Taking a Broad Approach to Public Health Program Adaptation: Adapting a Family-Based Diabetes Education Program
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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.
KeywordsProgram adaptation Diabetes Health promotion Mexican Americans U.S.–Mexico Border
- 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.
- 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.Google Scholar
- 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/.
- Campesinos sin Fronteras. (2010) Mission statement. Retrieved from http://www.campesinossinfronteras.org/.
- 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.Google Scholar
- 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/.
- 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.
- Eng, E., & Young, R. (1992). Lay health advisors as community change agents. Family and Community Health, 15(1), 24–40.Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.Google Scholar
- 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.CrossRefPubMedGoogle Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- National Institute of Diabetes and Digestive Kidney Disease. (2002). Diabetes in Hispanic Americans. Bethesda, MD: National Diabetes Information Clearinghouse.Google Scholar
- National Latino Children’s Institute. (2001). Platicamos Salud. Retrieved from National Latino Children’s Institute website: http://www.nlci.org/States/arizona.htm#PlaticamosSalud.
- 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.CrossRefPubMedGoogle Scholar
- 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.Google Scholar
- 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.
- 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.Google Scholar
- 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.Google Scholar
- 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.
- 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.Google Scholar