Top

Published in:

01-04-2010 | Original Paper

Taking a Broad Approach to Public Health Program Adaptation: Adapting a Family-Based Diabetes Education Program

Authors: Kerstin M. Reinschmidt, Nicolette I. Teufel-Shone, Gail Bradford, Rebecca L. Drummond, Emma Torres, Floribella Redondo, Jo Jean Elenes, Alicia Sanders, Sylvia Gastelum, Martha Moore-Monroy, Salvador Barajas, Lourdes Fernandez, Rosy Alvidrez, Jill Guernsey de Zapien, Lisa K. Staten

Published in: Journal of Prevention | Issue 1-2/2010

Abstract

Diabetes health disparities among Hispanic populations have been countered with federally funded health promotion and disease prevention programs. Dissemination has focused on program adaptation to local cultural contexts for greater acceptability and sustainability. Taking a broader approach and drawing on our experience in Mexican American communities at the U.S.–Mexico Border, we demonstrate how interventions are adapted at the intersection of multiple cultural contexts: the populations targeted, the community- and university-based entities designing and implementing interventions, and the field team delivering the materials. Program adaptation involves negotiations between representatives of all contexts and is imperative in promoting local ownership and program sustainability.

Available only for authorised users

American Diabetes Association. (2007). Complications of diabetes in the United States. Retrieved from http://www.diabetes.org/diabetes-statistics/complications.jsp.

Arizona Department of Health Services. (2006). Arizona community health profile 2003. Retrieved from http://azdhs.gov/hsd/chpweb/2003/index.htm.

Armour, T. A., Norris, S. L., Jack, L. J. R., Zhang, X., & Fisher, L. (2005). The effectiveness of family interventions in people with diabetes mellitus: A systematic review. Diabetic Medicine, 22(10), 1295–1305.CrossRefPubMed

Backer, T. E. (2001). Finding the balance: Program fidelity and adaptation in substance abuse prevention: A state-of-the-art review. Rockville, MD: Center for Substance Abuse Prevention.

Border Health Strategic Initiative. (2008). Border Health Strategic Initiative (Border Health ¡Sí!. Retrieved from University of Arizona, Mel and Enid Zuckerman College of Public Health website: http://crcphp.publichealth.arizona.edu/borderhealthsi/.

Brown, S. A., Garcia, A. A., Kouzekanani, K., & Hanis, C. L. (2002). Culturally competent diabetes self-management education for Mexican Americans. Diabetes Care, 25(2), 259–268.CrossRefPubMed

Brown, S. A., & Hanis, C. L. (1999). Culturally competent diabetes education for Mexican Americans: The Starr County Study. The Diabetes Educator, 25, 226–236.CrossRefPubMed

Burke, J. P., Williams, K., Narayan, K. M., Leibson, C., Haffner, S. M., & Stern, M. P. (2003). A population perspective on diabetes prevention: Whom should we target for preventing weight gain? Diabetes Care, 26(7), 1999–2004.CrossRefPubMed

Campesinos sin Fronteras. (2010) Mission statement. Retrieved from http://www.campesinossinfronteras.org/.

Castro, F. G., Barrera, M., Jr., & Martinez, C. R. (2004). The cultural adaptation of prevention interventions: Resolving tensions between fidelity and fit. Prevention Science, 5(1), 41–45.CrossRefPubMed

Center for Health Equality. (2006). Retrieved from University of Arizona, Mel and Enid Zuckerman College of Public Health website: http://www.publichealth.arizona.edu/CHE/.

Centers for Disease Control and Prevention. (2004). Access to health-care and prevention services among Hispanics and Non-Hispanics: U.S. 2001–2002. Morbidity and Mortality Weekly Report, 3(40), 937–994.

Centers for Disease Control and Prevention. (2005). Preventing chronic diseases: Investing wisely in health, preventing diabetes and its complications. Retrieved from http://www.cdc.gov/nccdphp/publications/factsheets/Prevention/pdf/diabetes.pdf.

Centers for Disease Control and Prevention. (2007). Disabling disease to double by 2050: At a glance, 2007. Retrieved from http://0-www.cdc.gov.mill1.sjlibrary.org/nccdphp/publications/aag/ddt.htm.

Centers for Disease Control and Prevention. (2008). Prevention research centers. Retrieved from http://www.cdc.gov/prc/.

Chaskin, R. J. (2001). Building community capacity: A definitional framework and case studies from a comprehensive community initiative. Urban Affairs Review, 36(3), 291–323.CrossRef

Cooperative Extension. (2005). Special action group: About. Retrieved from University of Arizona, College of Agriculture and Life Sciences website: http://cals.arizona.edu/cochise/fcs/sag/about.html.

