Preventing Chronic Disease | Sociocultural Tailoring of a Healthy Lifestyle Intervention to Reduce Cardiovascular Disease and Type 2 Diabetes Risk Among Latinos - CDC

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Preventing Chronic Disease | Sociocultural Tailoring of a Healthy Lifestyle Intervention to Reduce Cardiovascular Disease and Type 2 Diabetes Risk Among Latinos - CDC

Sociocultural Tailoring of a Healthy Lifestyle Intervention to Reduce Cardiovascular Disease and Type 2 Diabetes Risk Among Latinos

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• Abstract
• Background
• Context
• Methods
• Consequences
• Interpretation
• Acknowledgments
• Author Information
• References
• Tables

Gia Mudd-Martin, PhD, MPH; Maria C. Martinez, PhD, MEd; Mary Kay Rayens, PhD; Yevgeniya Gokun, MS; Janet C. Meininger, PhD, RN

Suggested citation for this article: Mudd-Martin G, Martinez MC, Rayens MK, Gokun Y, Meininger JC. Sociocultural Tailoring of a Healthy Lifestyle Intervention to Reduce Cardiovascular Disease and Type 2 Diabetes Risk Among Latinos. Prev Chronic Dis 2013;10:130137. DOI: http://dx.doi.org/10.5888/pcd10.130137.

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Abstract

Background
Suboptimal lifestyle factors in combination with genetic susceptibility contribute to cardiovascular disease and type 2 diabetes risk among Latinos. We describe a community–academic collaboration that developed and explored the feasibility of implementing a socioculturally tailored, healthy lifestyle intervention integrating genomics and family history education to reduce risk of cardiovascular disease and type 2 diabetes among Latinos.
Community Context
The community-based participatory research was conducted with communities in Kentucky, which has a rapidly growing Latino population. This growth underscores the need for socioculturally appropriate health resources.
Methods
Su Corazon, Su Vida (Your Heart, Your Life) is a Spanish-language, healthy lifestyle educational program to reduce cardiovascular disease and type 2 diabetes risk among Latinos. Twenty natural leaders from an urban Latino community in Kentucky participated in sociocultural tailoring of the program and development of a genomics and family history module. The tailored program was presented to 22 participants to explore implementation feasibility and assess appropriateness for community use. Preintervention and postintervention assessments of genomic knowledge and lifestyle behaviors and qualitative postintervention evaluations were conducted.
Outcomes
Postintervention improvements in health-promoting lifestyle choices and genomic knowledge specific to cardiovascular disease and type 2 diabetes suggested that the program may be effective in reducing risk. Feedback indicated the program was socioculturally acceptable and responsive to community needs.
Interpretation
These findings indicated that a tailored healthy lifestyle program integrating genomics and family history education was socioculturally appropriate and may feasibly be implemented to reduce cardiovascular disease and type 2 diabetes risk in a Latino community with limited health care resources. The project highlights contributions of community-based processes in tailoring interventions that are appropriate for community contexts.

Author Information

Corresponding Author: Gia Mudd-Martin, MPH, PhD, University of Kentucky College of Nursing, 533 College of Nursing Building, 760 Rose St, Lexington, KY 40536-0232. Telephone: 859-257-4204. E-mail: Gia.Mudd@uky.edu.
Author Affiliations: Maria C. Martinez, La Casita Center, Louisville, Kentucky; Mary Kay Rayens, Yevgeniya Gokun, University of Kentucky, Lexington, Kentucky; Janet C. Meininger, University of Texas, Houston, Texas.

