title: Testing the efficacy of culturally adapted coping skills training for Chinese American immigrants with type 2 diabetes using community-based participatory research.
abstract: Chinese Americans demonstrate greater prevalence of diabetes than non-Hispanic whites and find standard diabetes care disregards their cultural health beliefs. Academic researchers and Chinatown agencies collaborated to culturally adapt and test an efficacious cognitive-behavioral intervention using community-based participatory research. Using a delayed-treatment repeated-measures design, 145 adult Chinese immigrants with Type 2 diabetes completed treatment. Immediate benefits of treatment were evident in the improvement (p < .05) in diabetes self-efficacy, diabetes knowledge, bicultural efficacy, family emotional and instrumental support, diabetes quality of life, and diabetes distress. Prolonged benefits were evident in all changed variables 2 months post-intervention. The CBPR approach enabled the development of a culturally acceptable, efficacious behavioral intervention, and provides a model for working with communities that demonstrate health disparities.
authors.affiliation: Department of Family Health Care Nursing, University of California San Francisco, 2 Koret Way, Box 0606, San Francisco, CA 94143-0606, USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Chesla
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Chun
authors.forename: Christine M L
authors.initials: CM
authors.lastname: Kwan
authors.forename: Joseph T
authors.initials: JT
authors.lastname: Mullan
authors.forename: Yulanda
authors.initials: Y
authors.lastname: Kwong
authors.forename: Lydia
authors.initials: L
authors.lastname: Hsu
authors.forename: Peggy
authors.initials: P
authors.lastname: Huang
authors.forename: Lisa A
authors.initials: LA
authors.lastname: Strycker
authors.forename: Tina
authors.initials: T
authors.lastname: Shum
authors.forename: Diana
authors.initials: D
authors.lastname: To
authors.forename: Rudy
authors.initials: R
authors.lastname: Kao
authors.forename: Catherine M
authors.initials: CM
authors.lastname: Waters
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001213:Asian / Q000523:psychology*; D001294:Attitude to Health; D055812:Community-Based Participatory Research; D003466:Cultural Characteristics; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000523:psychology* / Q000628:therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D010349:Patient Compliance / Q000208:ethnology* / Q000523:psychology; D015397:Program Evaluation
keywords: Asian; Chinese; community-based participatory research; diabetes; distress; intervention; quality of life