title: Participatory adaptation of an evidence-based, arthritis self-management program: making changes to improve program fit.
abstract: We employed community-based participatory research techniques to adapt an evidence-based self-management program called the Arthritis Self-Help Program for older African American, Hispanic, and non-Hispanic white adults. Participants and instructors provided multiple recommendations for program change (including content additions or augmentations as well as changes in program delivery) in telephone interviews and focus groups. Recommendations were implemented through a collaborative process involving diverse stakeholders. Changes implemented respond to the preferences and needs of participants, as well as the strengths and constraints of program instructors and host sites. Improved fit for participants may extend the program's reach and effectiveness for older adults of color. In addition, the adapted Arthritis Self-Help Program may make the program more feasible and therefore sustainable for the host sites.
authors.affiliation: Department of Medicine, Weill Cornell Medical College, New York, New York 10065, USA.
authors.forename: Samantha J
authors.initials: SJ
authors.lastname: Parker
authors.forename: Emily K
authors.initials: EK
authors.lastname: Chen
authors.forename: Karl
authors.initials: K
authors.lastname: Pillemer
authors.forename: David
authors.initials: D
authors.lastname: Filiberto
authors.forename: Evelyn
authors.initials: E
authors.lastname: Laureano
authors.forename: Josie
authors.initials: J
authors.lastname: Piper
authors.forename: Julia
authors.initials: J
authors.lastname: Schwartz-Leeper
authors.forename: Laura
authors.initials: L
authors.lastname: Robbins
authors.forename: M Cary
authors.initials: MC
authors.lastname: Reid
mesh_terms: D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000208:ethnology / Q000517:prevention & control*; D055812:Community-Based Participatory Research / Q000379:methods*; D003159:Community-Institutional Relations; D019317:Evidence-Based Medicine; D005260:Female; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D009936:Organizational Innovation; D057240:Patient Preference; D015397:Program Evaluation; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D044465:White People