title: Sociocultural tailoring of a healthy lifestyle intervention to reduce cardiovascular disease and type 2 diabetes risk among Latinos.
abstract: BACKGROUND
  Suboptimal lifestyle factors in combination with genetic susceptibility contribute to cardiovascular disease and type 2 diabetes risk among Latinos. We describe a community-academic collaboration that developed and explored the feasibility of implementing a socioculturally tailored, healthy lifestyle intervention integrating genomics and family history education to reduce risk of cardiovascular disease and type 2 diabetes among Latinos.
  
  
  OBJECTIVE
  The community-based participatory research was conducted with communities in Kentucky, which has a rapidly growing Latino population. This growth underscores the need for socioculturally appropriate health resources.
  
  
  METHODS
  Su Corazon, Su Vida (Your Heart, Your Life) is a Spanish-language, healthy lifestyle educational program to reduce cardiovascular disease and type 2 diabetes risk among Latinos. Twenty natural leaders from an urban Latino community in Kentucky participated in sociocultural tailoring of the program and development of a genomics and family history module. The tailored program was presented to 22 participants to explore implementation feasibility and assess appropriateness for community use. Preintervention and postintervention assessments of genomic knowledge and lifestyle behaviors and qualitative postintervention evaluations were conducted.
  
  
  RESULTS
  Postintervention improvements in health-promoting lifestyle choices and genomic knowledge specific to cardiovascular disease and type 2 diabetes suggested that the program may be effective in reducing risk. Feedback indicated the program was socioculturally acceptable and responsive to community needs.
  
  
  CONCLUSIONS
  These findings indicated that a tailored healthy lifestyle program integrating genomics and family history education was socioculturally appropriate and may feasibly be implemented to reduce cardiovascular disease and type 2 diabetes risk in a Latino community with limited health care resources. The project highlights contributions of community-based processes in tailoring interventions that are appropriate for community contexts.
authors.affiliation: University of Kentucky College of Nursing, 533 College of Nursing Building, 760 Rose St, Lexington, KY 40536-0232. E-mail: Gia.Mudd@uky.edu.
authors.forename: Gia
authors.initials: G
authors.lastname: Mudd-Martin
authors.forename: Maria C
authors.initials: MC
authors.lastname: Martinez
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Rayens
authors.forename: Yevgeniya
authors.initials: Y
authors.lastname: Gokun
authors.forename: Janet C
authors.initials: JC
authors.lastname: Meininger
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000235:genetics / Q000517:prevention & control*; D055812:Community-Based Participatory Research; D003924:Diabetes Mellitus, Type 2 / Q000235:genetics / Q000517:prevention & control*; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007629:Kentucky; D008019:Life Style; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D012307:Risk Factors; D040242:Risk Reduction Behavior