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Taking a Broad Approach to Public Health Program Adaptation: Adapting a Family-Based Diabetes Education Program |
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| 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 |
| Affiliation: | 1. Canyon Ranch Center for Prevention and Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Avenue, Room A210, P.O. Box 245209, Tucson, AZ, 85724-5209, USA 2. Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA 3. Campesinos sin Fronteras, Somerton, AZ, USA 4. Platicamos Salud, Mariposa Community Health Center, Nogales, AZ, USA 5. Promotora Outreach Office, University of Arizona, Douglas, AZ, USA 6. Canyon Ranch Center for Prevention and Health Promotion, Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Avenue, Room A262, P.O. Box 245209, Tucson, AZ, 85724-5209, USA |
| 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. |
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