program attendance. A unique feature of this program was the flexibility of scheduling the eight classes, and inclusion of activities, foods and proverbs consistent with Filipino culture. We found that with this approach, overall program attendance for the experimental and wait-listed control groups was 88% and participant satisfaction was high with 93% very satisfied. Flexible scheduling, a bilingual facilitator for the classes, and the community-academic partnership contributed to the high attendance for this lifestyle intervention.
authors.affiliation: Department of Nursing, University of Hawaii Manoa, Honolulu, HI 96822, USA. aleake@hawaii.edu
authors.forename: Anne R
authors.initials: AR
authors.lastname: Leake
authors.forename: Venus C
authors.initials: VC
authors.lastname: Bermudo
authors.forename: Jose
authors.initials: J
authors.lastname: Jacob
authors.forename: Marianela R
authors.initials: MR
authors.lastname: Jacob
authors.forename: Jillian
authors.initials: J
authors.lastname: Inouye
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000706:statistics & numerical data*; D003256:Community Participation / Q000706:statistics & numerical data*; D055812:Community-Based Participatory Research; D003469:Culture; D003479:Curriculum; D003920:Diabetes Mellitus / Q000517:prevention & control; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006254:Hawaii; D006293:Health Promotion / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D010679:Philippines; D012306:Risk; D040241:Social Marketing