TY - JOUR
T1 - Taking a broad approach to public health program adaptation
T2 - Adapting a family-based diabetes education program
AU - Reinschmidt, Kerstin M.
AU - Teufel-Shone, Nicolette I.
AU - Bradford, Gail
AU - Drummond, Rebecca L.
AU - Torres, Emma
AU - Redondo, Floribella
AU - Elenes, Jo Jean
AU - Sanders, Alicia
AU - Gastelum, Sylvia
AU - Moore-Monroy, Martha
AU - Barajas, Salvador
AU - Fernandez, Lourdes
AU - Alvidrez, Rosy
AU - De Zapien, Jill Guernsey
AU - Staten, Lisa K.
N1 - Funding Information:
Acknowledgments Our special gratitude is extended to the promotoras and community organizations in Southern Arizona who have made Diabetes and the Family/La Diabetes y la Unión Familiar possible. This project was supported by several grants, including Congressional Appropriation for U.S.– Mexico Border Health Grant #200-2000-10070, Cooperative Agreement Numbers U48/CCU915770 and U48-DP000041 from the Centers for Disease Control and Prevention, and by the National Institutes of Health EXPORT Grant Number P60 MD000155. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention, nor the National Institutes of Health.
Funding Information:
Campesinos sin Fronteras continued with a variation of the family diabetes program funded by the Robert Wood Johnson Foundation. The Campesinos Diabetes Management Program (2004–2007) combined the Border Health ¡Sí! program with University of Arizona Rural Health Office programs, adding a more expansive depression section as well as a peer support model (Redondo and Saavedra 2004). As a living document attaching itself to other documents, the family program is being disseminated to farm workers and their families in new communities northeast of the city of Yuma and new immigrants with type II diabetes. These populations are 100% Hispanic of Mexican descent and 95% monolingual Spanish-speakers.
PY - 2010/4
Y1 - 2010/4
N2 - 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.
AB - 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.
KW - Diabetes
KW - Health promotion
KW - Mexican Americans
KW - Program adaptation
KW - U.S.-Mexico Border
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U2 - 10.1007/s10935-010-0208-6
DO - 10.1007/s10935-010-0208-6
M3 - Article
C2 - 20140646
AN - SCOPUS:77951235540
SN - 0278-095X
VL - 31
SP - 69
EP - 83
JO - Journal of Primary Prevention
JF - Journal of Primary Prevention
IS - 1-2
ER -