Developing a Culturally Responsive Lifestyle Intervention for Overweight/Obese U.S. Mexicans.
Introduction: Hispanics are the largest minority group in the United States, constituting 18 % of the population. Mexicans are the largest Hispanic subgroup and are at disproportionate risk for overweight/obesity. Lifestyle interventions targeting dietary change and physical activity have resulted i...
| Publicado en: | Journal of Community Health Vol. 47; no. 1; pp. 28 - 39 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Springer Nature
Feb2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=155126863&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 155126863 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Feb2022 vid: 47 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 155126863 10.1007/s10900-021-01016-w ppf: 28 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P size: 574KB tig: atl: Developing a Culturally Responsive Lifestyle Intervention for Overweight/Obese U.S. Mexicans. aug: au: Leng, Jennifer Lui, Florence Narang, Bharat Puebla, Leslie González, Javier Lynch, Kathleen Gany, Francesca affil: Department of Psychiatry and Behavioral Sciences, Immigrant Health and Cancer Disparities Service, Memorial Sloan Kettering Cancer Center, 485 Lexington Ave., 2nd Floor, 10017, New York, NY, USA Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, USA Department of Medicine, Weill Cornell Medical College, New York, NY, USA su: United States Lifestyles Counseling Focus groups Human services programs Health behavior Cultural competence Behavior modification Prevention of obesity Grounded theory Weight loss Descriptive statistics Data analysis software Statistical sampling sug: subj: Lifestyles Counseling Focus groups Human services programs Health behavior Cultural competence Behavior modification United States Other Individual and Family Services Marketing Research and Public Opinion Polling Prevention of obesity Grounded theory Weight loss Descriptive statistics Data analysis software Statistical sampling keyword: Culturally responsive intervention development Focus group study Lifestyle intervention Mexican Americans Culturally responsive intervention development Focus group study Lifestyle intervention Mexican Americans ab: Introduction: Hispanics are the largest minority group in the United States, constituting 18 % of the population. Mexicans are the largest Hispanic subgroup and are at disproportionate risk for overweight/obesity. Lifestyle interventions targeting dietary change and physical activity have resulted in significant weight loss in several large randomized clinical trials in the general population, but few studies have tailored interventions to Mexican Americans. We conducted a community needs assessment from 2018 to 2020 in accordance with Domenech-Rodriguez and Wieling's Cultural Adaptation Process (CAP) model to inform the development of SANOS (SAlud y Nutrición para todOS) (Health and Nutrition for All), a culturally-tailored, community-based diet and lifestyle education and counseling program that addresses overweight/obesity among U.S. Mexicans. Methods: Five Spanish-language focus groups were conducted until thematic saturation with 31 overweight/obese Mexicans in New York City about their knowledge, priorities, and preferences regarding diet, exercise, and evidence-based strategies for behavioral change. A grounded theory approach was used to analyze the data. Results: Five themes were identified: (1) A strong desire for tangible information related to diet and health, (2) Family as a primary motivator for behavior change, (3) Desire for group-based motivation and accountability to sustain intervention participation, (4) Belief in short-term goal setting to prevent loss of motivation, and (5) Time and workplace-related barriers to intervention adoption. Conclusions: Ecological factors such as the effect of acculturation on diet, family members' role in behavior change, and socioenvironmental barriers to healthy dietary practices and physical activity should be considered when adapting evidence-based treatments for Mexican Americans. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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