Adherence
Culturally tailoring evidence-based diabetes prevention programs (DPP) for Latino populations by integrating family support, culturally specific nutrition, and technology-mediated self-monitoring increases intervention acceptability and cultural congruence compared to standard non-adapted interventions.
For Latino patients in primary care, standard diabetes prevention programs should be adapted to include family members at key sessions (start, middle, end), provide culturally specific healthy meals (e.g., sopes, ceviche) rather than generic options, and use Spanish-language smartphone apps (MyFitnessPal) and FitBits for self-monitoring. This approach respects 'familismo' and avoids the negative stigma of 'dieting', thereby improving engagement and cultural fit.
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.
Why this rating
The paper describes a formative adaptation study (focus groups/advisory boards) rather than a randomized controlled trial with clinical outcomes; it establishes feasibility and acceptability, not efficacy.
Source
A Latino Patient-Centered, Evidence-Based Approach to Diabetes Prevention
Lisa G. Rosas et al. · The Journal of the American Board of Family Medicine · 2018
DOI 10.3122/jabfm.2018.03.170280
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