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References

1. Schiller JS, Lucas JW, Ward BW, Peregoy JA. Summary health statistics for US Adults: National Health Interview Survey, 2010. Vital Health Stat 10 ;2012;10(252);1–207. CrossRefPubMed
2. Daviglus ML, Talavera GA, Aviles-Santa ML, Allison M, Cai J, Criqui MH, et al. Prevalence of major cardiovascular risk factors and cardiovascular diseases among Hispanic/Latino individuals of diverse backgrounds in the United States. JAMA 2012;308(17):1775–84. CrossRefPubMed
3. Hispanic or Latino populations. Centers for Disease Control and Prevention, Office of Minority Health; 2012. http://www.cdc.gov/minorityhealth/populations/REMP/hispanic.html. Accessed February 21, 2013.
4. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, et al. Heart disease and stroke statistics — 2013 update: a report from the American Heart Association. Circulation 2013;127(1):e6–245. CrossRefPubMed
5. Colas C, Arroyo L. Heart health in the Latino community. The National Council of La Raza; 2010. http://www.nclr.org/index.php/publications/ heart_health_in_the_latino_community/. Accessed March 8, 2011.
6. Scheuner MT, Sieverding P, Shekelle PG. Delivery of genomic medicine for common chronic adult diseases: a systematic review. JAMA 2008;299(11):1320–34. CrossRefPubMed
7. Ingram M, Reinschmidt KM, Schachter KA, Davidson CL, Sabo SJ, De Zapien JG, et al. Establishing a professional profile of community health workers: results from a national study of roles, activities and training. J Community Health 2012;37(2):529–37. CrossRefPubMed
8. Su corazón, su vida (NIH publication no. 08-4087). US Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute; 2008. http://www.nhlbi.nih.gov/health/prof/heart/latino/spanish/lat_mnl_sp.pdf. Accessed November 20, 2008.
9. Balcázar HG, de Heer H, Rosenthal L, Aguirre M, Flores L, Puentes FA, et al. A promotores de salud intervention to reduce cardiovascular disease risk in a high-risk Hispanic border population. Prev Chronic Dis 2010;7(2):A28. PubMed
10. Staten LK, Scheu LL, Bronson D, Pena V, Elenes J. Pasos Adelante: the effectiveness of a community-based chronic disease prevention program. Prev Chronic Dis 2005;2(1):A18. PubMed
11. Valdez R, Yoon PW, Qureshi N, Green RF, Khoury MJ. Family history in public health practice: a genomic tool for disease prevention and health promotion. Annu Rev Public Health 2010;31:69–87. CrossRefPubMed
12. 12.Ennis SR, Ríos-Vargas, Albert NG. The Hispanic population: 2010 census briefs. United States Census Bureau; 2011. http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf. Accessed February 11, 2013.
13. State profile of general population and housing characteristics: 2010 demographic profile data, Kentucky. United States Census Bureau, American FactFinder; 2010. http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC_10_DP_DPDP1. Accessed April 1, 2013.
14. Hjalmarson D. Hispanic population grows in most Kentucky counties. Lexington-Herald Leader; March 18, 2011. http://www.kentucky.com/2011/03/18/1674720/hispanic-population-grows-in-most.html. Accessed February 10, 2012.
15. Demographic profile of Hispanics in Kentucky, 2010. Pew Research Hispanic Center, State and County Databases; 2010. http://www.pewhispanic.org/states/state/ky. Accessed February 20, 2013.
16. Alcalde MG. Cross cultural community conversations: beginning the dialogue to understand the strengths and unmet needs of the Hispanic/Latino community in Louisville Metro. Metro Louisville Office for Women. http://www.louisvilleky.gov/OFW/Publications/Reports.htm. Accessed March 12, 2012.
17. Community assessment report. Lexington-Fayette County Health Department; 2012. http://www.lexingtonhealthdepartment.org. Accessed February 16, 2013.
18. White C. New survey shows Louisville’s growing Hispanic population lacks access to health care. Courier Journal; January 21, 2011. http://www.courier-journal.com/article/20110121/NEWS01/301210083. Accessed February 10, 2012.
19. Mudd GT, Martinez MC. Translation of family health history questions on cardiovascular disease and type 2 diabetes with implications for Latina health and nursing practice. Nurs Clin North Am 2011;46(2):207–18. CrossRefPubMed
20. Mudd GT. The development of a Spanish language instrument to measure genetic knowledge of diabetes mellitus type 2. J Transcult Nurs 2011;22(2):148–56. CrossRefPubMed