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The Diabetes Educator

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Health Promotion Practice
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Cultural Relevancy of a Diabetes Prevention Nutrition Program for African American Women

James Herbert Williams, PhD

Wendy F. Auslander, PhD

Washington University, George Warren Brown School of Social Work, in St. Louis, Missouri.

Mary de Groot, PhD

Department of Psychology at Ohio University in Athens, Ohio.

Adjoa Dionne Robinson, PhD

Research & Training Center on Family Support and Children’s Mental Health at Portland State University in Portland, Oregon.

Cheryl Houston, PhD

Department of Human Environmental Sciences at Fontbonne University in St. Louis, Missouri.

Debra Haire-Joshu, PhD

School of Public Health, at St. Louis University in St. Louis, Missouri.

Diabetes among African American women is a pressing health concern, yet there are few evaluated culturally relevant prevention programs for this population. This article describes a case study of the Eat Well Live Well Nutrition Program, a community-based, culturally specific diabetes prevention nutrition program for African American women. The stages of change theory and principles from community organization guided the development of the program. Health education strategies, including participatory development and program delivery by peer educators, were applied to promote cultural relevance. Results indicated that overall participants (90%) believed the program to be culturally relevant and were very satisfied with the program (82%). Cultural relevancy was significantly associated with greater program satisfaction and changes in dietary patterns when controlling for the number of sessions attended. Conclusions suggest that participatory strategies can be effective in designing culturally specific prevention programs for African American women.

Key Words: African American women • cultural relevancy • diabetes prevention • dietary behaviors • stages of change

Health Promotion Practice, Vol. 7, No. 1, 56-67 (2006)
DOI: 10.1177/1524839905275393
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