Table 3 Domains, goals and specific examples of adaptations made to the SWHH curriculum for rural Latinas
Adaptation Domain | Goal of Adaptation | Specific Adaptation Examples |
|---|---|---|
Accessibility | Improve program accessibility and inclusiveness | • Translated all participant materials to Spanish. • Added new and updated images within participant materials. • Bilingual Community Advisory Board Members and staff of the community partner facilitated recruitment • Bilingual staff of the community partner will lead the classes and facilitate recruitment. |
Nutrition Knowledge | Increase nutrition knowledge and fill potential gaps in knowledge base | Developed and integrated new participant informational sheets (handouts) on topics related to healthy foods and foods commonly found in cultural cuisine. Examples of topics include: • The five subgroups of fruits and vegetables • Nutrition information on familiar meats and cheeses • Sugar-sweetened beverages and healthy alternatives |
Health Knowledge | Provide information about health risks that affect Latinas disproportionately | • Provided additional information on heart disease risk factors • Developed and integrated a handout on type 2 diabetes |
Skills and Strategies | Increase skills and strategies related to making healthy choices | Provided additional or new information on the following skill-based topics: • Selecting lean protein sources • Comparing and selecting grains • Storage of fruits and vegetables • Reading and comparing nutrition labels |
Address Barriers | Address potential barriers to nutrition and exercise through skill-building | Developed and integrated skill-building information to overcome potential barriers: • Healthy eating on a budget (guidance on planning, shopping and meal preparation) • Getting support from family and friends • Managing without sufficient social support |
Cultural Relevance | Increase cultural relevance and appeal of the program’s recipes and exercises | • Replaced guidance on culturally unfamiliar or potentially unappealing foods with guidance on more culturally relevant foods. • Added guidance on selecting and preparing familiar food items (e.g. Tips on selecting and preparing chicken in heart-healthy ways) • Introduced new healthy recipes that use familiar ingredients • Provided recipes for healthier versions of foods commonly found in cultural cuisine • Added Latin dancing as exercise option |