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Content

A Latino Patient-Centered, Evidence-Based Approach to Diabetes Prevention.

Description

Rosas LG, Lv N, Lewis MA, Venditti EM, Zavella P, Luna V, Ma J., J Am Board Fam Med. 31(3):364-374. doi: 10.3122/jabfm.2018.03.170280., 2018 May 01

Abstract

INTRODUCTION: Cultural tailoring of evidence-based diabetes prevention program (DPP) interventions is needed to effectively address obesity and its related chronic diseases among Latinos in primary care. This article describes the patient-centered process used to adapt the DPP and reports cultural adaptations.

METHODS: We used a 2-stage formative research process to culturally adapt an evidence-based DPP intervention in the context of primary care. The first stage involved 5 focus groups of Latino patients and interviews with 5 stakeholders (3 with primary care physicians and 2 with medical directors) to inform a first round of adaptations. The second stage included pretesting the stage I-adapted intervention with a Latino patient advisory board to complete a second round of adaptations.

RESULTS: Key stakeholders involved in this 2-stage adaptation process included 34 Latino patients who participated in 5 focus groups and 5 physicians and medical directors who participated in key informant interviews during stage I and 11 patients who attended the 16 advisory board meetings and their family members who attended 1 of the meetings during stage II. Using this patient-centered stakeholder-engaged approach, we found the original intervention was largely congruent with the cultural values of the study population. To further strengthen the cultural relevance of the intervention, salient cultural values emphasized by patients and stakeholders underscored the importance of family and community support for behavior change. Accordingly, key adaptations were made to (1) invite family members to the orientation session and at 2 other key timepoints to facilitate family support, (2) provide participants support from the coach and each other via smartphone applications, and (3) provide healthy, easy, low-cost culturally appropriate meals at each group session.

CONCLUSIONS: The 2-stage approach actively engaging patients, family members, providers, and health care system leaders reinforced the cultural congruence of the existing intervention while further strengthening it with adaptations promoting Latino family and community support.

Pubmed Abstract

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Associated Topics

  • Cardiovascular Diseases
  • Diabetes, Insulin Resistance and Metabolic Syndrome
  • Disease Management
  • Food and Nutrition
  • Health Disparities
  • Health Services
  • Obesity
  • Prevention and Health Maintenance

Related Publications

HOMBRE: A randomized controlled trial to compare two approaches to weight loss for overweight and obese Latino men (men with choices to improve well-being and decrease chronic disease risk).

Rosas LG, Lv N, Azar KMJ, Xiao L, Hooker SP, Lewis MA, Zavella P, Venditti EM, Ma J.
Contemp Clin Trials. pii: S1551-7144(17)30629-8. doi: 10.1016/j.cct.2018.02.019. [Epub ahead of print]
2018 Mar 02

Personalized hypertension management using patient-generated health data integrated with electronic health records (EMPOWER-H): six-month pre-post study.

Lv N, Xiao L, Simmons ML, Rosas LG, Chan A, Entwistle M.
J Med Internet Res. 19(9):e311. doi: 10.2196/jmir.7831.
2017 Sep 19

Behavioral lifestyle interventions for moderate and severe obesity: a systematic review.

Lv N, Azar KMJ, Rosas LG, Wulfovich S, Xiao L, Ma J.
Prev Med. pii: S0091-7435(17)30142-1. doi: 10.1016/j.ypmed.2017.04.022. [Epub ahead of print]
2017 Apr 24

Prevalence and correlates of doctor-geriatric patient lifestyle discussions: analysis of ADEPT videotapes.

Ory MG, Yuma PJ, Hurwicz ML, Jarvis C, Barron KL, Tai-Seale T, Tai-Seale M, Patel D, Hackethorn D, Bramson R, Street R, Cook MA.
Prev Med. 43(6):494-7. Epub 2006 Aug 9.
2006 Dec 06

Barriers and facilitators to real-world implementation of the Diabetes Prevention Program in large healthcare systems: lifestyle coach perspectives.

Halley MC, Petersen J, Nasrallah C, Szwerinski N, Romanelli R, Azar KMJ.
J Gen Intern Med. doi: 10.1007/s11606-020-05744-y. [Epub ahead of print]
2020 Apr 06
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