Samoan Body and Soul: Adapting an Evidence-Based Obesity and Cancer Prevention Program
Samoan Body and Soul: Adapting an Evidence-Based Obesity and Cancer Prevention Program
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DOI：
10.1177/1049732314549021
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发表时间：
2014-12-01
影响因子：
3.2
通讯作者：
Nigg, Claudio
中科院分区：
文献类型：
--
作者：
Cassel, Kevin D.;Braun, Kathryn;Nigg, Claudio
在美国，与肥胖有关的慢性病在萨摩亚人口中持续存在。萨摩亚人和非裔美国人在文化上有着相似之处，如教会归属、对体重和体型的看法以及与肥胖有关的健康风险。调整最初为非洲裔美国人身体和灵魂设计的有效能量平衡干预措施可能有助于减少美属萨摩亚人的肥胖。为了确定潜在的吸引力和适应性，我们使用扎根理论的方面来分析关键线人和焦点小组访谈与31个有意选择的萨摩亚人在夏威夷。我们在研究中纳入了参与性特征，萨摩亚社区成员参与了部分研究。从采访叙述中，我们确定了萨摩亚文化的相关主题，如萨摩亚或萨摩亚方式，以及具体的能量平衡活动，包括在美国的肥胖和癌症预防干预中。萨摩亚人我们的研究结果描述了通过将文化上适当的健康概念纳入现有的循证干预措施来解决健康差异的方法。
Obesity-associated chronic diseases persist in Samoan populations in the United States. Samoans and African Americans share cultural similarities such as church affiliation, perceptions of weight and body size, and obesity-related health risks. Adapting an effective energy balance intervention originally designed for African AmericansBody and Soulmight be useful in reducing obesity among U.S. Samoans. To determine potential attractiveness and adaptations, we used aspects of grounded theory to analyze key-informant and focus group interviews with 31 purposively selected Samoans in Hawaii. We incorporated participatory features into the research with Samoan community members conducting parts of the study. From interview narratives, we identified relevant themes from Samoan culture, such as fa'aSamoa or the Samoan way, and specific energy balance activities to include in an obesity and cancer prevention intervention for U.S.-dwelling Samoans. Our findings describe methods to address health disparities by incorporating culturally appropriate health concepts into existing evidence-based interventions.