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21.07.2021 | Original Paper

Developing a Culturally Responsive Lifestyle Intervention for Overweight/Obese U.S. Mexicans

verfasst von: Jennifer Leng, Florence Lui, Bharat Narang, Leslie Puebla, Javier González, Kathleen Lynch, Francesca Gany

Erschienen in: Journal of Community Health | Ausgabe 1/2022

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Abstract

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.

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Titel: Developing a Culturally Responsive Lifestyle Intervention for Overweight/Obese U.S. Mexicans
verfasst von: Jennifer Leng
Florence Lui
Bharat Narang
Leslie Puebla
Javier González
Kathleen Lynch
Francesca Gany
Publikationsdatum: 21.07.2021
Verlag: Springer US
Erschienen in: Journal of Community Health / Ausgabe 1/2022
Print ISSN: 0094-5145
Elektronische ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-021-01016-w

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Developing a Culturally Responsive Lifestyle Intervention for Overweight/Obese U.S. Mexicans

Abstract

Introduction

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Introduction

Methods

Results

Conclusions

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