Cohen, S. J., & Ingram, M. (2005). Border health strategic initiative: Overview and introduction to a community-based model for diabetes prevention and control. Preventing Chronic Disease, XX(YY). Retrieved from http://www.cdc.gov/pcd/issues/2005/jan/04_0081.htm.

Corkery, E., Palmer, C., Foley, M. E., Schechter, C. B., Frisher, L., & Roman, S. H. (1997). Effect of a bicultural community health worker on completion of diabetes education in a Hispanic population. Diabetes Care, 20(3), 254–257.CrossRefPubMed

Crespo, C. J., Keteyian, S. J., Heath, G. W., & Sempos, C. T. (1996). Leisure-time activity among U.S. adults: Results from the third National Health and Nutrition Examination Survey. Archives of Internal Medicine, 156(1), 93–98.CrossRefPubMed

Elliott, D. S., & Mihalic, S. (2004). Issues in disseminating and replicating effective prevention programs. Prevention Science, 5(1), 47–53.CrossRefPubMed

Eng, E., & Young, R. (1992). Lay health advisors as community change agents. Family and Community Health, 15(1), 24–40.

Evans, J. M., Newton, R. W., Ruta, D. A., MacDonald, T. M., & Morris, A. D. (2000). Socio-economic status, obesity and prevalence of type 1 and type 2 diabetes mellitus. Diabetic Medicine, 17(6), 478–480.CrossRefPubMed

Fisher, L., Chesla, C. A., Bartz, R. J., Gilliss, C., Skaff, M. A., Sabogal, F., et al. (1998). The family and type 2 diabetes: A framework for intervention. The Diabetes Educator, 24(5), 599–607.CrossRefPubMed

Fisher, L., Chesla, C. A., Skaff, M. M., Gilliss, C., Mullan, J. T., Bartz, R. J., et al. (2000). The family and disease management in Hispanic and European American patients with type 2 diabetes. Diabetes Care, 23(3), 267–272.CrossRefPubMed

Flegal, K. M., Ezzati, T. M., Harris, M. I., Haynes, S. G., Juarez, R. Z., Knowler, W. C., et al. (1991). Prevalence of diabetes in Mexican Americans, Cubans, and Puerto Ricans from the Hispanic Health and Nutrition Examination Survey, 1982–1984. Diabetes Care, 14(S3), 628–638.CrossRefPubMed

Flood, T., Lebowitz, M. D., De Zapien, J. G., Staten, L., & Rosales, C. (1999). Douglas community health survey: Diabetes and health care in Arizona on the Mexican border. Phoenix, AZ: Arizona Department of Health Services.

Fox, D. P., Gottfredson, D. C., Kumpfer, K. K., & Beatty, P. D. (2004). Challenges in disseminating model programs: A qualitative analysis of the Strengthening Washington DC Families program. Clinical Child and Family Psychology Review, 7(3), 165–176.CrossRefPubMed

Gilmer, T. P., O’Connor, P. J., Rush, W. A., Crain, A. L., Whitebird, R. R., Hanson, A. M., et al. (2005). Predictors of health care costs in adults with diabetes. Diabetes Care, 28(1), 59–64.CrossRefPubMed

Hanis, C. L., Hewett-Emmett, D., Bertin, T. K., & Schull, W. J. (1991). Origins of U.S. Hispanics: Implications for diabetes. Diabetes Care, 14(S3), 618–627.CrossRefPubMed

Harris, M. I., Flegal, K. M., Cowie, C. C., Eberhardt, M. S., Goldstein, D. E., Little, R. R., et al. (1998). Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in U.S. adults: The third National Health and Nutrition Examination Survey, 1998–94. Diabetes Care, 21(4), 518–524.CrossRefPubMed

Hazuda, H. P., Haffner, S. M., Stern, M. P., & Eifler, C. W. (1988). Effects of acculturation and socioeconomic status on obesity and diabetes in Mexican Americans: The San Antonio Heart Study. American Journal of Epidemiology, 128(6), 1289–1301.PubMed

Hill, A., de Zapien, J. G., Staten, L. K., McClelland, D. J., Garza, R., Moore-Monroy, M. et al. (2007). From program to policy: Expanding the role of community coalitions. Preventing Chronic Disease, 4(4). Retrieved from http://cdc.gov/pdc/issues/2007/oct/07_0112.htm.

Hunter, J., Guernsey de Zapien, J., Papenfuss, M., Fernandez, M. L., Meister, J., & Giuliano, A. (2004). The impact of a promotora on increasing routine chronic disease prevention among women 40 years of age and older at the U.S.–Mexico border. Health Education and Behavior, 31(4), 18S–28S.CrossRefPubMed

Israel, B., Schulz, A., Parker, E., & Becker, A. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173–202.CrossRefPubMed

Israel, B., Schulz, A., Parker, E., Becker, A., Allen, A., & Guzman, J. R. (2003). Critical issues in developing and following community-based participatory principles. In M. Minkler & N. Wallerstein (Eds.), Community-based participatory research for health (pp. 53–76). San Francisco, CA: Jossey-Bass/Wiley.

