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Adapting Stanford's Chronic Disease Self-Management Program to Hawaii's multicultural population
Michiyo Tomioka1, Kathryn L Braun, Merlita Compton
1MS, Office of Public Health Studies, University of Hawaii at Mānoa, 1960 East-West Road, Biomed D-209, Honolulu, HI 96822, USA. mtomioka@hawaii.edu
The Gerontologist
|July 2, 2011
Summary
This study adapted the Chronic Disease Self-Management Program (CDSMP) for Asian and Pacific Islander (API) communities. Culturally adapted CDSMP improved health outcomes and self-management for API participants.
Area of Science:
- Public Health
- Health Disparities
- Chronic Disease Management
Background:
- Stanford's Chronic Disease Self-Management Program (CDSMP) effectively improves distress management.
- Adaptation of evidence-based programs is crucial for diverse populations.
Purpose of the Study:
- To describe the replication of CDSMP within Asian and Pacific Islander (API) communities.
- To assess the feasibility and outcomes of a culturally adapted CDSMP.
Main Methods:
- Utilized the "track changes" tool to deconstruct CDSMP components.
- Employed the "adaptation traffic light" for identifying modifications.
- Monitored fidelity, attendance, satisfaction, and 6-month outcomes.
Main Results:
- 584 participants completed the adapted CDSMP; 422 had 6-month data.
- All groups showed reduced activity limitations and increased physician communication.
- Asians and Pacific Islanders reported improved self-rated health and exercise.
Conclusions:
- CDSMP can be culturally adapted for API communities.
- Adaptation maintained key behavior-change components.
- Culturally tailored CDSMP shows promise for improving health outcomes in API populations.
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