Published in:
01-12-2015 | systematic review
A review of diabetes prevention program translations: use of cultural adaptation and implementation research
Authors:
Rachel G. Tabak, PhD, RD, Kàimi A. Sinclair, PhD, MPH, Ana A. Baumann, PhD, Susan B. Racette, PhD, Anne Sebert Kuhlmann, PhD, MPH, Michelle D. Johnson-Jennings, PhD, Ross C. Brownson, PhD
Published in:
Translational Behavioral Medicine
|
Issue 4/2015
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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.