TY - JOUR
T1 - Culturally adapting an evidence-based intervention to promote a healthy diet and lifestyle for Yup’ik Alaska native communities
AU - Hopkins, Scarlett E.
AU - Orr, Eliza
AU - Boyer, Bert B.
AU - Thompson, Beti
N1 - Publisher Copyright:
© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Alaska native
KW - Yup’ik women
KW - cardiovascular disease
KW - cultural adaptation
KW - intervention research
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U2 - 10.1080/22423982.2022.2159888
DO - 10.1080/22423982.2022.2159888
M3 - Article
C2 - 36544274
AN - SCOPUS:85144598747
SN - 1239-9736
VL - 82
JO - International journal of circumpolar health
JF - International journal of circumpolar health
IS - 1
M1 - 2159888
ER -