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Testing the efficacy of culturally adapted coping skills training for Chinese American immigrants with type 2 diabetes using community‐based participatory research
Author(s) -
Chesla Catherine A.,
Chun Kevin M.,
Kwan Christine M.L.,
Mullan Joseph T.,
Kwong Yulanda,
Hsu Lydia,
Huang Peggy,
Strycker Lisa A.,
Shum Tina,
To Diana,
Kao Rudy,
Waters Catherine M.
Publication year - 2013
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.21543
Subject(s) - community based participatory research , medicine , participatory action research , distress , type 2 diabetes , immigration , gerontology , intervention (counseling) , chinese americans , coping (psychology) , clinical psychology , diabetes mellitus , psychology , nursing , archaeology , endocrinology , economics , history , economic growth
Abstract Chinese Americans demonstrate greater prevalence of diabetes than non‐Hispanic whites and find standard diabetes care disregards their cultural health beliefs. Academic researchers and Chinatown agencies collaborated to culturally adapt and test an efficacious cognitive‐behavioral intervention using community‐based participatory research. Using a delayed‐treatment repeated‐measures design, 145 adult Chinese immigrants with Type 2 diabetes completed treatment. Immediate benefits of treatment were evident in the improvement ( p < .05) in diabetes self‐efficacy, diabetes knowledge, bicultural efficacy, family emotional and instrumental support, diabetes quality of life, and diabetes distress. Prolonged benefits were evident in all changed variables 2 months post‐intervention. The CBPR approach enabled the development of a culturally acceptable, efficacious behavioral intervention, and provides a model for working with communities that demonstrate health disparities. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 359–372, 2013