Kumpfer, K. L., Alvarado, R., Smith, P., & Bellamy, N. (2002). Cultural sensitivity and adaptation in family-based prevention interventions. Prevention Science, 3(3), 241–246.CrossRefPubMed

Larrañaga, I., Arteagoitia, J. M., Rodriguez, J. L., Gonzalez, F., Esnaola, S., & Piniés, J. A. (2005). The sentinel practice network of the Basque Country. Socio-economic inequalities in the prevalence of type 2 diabetes, cardiovascular risk factors and chronic diabetic complications in the Basque Country, Spain. Diabetic Medicine, 22(8), 1047–1053.CrossRefPubMed

Margolis, K. L., Lurie, N., McGovern, P. G., Tyrrell, M., & Slater, J. S. (1998). Increasing breast and cervical cancer screening in low-income women. Journal of General Internal Medicine, 13(8), 515–521.CrossRefPubMed

Martire, L. M., Lustig, A. P., Schulz, R., Miller, G. E., & Helgeson, V. S. (2004). Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychology, 23(6), 599–611.CrossRefPubMed

McQuiston, C., Parrado, E. A., Martínez, A. P., & Uribe, L. (2005). Community-based participatory research with Latino community members: Horizonte Latino. Journal of Professional Nursing, 21(4), 210–215.CrossRefPubMed

Meister, J. S., Giuliano, A. R., Saltzman, S., Abrahamsen, M., Hunter, J., de la Ossa, E., et al. (1999). Community health workers at the U.S.–Mexico border: Effectiveness of a cancer prevention/education intervention. Women and Cancer, 1(5), 25–34.

Meister, J., & Johnson, M. (2003). Santa Cruz County 2002–2003 annual report: Nutrition, exercise, wellness: Cooperative extension. Department of Nutritional Science, College of Agriculture and Life Sciences, University of Arizona, Tucson, AZ: Department of Nutritional Science; College of Agriculture & Life Sciences.

Mel and Enid Zuckerman College of Public Health. (2007–2009). Map of Southern Arizona Counties, Centers, and Offices. Retrieved from University of Arizona, Mel and Enid Zuckerman College of Public Health website: http://www.publichealth.arizona.edu/About/CentersAndOffices.aspx.

Minkler, M., & Wallerstein, N. (2003). Introduction to community-based participatory research. In M. Minkler & N. Wallenstein (Eds.), Community-based participatory research for health (pp. 3–26). San Francisco, CA: Jossey-Bass.

Mitchell, B. D., Stern, M. P., Haffner, S. M., Hazuda, H. P., & Patterson, J. K. (1990). Risk factors for cardiovascular mortality in Mexican Americans and Non-Hispanic Whites: The San Antonio Heart Study. American Journal of Epidemiology, 131(3), 423–433.PubMed

National Institute of Diabetes and Digestive Kidney Disease. (2002). Diabetes in Hispanic Americans. Bethesda, MD: National Diabetes Information Clearinghouse.

National Latino Children’s Institute. (2001). Platicamos Salud. Retrieved from National Latino Children’s Institute website: http://www.nlci.org/States/arizona.htm#PlaticamosSalud.

Navarro, A. M., Senn, K. L., McNicholas, L. J., Kaplan, R. M., Roppé, B., & Campo, M. C. (1998). Por La Vida model intervention enhances use of cancer screening tests among Latinas. American Journal of Preventive Medicine, 15(1), 32–41.CrossRefPubMed

Rabi, D. M., Edwards, A. L., Southern, D. A., Svenson, L. W., Sargious, P. M., Norton, P., et al. (2006). Association of socio-economic status with diabetes prevalence and utilization of diabetes care services. BMC Health Services Research, 6, 124. doi:10.1186/1472-6963-6-124.CrossRefPubMed

Redondo, F., & Saavedra, I. (2004). The Animadora model: “An innovative approach”: Campesinos diabetes management program, Campesinos Sin Fronteras. Paper presented at the meeting of Robert Wood Johnson Foundation Collaborative Learning Network, Las Vegas, NV.

Reinschmidt, K. M., & Chong, J. (2005). SONRISA: A curriculum toolbox for promotores/community health workers to address mental/emotional health issues associated with diabetes. Funded by the U.S.–Mexico Border Health Commission/Arizona Department of Health Services. Southwest Center for Community Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ. Retrieved from http://crcphp.publichealth.arizona.edu/Resources/default.aspx.

