Cultural Adaptation of Diabetes Self-Management Education for Marshallese Residing in the United States: Lessons Learned in Curriculum Development.
Cultural Adaptation of Diabetes Self-Management Education for Marshallese Residing in the United States: Lessons Learned in Curriculum Development.
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DOI：
10.1353/cpr.2017.0030
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Mcelfish PA
中科院分区：
文献类型：
--
作者：
Yeary KH;Aitaoto N;Sparks K;Ritok-Lakien M;Hudson JS;Goulden P;Bing W;Riklon S;Rubon-Chutaro J;Mcelfish PA
2型糖尿病是一个重大的公共卫生问题，美国太平洋岛民社区承担着不成比例的负担。马绍尔人是太平洋岛民社区，在糖尿病方面存在显着的不平等，但很少有基于证据的糖尿病干预措施被开发出来以解决这种不平等。我们采用了以社区为基础的参与性研究（CBPR）的方法，以适应基于证据的糖尿病自我管理教育（DSME）干预马绍尔群岛。我们的团队使用了文化适应过程模型，以及由形成性数据和以前的文献综述组成的迭代过程，并与社区和学术专家进行了接触。在调整荒漠化和中小型企业的组成部分时，确定了具体的文化考虑因素，包括思想的二分法与梯度概念化、整个家庭参与的重要性、自然类比的使用以及灵性的作用。我们确定了关键的文化因素，纳入糖尿病自我管理计划的马绍尔群岛。所获得的见解可以为其他人与太平洋岛民的工作提供信息。
Type 2 diabetes is a significant public health problem, with U.S. Pacific Islander communities bearing a disproportionate burden. The Marshallese are a Pacific Islander community that has significant inequities in diabetes, yet few evidence-based diabetes interventions have been developed to address this inequity. We used a community-based participatory research (CBPR) approach to adapt an evidence-based diabetes self-management education (DSME) intervention for the Marshallese. Our team used the Cultural Adaptation Process Model, in addition to an iterative process consisting of formative data and previous literature review, and engagement with community and academic experts. Specific cultural considerations were identified in adapting DSME components, including the dichotomous versus gradient conceptualization of ideas, the importance of engaging the entire family, the use of nature analogies, and the role of spirituality. We identified key cultural considerations to incorporate into a diabetes self-management program for the Marshallese. The insights gained can inform others' work with Pacific Islanders.
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DOI：
10.1111/cts.12350
发表时间：
2015-12
期刊：
Clinical and translational science
影响因子：
--
作者：
McElfish PA;Kohler P;Smith C;Warmack S;Buron B;Hudson J;Bridges M;Purvis R;Rubon-Chutaro J
通讯作者：
Rubon-Chutaro J
DOI：
10.1177/0145721713486200
发表时间：
2013-07
期刊：
The Diabetes educator
影响因子：
--
作者：
Hu J;Amirehsani K;Wallace DC;Letvak S
通讯作者：
Letvak S
影响因子：
3.9
作者：
Magee, Michelle;Bowling, Andrea;Youssef, Gretchen
通讯作者：
Youssef, Gretchen
影响因子：
2.3
作者：
McElfish, Pearl Anna;Hallgren, Emily;Kohler, Peter
通讯作者：
Kohler, Peter
影响因子：
4.2
作者：
Gittelsohn, J;Haberle, H;Palafox, NA
通讯作者：
Palafox, NA