title: A review of diabetes prevention program translations: use of cultural adaptation and implementation research.
abstract: The Diabetes Prevention Program (DPP) has been shown to prevent type 2 diabetes through lifestyle modification. The purpose of this study was to describe the literature on DPP translation, synthesizing studies using cultural adaptation and implementation research. A systematic search was conducted. Original studies evaluating DPP implementation and/or cultural adaptation were included. Data about cultural adaptation, implementation outcomes, and translation strategies was abstracted. A total of 44 were included, of which 15 reported cultural adaptations and 38 explored implementation. Many studies shortened the program length and reported a group format. The most commonly reported cultural adaptation (13 of 15) was with content. At the individual level, the most frequently assessed implementation outcome (n = 30) was adoption. Feasibility was most common (n = 32) at the organization level. The DPP is being tested in a variety of settings and populations, using numerous translational strategies and cultural adaptations. Implementation research that identifies, evaluates, and reports efforts to translate the DPP into practice is crucial.
authors.affiliation: Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, 621 N. Skinker Boulevard, St. Louis, MO 63130 USA.
authors.forename: Rachel G
authors.initials: RG
authors.lastname: Tabak
authors.affiliation: College of Nursing, Department of Health Policy and Administration, Washington State University, 1100 Olive Way Suite 1200, Seattle, WA 98101 USA.
authors.forename: Kàimi A
authors.initials: KA
authors.lastname: Sinclair
authors.affiliation: Brown School of Social Work, Washington University in St. Louis, 600 S. Euclid, CB 8217, St. Louis, MO 63110 USA.
authors.forename: Ana A
authors.initials: AA
authors.lastname: Baumann
authors.affiliation: Program in Physical Therapy, Department of Medicine, Washington University School of Medicine, 4444 Forest Park Avenue, Campus Box 8052, St. Louis, MO 63108 USA.
authors.forename: Susan B
authors.initials: SB
authors.lastname: Racette
authors.affiliation: College for Public Health & Social Justice, Saint Louis University, Salus Center, 309, 3545 Lafayette Ave, St. Louis, MO 63104 USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Sebert Kuhlmann
authors.affiliation: Research for Indigenous Community Health (RICH) Center, Social and Administrative Pharmacy, Pharmacy Practice and Pharmaceutical Practices, University of Minnesota, 232 Life Sciences, 1110 Kirby Drive, Duluth, MN 55812 USA.
authors.forename: Michelle D
authors.initials: MD
authors.lastname: Johnson-Jennings
authors.affiliation: Prevention Research Center in St. Louis, Brown School, Washington University in St. Louis, 621 N. Skinker Boulevard, St. Louis, MO 63130 USA ; Division of Public Health Sciences and Alvin J. Siteman Cancer Center, Washington University School of Medicine, Washington University in St. Louis, St. Louis, MO USA.
authors.forename: Ross C
authors.initials: RC
authors.lastname: Brownson
keywords: Cultural adaptation; Diabetes prevention; Implementation; Translation