Reinschmidt, K. M., Hunter, J. B., Fernández, M. L., Lacy-Martínez, C. R., Guernsey de Zapien, J., & Meister, J. (2006). Understanding the success of promotoras in increasing chronic disease screening. Journal of Health Care for the Poor and Underserved, 17(2), 256–264.CrossRefPubMed

Ringwalt, C. L., & Bliss, K. (2006). The cultural tailoring of a substance use prevention curriculum for American Indian youth. Journal of Drug Education, 36(2), 159–177.CrossRefPubMed

Ringwalt, C. L., Ennett, S., Johnson, R., Rohrbach, L. A., Simons-Rudolph, A., & Vincus, A. (2003). Factors associated with fidelity to substance use prevention curriculum guides in the nations’ middle schools. Health Education and Behavior, 30(3), 375–391.CrossRefPubMed

Roary, M. C. (2005). Cardiovascular disease curriculum for real people: A curriculum dedicated to prevention, reduction, & elimination of heart disease: A guidebook, handbook, teaching tool, teaching resource for promotoras/community health workers. Funded by the U.S.–Mexico Border Health Commission/Arizona Department of Health Services. Southwest Center for Community Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ.

Scollan-Koliopoulos, M. (2004). Consideration for legacies about diabetes and self-care for the family with a multigenerational occurrence of type 2 diabetes. Nursing and Health Sciences, 6(3), 223–227.CrossRefPubMed

Southwest Center for Community Health Promotion. (2002). Minutes of the Community Advisory Board Meeting, Rio Rico, AZ. Retrieved from http://crcphp.publichealth.arizona.edu/Resources/CAB_min/CAB_09-26-02.pdf.

Stern, M. P., & Mitchell, B. D. (1995). Diabetes in Hispanic Americans. In National Diabetes Data Group (Ed.), Diabetes in America (2nd ed., NIH Publication No. 95-1468). Bethesda, MD: National Diabetes Information Clearinghouse.

Swenson, C. J., Marshall, J. A., Mikulich-Gilbertson, S. K., Baxter, J., & Morgenstern, N. (2005). Physical activity in older, rural, Hispanic and Non-Hispanic White adults. Medicine and Science in Sports and Exercise, 37(6), 995–1002.PubMed

Teufel-Shone, N. I., Drummond, R., & Rawiel, U. (2005). Developing and adapting a family-based program at the U.S.–Mexico border. Preventing Chronic Disease, 2(1). Retrieved from http://www.cdc.gov/pcd/issues/2005/jan/04_0083.htm.

Teufel-Shone, N. I., Drummond, R., Scheu, L. L., Elenes, J., Torres, E., & Garza, A. D. et al. (2001). Building diabetes support and primary prevention behaviors in families in U.S.–Mexico border communities. Paper presented at the 129th Annual Meeting of the American Public Health Association, Atlanta, GA. Abstract retrieved from http://apha.confex.com/apha/129am/techprogram/paper_25227.htm.

Trief, P. M., Grant, W., Elbert, K., & Weinstock, R. S. (1998). Family environment, glycemic control, and the psychosocial adaptation of adults with diabetes. Diabetes Care, 21(2), 241–245.CrossRefPubMed

Warrick, L. H., Wood, A. H., Meister, J. S., & de Zapien, J. G. (1992). Evaluation of a peer health worker prenatal outreach and education program for Hispanic farmworker families. Journal of Community Health, 17(1), 13–26.CrossRefPubMed

Wen, L. K., Parchman, M. L., & Shepherd, M. D. (2004). Family support and diabetes barriers among older Hispanic adults with type 2 diabetes. Clinical Research and Methods, 36(6), 423–430.

Title: Taking a Broad Approach to Public Health Program Adaptation: Adapting a Family-Based Diabetes Education Program
Authors: Kerstin M. Reinschmidt
Nicolette I. Teufel-Shone
Gail Bradford
Rebecca L. Drummond
Emma Torres
Floribella Redondo
Jo Jean Elenes
Alicia Sanders
Sylvia Gastelum
Martha Moore-Monroy
Salvador Barajas
Lourdes Fernandez
Rosy Alvidrez
Jill Guernsey de Zapien
Lisa K. Staten
Publication date: 01-04-2010
Publisher: Springer US
Published in: Journal of Prevention / Issue 1-2/2010
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI: https://doi.org/10.1007/s10935-010-0208-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Taking a Broad Approach to Public Health Program Adaptation: Adapting a Family-Based Diabetes Education Program

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1-2/2010

Community-Based Organizational Capacity Building as a Strategy to Reduce Racial Health Disparities

Enhancing Community Capacity to Support Physical Activity: The Development of a Community-Based Indoor–Outdoor Walking Program

Community-Based Participatory Research and Community Health Development

Protecting and Enhancing Health: Community Engagement, Collaborations, and Incentives for Prevention

Community Health Development: A Strategy for Reinventing America’s Health Care System One Community at a Time

Interorganizational Network Changes Among Health Organizations in the Brazos Valley, Texas