Culturally adapting an evidence-based intervention to promote a healthy diet and lifestyle for Yup'ik Alaska native communities.
Culturally adapting an evidence-based intervention to promote a healthy diet and lifestyle for Yup'ik Alaska native communities.
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DOI：
10.1080/22423982.2022.2159888
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发表时间：
2023-12
影响因子：
1.3
通讯作者：
Thompson, Beti
中科院分区：
文献类型：
--
作者：
Hopkins, Scarlett E.;Orr, Eliza;Boyer, Bert B.;Thompson, Beti
得不到充分服务的人群患肥胖症和相关心血管疾病、2型糖尿病和其他慢性病的风险增加。缺乏获得健康食品的机会、久坐不动的行为和其他社会环境因素都增加了疾病风险。Yup'ik阿拉斯加原住民社区正在经历生活方式的改变，这可能会影响他们的心脏代谢风险。巴雷拉和卡斯特罗的文化适应框架被用来适应一个基于证据的干预（EBI）最初是为拉丁裔社区在Yup'ik社区使用。在两个Yup'ik社区举行了焦点小组和关键线人访谈。主要主题包括肥胖的原因，健康食品和体育活动的障碍和促进因素，以及干预思路。适应过程由Yup'ik妇女社区规划小组指导，包括信息收集、初步适应设计、初步适应测试和适应改进。对两个经过改编的教育模块进行了试点测试。让社区成员作为文化适应的共同研究者参与进来对于EBI在另一个人群中有效至关重要。在Yup'ik社区，由当地非专业卫生工作者领导的小组聚会在文化上是适当的，可能是一种有效的健康促进模式。影响健康食品供应和体育活动的社会环境因素需要进一步探讨。
Underserved populations are at increased risk for obesity and related cardiovascular disease, type 2 diabetes, and other chronic diseases. Lack of access to healthy foods, sedentary behaviour, and other social environmental factors contribute to disease risk. Yup’ik Alaska Native communities are experiencing lifestyle changes that are likely to affect their cardiometabolic risks. Barrera & Castro’s Cultural Adaptation Framework was used to adapt an evidence-based intervention (EBI) originally designed for Latino communities for use in Yup’ik communities. Focus groups and key informant interviews were held in two Yup’ik communities. Major themes included causes of obesity, barriers and facilitators to healthy foods and physical activity, and intervention ideas. The adaptation process was guided by a Community Planning Group of Yup’ik women and included information gathering, preliminary adaptation design, preliminary adaptation tests, and adaptation refinement. Two of the adapted educational modules were pilot tested. Involving community members as co-researchers in cultural adaptation is vital for an EBI to be effective in another population. Small group gatherings led by local lay health workers are culturally appropriate and may be an effective health promotion model in Yup’ik communities. Social environmental factors affecting healthy food availability and physical activity need further exploration.
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DOI：
10.1186/s12905-020-01157-5
发表时间：
2021-01-13
期刊：
BMC women's health
影响因子：
--
作者：
Sanchez JI;Briant KJ;Wu-Georges S;Gonzalez V;Galvan A;Cole S;Thompson B
通讯作者：
Thompson B
影响因子：
4.2
作者：
Allen, Julie Ober;Griffith, Derek M.;Gaines, Henry C.
通讯作者：
Gaines, Henry C.
影响因子：
5.9
作者：
Barrera, Manuel, Jr.;Castro, Felipe G.;Strycker, Lisa A.;Toobert, Deborah J.
通讯作者：
Toobert, Deborah J.
影响因子：
1.3
作者：
Bersamin, Andrea;Zidenberg-Cherr, Sheri;Luick, Bret R.
通讯作者：
Luick, Bret R.
影响因子：
2.6
作者：
Brubaker, Michael;Berner, James;Warren, John
通讯作者：
Warren, John