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Symposia

Health Psychology / Behavioral Medicine - Adult

Session: “We’re All in This Together”: How to Best Employ Community Engaged Research in Complex Behavioral Medicine Settings

2 - (SYM 134 Evaluation of an Academic-community Partnership for Adapting a Diabetes Prevention Lifestyle Intervention to Meet the Needs of Hispanic/latine Communities

Sunday, November 19, 2023
10:30 AM – 12:00 PM PST
Location: Cispus (403), Level 4

Hispanic/Latine (H/L) adults have some of the highest rates of type 2 diabetes of any racial/ethnic group in the United States; more than half of H/L individuals will develop type 2 diabetes at some point in their life, and have an increased likelihood of developing the disease at a younger age. The National Diabetes Prevention Program (DPP) is a large-scale intervention that aims to prevent or delay the onset of type 2 diabetes. Despite diabetes disparities, the National DPP has failed to adequately enroll and retain H/L adults at high risk for type 2 diabetes (Ely et al., 2017). Although cultural adaptations exist, they are only modestly effective (McCurly et al., 2016). Given the H/L cultural emphasis on family, systematically including family members in diabetes prevention efforts may improve program engagement and outcomes in H/L communities.  



 



This presentation focuses on an on-going Community-Based Participatory Research (CBPR) project to design a culturally-sensitive, family-based diabetes prevention package for H/L adults. Our academic-community team includes researchers at the University of Utah, research associates at Alliance Community Services (i.e., a local community-based organization), and participants on a community advisory board (CAB). The 3-year project includes two mixed-methods studies guided by the ORBIT model for behavioral intervention development (Czajkowski et al., 2015): (a) a formative evaluation of the current 16-class core curriculum of the National DPP (starting summer 2023), and (b) a proof-of-concept evaluation of the adapted intervention.  



 



The primary goal of this presentation is to describe and evaluate the operations of the 10-member CAB (Newman et al., 2011). CAB members were carefully selected based on their lived experiences, their personal and professional experience with type 2 diabetes, their community engagement, and to ensure a diverse group (e.g., various ages and H/L countries of origin). The CAB will meet regularly for approximately 2.5 years and be involved in all aspects of the project, including: finalizing study designs; interpreting results from the mixed methods evaluations; making adaptation recommendations; and disseminating project findings to the broader community. CAB member evaluations of their experience based on monthly self-report and quarterly interview assessments will be summarized. This presentation will illustrate the value of academic-community partnerships in adapting behavioral health interventions to meet the needs of underserved communities.