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Development of a diabetes prevention program for Surinamese South Asians in the Netherlands.
Nicolaou, Mary; Vlaar, Evalina; van Valkengoed, Irene; Middelkoop, Barend; Stronks, Karien; Nierkens, Vera.
Afiliação
  • Nicolaou M; Department of Public Health, Academic Medical Centre, University of Amsterdam, PO Box 22660, 1100DD Amsterdam, The Netherlands m.nicolaou@amc.nl.
  • Vlaar E; Department of Public Health, Academic Medical Centre, University of Amsterdam, PO Box 22660, 1100DD Amsterdam, The Netherlands.
  • van Valkengoed I; Department of Public Health, Academic Medical Centre, University of Amsterdam, PO Box 22660, 1100DD Amsterdam, The Netherlands.
  • Middelkoop B; Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
  • Stronks K; Department of Public Health, Academic Medical Centre, University of Amsterdam, PO Box 22660, 1100DD Amsterdam, The Netherlands.
  • Nierkens V; Department of Public Health, Academic Medical Centre, University of Amsterdam, PO Box 22660, 1100DD Amsterdam, The Netherlands.
Health Promot Int ; 29(4): 680-91, 2014 Dec.
Article em En | MEDLINE | ID: mdl-23564419
Type 2 diabetes is highly prevalent among South Asian origin groups around the world. Not only is prevalence higher than in other ethnic groups, age at presentation is lower and these groups are more likely to experience complications. Evidence suggests that lifestyle interventions may prevent or delay the onset of diabetes. However, little is known about diabetes prevention in South Asians (SA). DH!AAN is a diabetes prevention program designed for Surinamese SA in The Netherlands. In this paper, we describe the theoretical frameworks and formative research that guided the development and cultural adaptation of DH!AAN. Cultural adaptation was based on analysis of the determinants of diet and physical activity, including socio-cultural factors, within our study population. This led to the incorporation of surface and deep structure elements in the intervention. One-to-one counseling by dieticians using motivational interviewing (MI) was the basis for the intervention. Additionally, we aimed to generate social support by including family members in parts of the intervention and group sessions to address issues relating to traditional food habits. We discuss our reflections on the development process and the choices made in developing this intervention. The results of DH!AAN will provide insight into the use of MI for this population group. Moreover, DH!AAN will provide evidence regarding the feasibility of diabetes prevention among South Asian populations.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Povo Asiático / Diabetes Mellitus Tipo 2 / Promoção da Saúde / Estilo de Vida Tipo de estudo: Etiology_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: America do sul / Caribe ingles / Europa / Suriname Idioma: En Revista: Health Promot Int Assunto da revista: SAUDE PUBLICA Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Holanda País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Povo Asiático / Diabetes Mellitus Tipo 2 / Promoção da Saúde / Estilo de Vida Tipo de estudo: Etiology_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans / Male País/Região como assunto: America do sul / Caribe ingles / Europa / Suriname Idioma: En Revista: Health Promot Int Assunto da revista: SAUDE PUBLICA Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Holanda País de publicação: Reino Unido