title: Development and Implementation of a Culturally Tailored Diabetes Intervention in Primary Care.
abstract: Diabetes education for ethnic minorities should address variations in values underlying motivations, preferences, and behaviors of individuals within an ethnic group. This paper describes the development and implementation of a culturally tailored diabetes intervention for Puerto Rican Americans that can be delivered by a health care paraprofessional and implemented in routine clinical care. We describe a formative process, including interviews with providers, focus groups with patients and a series of multidisciplinary collaborative workshops used to inform intervention content. We highlight the intervention components and link them to a well-validated health behavior change model. Finally, we present support for the intervention's clinical effects, feasibility, and acceptability and conclude with implications and recommendations for practice. Lessons learned from this process should guide future educational efforts in routine clinical care.
authors: Division of General Internal Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN ; Diabetes Research and Training Center, Vanderbilt Eskind Diabetes Center, Vanderbilt University, Nashville, TN.
authors: Chandra Y
authors: CY
authors: Osborn
authors: K Rivet
authors: KR
authors: Amico
authors: Noemi
authors: N
authors: Cruz
authors: Rafael
authors: R
authors: Perez-Escamilla
authors: Seth C
authors: SC
authors: Kalichman
authors: Ann A
authors: AA
authors: O'Connell
authors: Scott A
authors: SA
authors: Wolf
authors: Jeffrey D
authors: JD
authors: Fisher
keywords: Culturally tailored; Puerto Rican; behavior change; diabetes; primary care